CNA Practice Test - Part 5

1. A client under the nursing assistant’s care suffers from chronic foot drop. The nursing assistant can expect to find which of the following devices in the client’s room?

A. Two extra pillows

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B. A wedge

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C. A mechanical lift

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D. Positioning boots

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2. A client at the facility receives a new roommate. While the roommate is in the bathroom, the client leans toward the nurse and whispers, “Why is she here anyway? Is she sick?” The best response by the nursing assistant is:

A. She’s here for the same thing as you.

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B. I'm not sure, let me take a look at her chart.

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C. Why don’t you ask her yourself?

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D. I'm afraid I can't share that information with you.

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3. A client with Alzheimer’s wakes up more confused than usual one morning. The nursing assistant knows that after breakfast, it is most important to support normal gastrointestinal tract function by:

A. Taking the client to the bathroom

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B. Assisting the client to call family members

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C. Brushing the client’s teeth

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D. Recording intake and output

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4. Which of the following is an example of a pulse rate that should be reported to the nurse?

A. 45

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B. 98

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C. 64

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D. 82

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5. A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should:

A. Raise the bag above the bladder level

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B. Keep the bag below the bladder level

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C. Have the patient cover the bag with a pillow sleeve.

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D. Ask the nurse to confirm this order

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6. The nursing assistant knows that residents on bed rest must be turned every:

A. 8 hours

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B. 2 hours

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C. 1 hour

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D. 6 hours

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7. One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens?

A. First thing in the morning

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B. After a meal

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C. Last Thing Before the patient goes to sleep

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D. Before a meal

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8. Before dressing an EF resident, the nursing assistant should:

A. Report to the charge nurse

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B. Check the order

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C. Close the door

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D. Choose the client’s clothes

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9. Incontinence means that the patient is:

A. Experiencing a disorder that comes with aging

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B. Unable to make decisions

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C. In need of medical attention

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D. Unable to speak

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10. Of the following symptoms, which one is most likely due to an infection in a resident?

A. Sudden onset confusion

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B. Pale skin

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C. Tented skin

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D. Aphasia

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11. Which of the following residents is demonstrating orthopneic position?

A. A. resident sits on the side of the bed and leans forward over a bedside table.

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B. B a resident sits in a chair with their back straight

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C. A resident lays on their stomach with their face to the side

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D. A resident walks using a cane

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12. Which of the following is a correct aspect of making an occupied bed?

A. Place soiled linen on the floor until the bed has been remade with clean sheets.

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B. Completely strip the bed of dirty Linens before applying a clean bottom sheet

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C. Lower the bed to the lowest level when the procedure is complete

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D. Avoid raising the bed rails unless absolutely necessary

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13. A resident is ordered to be in high Fowler position for each meal. Which of the following descriptions is the most accurate depiction of high Fowler position?

A. That the patient’s bed is at a 90° angle and the patient is positioned sitting up.

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B. The patient’s bed is at a 30° angled with the patient slightly slumped over to the left

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C. The patient’s bed is at a 60° angle with the feet propped up

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D. The patient lies on their stomach for 20 minutes prior to eating

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14. Which of the following options is the best method to prevent insomnia?

A. Encourage the client to take several walks around the facility daily.

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B. Ensure the client eats one apple per day

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C. Encourage the client to remain in bed throughout the day

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D. Encourage the client to take several walks around the facility daily

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15. Proper body mechanics and lifting clients involve which of the following?

A. Avoid seeking assistance

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B. Keep the spine curved

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C. Bending at the knees

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D. Bending at the waist

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16. The nursing assistant is helping residents to eat in the dining room when suddenly a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first?

A. Ask the resident if they are choking

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B. Begin the Heimlich maneuver

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C. Call 911

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D. Begin CPR immediately

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17. Shane Stokes respirations occur in a client who:

A. Is unconscious

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B. Is close to death

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C. Has a history of chronic respiratory issues

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D. Is recovering from an asthma attack

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18. The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has Type 2 diabetes. Which of the following actions is best?

A. Report to the nurse that the client needs her toenails trimmed.

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B. Check the client’s blood glucose before cutting her toenails

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C. Retrieve a safety Clipper and hand it to the client

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D. Check the chart for physician orders regarding nail trimming

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19. Fecal impaction may present with which of the following symptoms?

A. Abdominal pain

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B. Small watery leakage of stool

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C. Dark urine

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D. Excessive flatulence

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20. Which of the following most addresses a client’s needs in regard to spirituality?

A. Ask the client why he or she is of a particular faith

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B. Provide the client with warm water, soap, and towels every morning

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C. Treat any religious objects in the client’s room as if they were any other

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D. Assist the client to the facility chapel every Sunday

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21. Which of the following statements is true about Alzheimer’s residence?

A. Residents can never be reoriented because they will immediately forget it

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B. It is important to maintain a routine to avoid confusion and overstimulation

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C. The resident may become confused, but hallucinations are never a part of Alzheimer’s.

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D. An increased appetite is common as Alzheimer’s progresses

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22. The nursing assistant cares for a client who is extremely agitated; she yells, screams, and frequently tries to bite staff. The nursing assistant should:

A. Use the television to distract the client

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B. Use restraints to ensure the client’s safety

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C. Speak calmly in an authoritative and neutral manner to the client

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D. Provide care only when absolutely necessary

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23. When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?

A. Insomnia

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B. Incontinence

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C. Poor appetite

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D. Constipation

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24. A nursing assistant cares for a resident. Which of the following skin care measures are correct?

A. The nursing assistant notes an unblanched red area on the resident sacrum and reports it to the nurse

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B. The nursing assistant does not begin peranal care until a second staff member is present

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C. The nursing assistant applies talcum powder beneath the abdominal folds of the resident

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D. The nursing assistant applies a prescription ointment as ordered

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25. A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nursing assistant knows this is a:

A. Partial thickness burn

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B. Partial thickness burn

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C. Total thickness burn

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D. Superficial burn

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26. When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client’s cane:

A. Away from the client

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B. In front of the client

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C. On the right side

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D. On the left side

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27. What is the best way for a nursing assistant to prevent infection?

A. Frequent handwashing

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B. Use standard precautions when caring for residents

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C. Apply an antiseptic hand rub before and after caring for residents

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D. Wear gloves when in contact with body fluids

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28. A patient is on a clear liquid diet which of the following is not allowed on this diet?

A. Water

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B. Orange juice with pulp

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C. Tea

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D. Coffee

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29. The nursing assistant walks into a patient’s room and discovers him masturbating. Which of the following actions is correct?

A. Ask the patient why he is doing this to himself.

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B. Scold the patient and tell him he should be ashamed of himself

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C. Report the activity to the nurse in charge

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D. Exit the room to provide privacy for the patient

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30. What type of client may opt to receive hospice care?

A. Client with kidney disase disease

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B. Terminally ill client

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C. Client with cancer

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D. Client with diabetes

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31. What protective equipment should be worn when changing an incontinent patient?

A. Gloves gown and a mask

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B. Gloves and gown

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C. Mask and gown

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D. N95 mask

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32. The range of motion term abduction means:

A. Moving the extremity away from the body

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B. Moving the extremity toward the body

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C. Moving the extremity above the body

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D. Moving the extremity below the body

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33. A client with a terminal illness tells the nurse that he has begun praying every night. The client states, “If I pray every night, God will forgive me.” This represents which stage of grief?

A. Bargaining

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B. Acceptance

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C. Bargaining

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D. Denial

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34. Which of the following would be a primary indication of hepatitis?

A. Hyperglycemia

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B. Jaundice

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C. Jaundice

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D. Hypotension

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35. Which of the following aspects of care is important for a confused client?

A. Asking the client their name

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B. Keeping the client contained in their room

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C. Checking the client’s blood sugar every hour

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D. Reorienting the client frequently with clocks, calendars, and family mementos

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36. The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?

A. To the lateral aspect of the patient’s thigh

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B. To the bed

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C. To the lateral aspect of the patient’s thigh

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D. To the bed sheet

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37. Log rolling is a technique best used for which of the following patient diagnoses?

A. Left tibial fracture

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B. Spinal cord injury

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C. Cellulitis of the right arm

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D. Psychosis

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38. The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the best method to support the patient’s independence?

A. Ask the patient what he wants to do.

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B. Complete the entire bath for him to conserve his energy

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C. Allow the patient to perform as much of the bath as possible

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D. Encourage the patient to do the best he can to clean himself

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39. A nursing assistant enters a client’s room and finds a fire burning in a trash can. The nursing assistant’s first action is to:

A. Remove the patient

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B. Call the nurse for help

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C. Try to put out the fire

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D. Pull the fire alarm

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40. A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should:

A. Report the finding to the nurse

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B. Record the Vital sign in the chart

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C. Instruct the client to drink more fluids

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D. Take the client’s pulse next

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41. The nursing assistant knows that signs of hypoglycemia include which of the following?

A. Hot and dry skin

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B. Tachycardia

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C. Sweating

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D. Sweating

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42. Which of the following is a key part of care when administering a bath to a resident?

A. Allow participation in care to promote a sense of independence

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B. Clean the perennial area of a patient before assisting them to clean their face

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C. Use cool water when bathing the patient to promote better circulation

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D. Perform all care for the resident in order to conserve their energy

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43. The nursing assistant should tell the nurse if the client with diabetes:

A. Decides not to finalize a will

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B. Does not touch their lunch tray

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C. Reports numbness in their feet sometimes

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D. Combs their hair without being prompted

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44. The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 °F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?

A. The nursing assistant waits at least 15 minutes before retaking the temperature.

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B. The nursing assistant takes an axillary temperature instead

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C. The nursing assistant records the temperature in the chart

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D. The nursing assistant records the temperature in the chart

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45. A client in the day room is having a panic attack. The nursing assistant should:

A. Encourage the client to verbalize their feelings

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B. Have the client talk about the panic attack

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C. Tell the client to breathe as slowly and deeply as possible.

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D. Ask the client about the cause of the panic attack

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46. Dysphagia is a term that refers to difficulty with which of the following?

A. Swallowing

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B. Urinating

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C. Defecating

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D. Breathing

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47. A patient is on bed rest wearing antibiotic stockings. How often should the stockings be removed?

A. At least twice per day

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B. Never

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C. Q6h

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D. Q2h

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48. Which of the following items is necessary in order to place a patient in restraints?

A. A physician’s order

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B. Physical restraints

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C. The hospital administrator’s approval

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D. The charge nurse’s approval

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49. A walker may be used if the client can:

A. Support some weight

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B. Balance without help

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C. Use her hands well

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D. Walk independently

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50. Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?

A. Gate belt

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B. Wrist restraints

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C. Mechanical lift

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D. Draw sheet

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51. CPR cardiopulmonary resuscitation should be performed when a:

A. Client is unconscious

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B. A client has a pulse but is not breathing

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C. A client is choking

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D. A client has no pulse and is not breathing

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52. A client who has not had a bowel movement in 4 days would receive the most benefit from which of the following procedures?

A. Enema

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B. Endoscopy

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C. Colonoscopy

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D. Catheterization

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53. Which of the following guidelines regarding residents who are hard of hearing would be considered correct?

A. Write down words rather than speaking

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B. Speak in a high-pitched voice to enhance understanding

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C. Speak clearly and slowly as you face the resident

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D. Encourage family participation to make sure they understand you

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54. A patient has just received news about the death of his spouse. He states to the nursing assistant, “I can’t believe this has happened to me. I don’t know what to do. How can I live without my wife?” The nursing assistant best responds by stating:

A. This kind of thing will happen to everyone eventually

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B. I understand you’re in pain. I’ll stay with you.

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C. You will need more time to cope with this loss.

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D. Do you and your wife have any children together?

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55. A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?

A. 480 ml

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B. 120 ml

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C. 480 ml

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D. 480 ml

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56. A resident is choosing items for breakfast; which of the following items contains the most amount of potassium?

A. Strawberries

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B. Eggs

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C. Cantaloupe

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D. Toast

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57. Which of the following types of grief is considered a normal and healthy part of grieving?

A. Complicated

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B. Anticipatory

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C. Unresolved

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D. Inhibited

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58. Before shaving a resident, the nursing assistant checks for which of the following items in the Resident care plan?

A. Shaving instructions related to problems or issues clotting

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B. Any previous refusal of ADLs

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C. History of a heart condition

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D. Presence of the resident’s razor from home

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59. Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?

A. Femoral

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B. Brachial

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C. Radial

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D. Pedal

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60. While emptying the trash in a client’s room you get stuck by a needle that should have been placed in the sharps container what is the first thing to do?

A. Try to squeeze blood out

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B. Call your personal physician

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C. Wash the site for several minutes

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D. Fill out an incident report

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CNA Practice Test – Part 5

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