CNA Data Collection and Reporting Practice Test - Part 2

1. What kinds of things must the CNA immediately report to the nurse?

A. Significant physical changes

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B. Significant emotional changes

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C. Significant behavioral changes

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D. All of the above

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2. CNAs are responsible for reporting; the primary purpose of reporting is to:

A. Inform the nurse about the patient’s condition and the patient needs when necessary

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B. Fulfill your job description and to ensure that all policies and procedures are strictly followed

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C. Help the CNA, the nurse, and other members of the healthcare team to teach the patient and family

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D. Enable the CNA to understand the patients and to ensure that patient education is good

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3. Your resident has a history of skin allergies and needs to be careful about what soap she uses and what detergent she uses in her wash. You notice red bumps with no pus or oozing on her back when you bathe her. What is the proper term for these spots?

A. Wheels

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B. Vesicles

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C. Papules

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D. Purpura

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4. The RN asks you to bring the units collected lab specimens to the lab stat; you should:

A. Not do this errand because CNAs do not do stats

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B. Run this errand as soon as you can

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C. Run this errand immediately and without delay

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D. Before the end of your shift or after your lunch

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5. You enter Miz Diamond’s room and observe she is having difficulty speaking after she awoke from a nap. You should next:

A. Notify the nurse of a change in condition

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B. Wait an hour to see if she regains her speech ability

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C. Give her a drink of water because her mouth is dry

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D. Provide her with a pencil and paper so she may write down what she needs.

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6. Mr Golden’s chart has a notation on the spine that reads DNR this means

A. Do not resuscitate

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B. Do not remove the chart from the unit

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C. He is under Hospice Care

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D. Do not contact the family

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7. Mr. Banks has a fully catheter in place. You have observed him pulling at the catheter and handling his penis on several occasions. How should you address this problem?

A. Let the nurse know of your observations.

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B. Ask Mr. Banks what the problem is, observe the meatus to see if there is discharge or bleeding, and report your findings to the nurse.

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C. Tell Mr. Banks not to pull on or handle the catheter.

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D. Ask Mr. Banks if he would like to have you ask the nurse to remove the catheter.

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8. You are the CNA taking care of Lorraine T. She has a urinary drainage bag. You notice that her urinary output is scant and it is dark amber. What should you do?

A. Measure Line’s urine and force her to drink fluids

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B. Nothing since this is normal for most patients including Lorraine

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C. Nothing because she is only getting four fluids and nothing by mouth

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D. Immediately report this observation to the nurse

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9. CNAs are very important in terms of observation and Reporting why is this role so important?

A. CNAs are paid to make observations and reports

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B. They serve as the eyes and ears of the nurse

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C. They can fulfill the nurse’s duties

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D. All of the above

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10. As the CNA, you know that Mr. Temps has CHF. What specific observations should you make when doing care?

A. You should observe for swelling of hands and feet, shortness of breath, and the color of his urine when you empty his urinal.

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B. You should observe for swelling of his hands as well as an increase in his urinary output.

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C. You should observe if his breath smells fruity or sweet.

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D. You should observe his abdomen to see if it is more swollen than usual and ask him if he has had a bowel movement.

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11. The nursing assistant has gone home when she remembers she forgot to document one of her residents. The best procedure to follow now is:

A. Follow the facility procedure for making a late entry.

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B. Call the facility and have another CNA make the entry for you

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C. Cover the error by making the entry the next workday and backdated to when it happened

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D. Notify the nurse as there is no way to correct a late entry

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12. You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states ambulate at least 10 yards qid. This patient will be assisted with ambulation at which of the following times?

A. 10:00 a.m.

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B. 10:00 a.m. and 2:00 p.m.

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C. 10:00 a.m., 2:00 p.m., and 6:00 p.m.

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D. 10:00 a.m., 2:00 p.m., 6:00 p.m., and 10:00 p.m.

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13. The care plan states your resident may be out of bed ad lib. What does this mean?

A. With assist of two persons

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B. Twice a day

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C. As the resident chooses

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D. Only during daytime

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14. Which of the following lists the five senses?

A. Sight, hearing, taste, smell, and touch

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B. Hearing taste smell common sense and auditory

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C. Sight, taste, smell, auditory, and visual

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D. Hearing smell taste sight and touch

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15. You are working the 4:00 p.m. to 12 midnight evening shift. You are taking care of a group of patients. The RN identifies five patients who get a therapeutic backrub at HS. When will you give these therapeutic backrubs?

A. After the dinner meal

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B. Whenever requested

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C. At the patient bedtime

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D. Before the end of the shift

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16. The purpose of HIPAA regulations is to:

A. Increase the amount of information shared with other healthcare workers

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B. Keep unlicensed workers from sharing patient medical and private information

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C. Allow the physician to decide what patient information should be shared

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D. Ensure that information is only shared by those who need to know

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17. Under HIPAA, what is PHI?

A. Personal Health Indicators

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B. Physical health issues

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C. Political health issue

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D. Protected health information

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18. When you are emptying your resident’s catheter, you notice the urine is cloudier and there are bloody streaks in it. What should you do with the urine?

A. Empty the urine and report your observation to the nurse.

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B. Show the nurse the bag so she can assess the urine and determine if a urine test needs to be sent.

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C. Pour some of the urine in a test tube to send it to the lab for testing

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D. Catheter bags often get contaminated and catheters get tugged on so these are not noteworthy observations.

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19. You are the CNA caring for Mr. Charles Y. You see a notation on the nursing care plan that states remind the patient to use the incentive spirometer tid. This patient will be reminded at which of the following times?

A. 10:00 a.m.

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B. 10:00 a.m. and 2:00 p.m.

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C. 10:00 a.m., 2:00 p.m., and 6:00 p.m.

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D. 10:00 a.m., 2:00 p.m., 6:00 p.m., and 10:00 p.m.

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20. Match the abbreviation with the correct definition: A. AC B. BID C. TID D. PC

A. Before meals

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B. BID

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C. TID – three times a day

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D. PC – after meals

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21. After documenting a set of vital signs for Mr. Alvarez, you realize you wrote in the spot for another patient. You should:

A. Draw a single line through the documentation, write "error" and your initials, and then write the information in the proper place.

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B. Draw a single line through the documentation, write "error" and your initials, and then write the information in the proper place.

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C. Use correction fluid to cover the entry and then rewrite in the proper place.

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D. Notify the director of nursing of your error

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22. A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?

A. Automated external defibrillator

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B. Automated electric driver

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C. Automated external defibrillator

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D. Allowable extra diffuser

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23. Which of the following would be an objective observation?

A. The resident says he has pain in his abdomen

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B. You hear the resident wheezing when he breathes

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C. The resident complains of nausea

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D. The resident tells you he feels sad today

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24. A loud crash at the end of the hall is coming from a room that you are not assigned to. What should you do first?

A. Find the CNA. who is assigned to the room

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B. Yell for help

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C. Ignore it; it is not your assigned room.

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D. Rush to the room and observe what has happened

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25. You are giving care to a 76-year-old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. What should you do?

A. Tell the person to use mouthwash and nothing else.

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B. Read a reference book about diabetes and its signs

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C. Report this to the nurse because this observation is not normal

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D. Skip the mouth care because the person will need a sputum specimen

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CNA Data Collection and Reporting Practice Test – Part 2

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