CNA Nursing Exam Prep Test

The correct technique for answering the telephone is to identify yourself and the facility. This is important for professional communication and to provide clarity to the caller. By stating your name and the facility, the caller knows who they are speaking with and where they have reached. This helps to establish trust and ensures that the caller's needs can be addressed appropriately.

Taking a temperature in the mouth is a correct location because it is a common and convenient method. The mouth provides an accurate reflection of the body's core temperature. Using a digital or mercury thermometer, the thermometer is placed under the tongue, and the mouth is closed to ensure accuracy. This method is commonly used for adults and older children who can cooperate and keep their mouths closed for an accurate reading.

Mrs. Anderson is experiencing pain in her muscles and joints, indicating that her musculoskeletal system is affected. The musculoskeletal system includes the muscles, bones, joints, ligaments, and tendons, which work together to provide support, movement, and protection for the body. Pain in these areas suggests a problem within this system, such as muscle strain, arthritis, or a bone injury. The cardiovascular system is responsible for the circulation of blood, the endocrine system regulates hormones, and the respiratory system is involved in breathing. Therefore, these systems are not directly related to Mrs. Anderson's symptoms of muscle and joint pain.

Soiled linens should be placed in the linen container to ensure proper disposal and prevent contamination. Placing them on the floor, bedside table, or chair can lead to the spread of germs and create an unsanitary environment. The linen container is specifically designed to hold dirty linens and keep them separate from clean ones, maintaining hygiene and preventing cross-contamination.

An observation to report regarding vital signs is an irregular pulse rhythm. This refers to an abnormality in the regularity of the heartbeat, indicating potential cardiovascular issues. It is important to report this observation as it could be indicative of an underlying medical condition that needs further evaluation and treatment. Dilated pupils, gassiness, and no appetite are not related to vital signs and would not be considered observations to report in this context.

During a tub bath or shower bath, it is important to observe for any signs of redness and rashes on the skin. This could indicate an allergic reaction or irritation caused by the water, soap, or any other products used during the bath. Identifying redness and rashes early on allows for prompt treatment and prevention of further discomfort or complications.

The given descriptions - constant, comes and goes, sharp, dull, and aching - are all possible ways to describe pain. Chills, halitosis, and nausea do not fit these descriptions and are not typically associated with these qualities. Therefore, pain is the correct answer.

The nurse assistant can help meet the resident's spiritual needs by talking with and listening to the resident. This is because spiritual needs often involve the need for emotional support, understanding, and someone to talk to. By engaging in conversation and actively listening to the resident, the nurse assistant can provide a safe space for the resident to express their thoughts, concerns, and beliefs. This can help foster a sense of connection, comfort, and validation for the resident, ultimately meeting their spiritual needs.

Creating a calm, orderly routine for a resident who is confused is a correct nursing approach because it helps provide structure and familiarity, which can reduce anxiety and confusion. A routine can help the resident feel more secure and comfortable in their environment, making it easier for them to navigate their day-to-day activities. By establishing a consistent schedule, caregivers can also anticipate and meet the resident's needs more effectively, promoting their overall well-being and quality of life.

Wearing gloves when there is contact with body fluids is considered a Body Substance Precaution because it helps to protect against the transmission of infectious diseases and reduces the risk of exposure to potentially harmful substances. Gloves act as a barrier between the healthcare worker and the body fluids, preventing direct contact and minimizing the chances of contamination or infection. This precaution is important in healthcare settings to ensure the safety of both the healthcare workers and the patients.

The complete dress for a resident includes shoes and stockings because these items are essential for completing an outfit and providing comfort and protection for the feet and legs. Shoes provide support and allow for easy movement, while stockings add an extra layer of warmth and can enhance the overall appearance of the outfit. Together, shoes and stockings complete the attire and ensure that the resident is appropriately dressed.

Hospice care aims to provide comfort to terminally ill patients and their families. This type of care focuses on enhancing the quality of life for patients who are nearing the end of their lives. It involves managing pain and symptoms, offering emotional and spiritual support, and ensuring that the patient's physical, emotional, and psychological needs are met. Hospice care does not aim to cure the patient or provide aggressive treatment but rather focuses on providing compassionate and holistic care during the end-of-life journey.

The correct answer is "disorientation to time, place, and/or person." Confusion refers to a state of mental disarray or lack of clarity, where an individual may struggle to understand or make sense of their surroundings. This can manifest as a difficulty in recognizing the current time, location, or even the people around them. It is characterized by a sense of being lost or unsure of one's surroundings, leading to a state of disorientation.

When providing peri care, it is important to wash from front to back. This is because it helps to prevent the spread of bacteria from the anal area to the urethra and vagina. Washing in this direction helps to maintain good hygiene and reduce the risk of urinary tract infections and other complications.

The NA should check the tubing for kinks and disconnections to ensure safety while giving a resident oxygen. This is important because any kinks or disconnections in the tubing can lead to a disruption in the oxygen flow, potentially causing harm to the resident. By checking the tubing, the NA can ensure that the oxygen is being delivered properly and without any obstructions.

The correct answer is packing all necessary items. When discharging a resident to a hospital, the NA is responsible for ensuring that all necessary items are packed and ready for the resident's stay at the hospital. This includes gathering personal belongings, medical records, medications, and any other items that the resident may need during their hospital stay. By packing all necessary items, the NA ensures that the resident has everything they need for their comfort and care while at the hospital.

The goal of the care plan is to assist the resident in fulfilling basic human needs and ADLs. This means that the care plan aims to provide support and assistance to the resident in meeting their daily needs such as eating, bathing, dressing, and mobility. It focuses on promoting the resident's independence and well-being by helping them maintain their physical and emotional health. By addressing these basic needs, the care plan aims to improve the resident's quality of life and overall functioning.

A care plan is a comprehensive plan of action that is developed for all residents in order to fulfill their basic needs. It includes various aspects such as medical care, personal care, social activities, and emotional support. The purpose of a care plan is to ensure that each resident receives the necessary care and support to maintain their overall well-being. This plan is typically developed by a team of healthcare professionals, including doctors, nurses, and therapists, in collaboration with the resident and their family. It is regularly reviewed and updated to ensure that it continues to meet the changing needs of the residents.

Effortless and regular respirations are signs of normal breathing. Effortless breathing indicates that the person is able to breathe without any difficulty or strain. Regular breathing means that the breaths are occurring at a consistent rhythm and rate. These signs suggest that the person's respiratory system is functioning properly and efficiently.

The loss of a spouse, friends, or pet is an example of a loss that a resident may have experienced. Losing someone close to them, whether it be a spouse, friend, or beloved pet, can be a significant loss that can cause emotional pain and grief. These relationships provide companionship, love, and support, and losing them can leave a void in the resident's life. This loss can be particularly difficult for older adults who may have relied on these relationships for a sense of purpose and connection.

A sudden damage to the brain can occur due to either hemorrhage or blockage of an artery, which is known as a cerebrovascular accident. This condition, also commonly referred to as a stroke, can lead to various neurological symptoms depending on the area of the brain affected. It is a medical emergency that requires immediate attention and treatment to minimize brain damage and prevent further complications. Multiple sclerosis, agnosia, and a catastrophic reaction are unrelated conditions and do not specifically refer to sudden brain damage caused by hemorrhage or artery blockage.

The nervous system controls and coordinates all body activities. It consists of the brain, spinal cord, and nerves, which transmit signals throughout the body. This system is responsible for receiving sensory information, processing it, and sending appropriate motor responses. It regulates various bodily functions, including movement, sensation, thinking, and memory. The endocrine system, on the other hand, regulates body functions through the release of hormones, while the musculoskeletal system provides support and enables movement. The reproductive system is responsible for the production of offspring.

Taking blood pressure on an arm with an IV is not correct because it can lead to inaccurate readings. The presence of an IV can affect the blood flow and cause interference with the measurement. It is recommended to choose an arm without an IV for accurate blood pressure measurement.

Microorganisms can enter the body through breaks in the skin or mucus membrane. These breaks can be caused by injuries, cuts, or even small openings in the skin. Similarly, the mucus membrane, which lines various body cavities, can provide a pathway for microorganisms to enter. Once inside, these microorganisms can cause infections and spread throughout the body. Therefore, breaks in the skin or mucus membrane serve as a common method of entry for microorganisms.

To provide comfort to a resident on oxygen therapy, it is important to keep the skin under the cannula clean and dry. This is because the cannula is placed directly on the skin and any moisture or dirt can cause irritation or infection. By keeping the area clean and dry, the resident will be more comfortable and less likely to experience any complications.

When reporting observations in a status change, it is important to not make judgments and instead be objective. This means that the individual should focus on reporting the facts and what they have observed without adding their personal opinions or biases. By doing so, the information reported will be more accurate and reliable, allowing for appropriate actions to be taken based on the objective observations.

When placing a case on the pillow, the correct method is to pull the case over the pillow while grasping the pillow with the other hand. This ensures that the case is securely fitted onto the pillow without causing any wrinkles or misalignment. By holding the pillow with one hand and pulling the case over it with the other hand, the pillow remains stable and the case can be easily adjusted to fit properly.

The correct answer is that the trunk of the body should be straight and the position should be changed at least every 2 hours. This is important to prevent pressure ulcers and maintain proper alignment of the body. Changing positions frequently helps to relieve pressure on specific areas of the body and promotes blood circulation. Keeping the trunk straight also helps to maintain a good posture and prevent any strain or discomfort for the resident.

An individual's culture significantly influences their personal values. Culture shapes the beliefs, attitudes, and behaviors that individuals adopt and consider important. It provides a framework for understanding what is considered right or wrong, acceptable or unacceptable within a particular society or community. Personal values, such as honesty, respect, or loyalty, are often deeply rooted in cultural norms and traditions. They guide individuals' decisions, relationships, and overall outlook on life. Therefore, culture plays a crucial role in shaping an individual's personal values and subsequently influencing various aspects of their life.

Immobility can lead to various complications such as contractures (muscle or joint stiffness), blood clots (deep vein thrombosis), pressure sores (bedsores or ulcers), and constipation. These complications can arise due to prolonged periods of inactivity, reduced blood flow, pressure on specific body parts, and decreased gastrointestinal motility.

Praising the resident when he/she has accomplished a task promotes the goals of restorative care because it acknowledges and reinforces the resident's abilities and accomplishments. Restorative care focuses on empowering residents to regain or maintain their independence and functional abilities. By praising the resident for their achievements, it encourages them to continue engaging in tasks and activities, promoting their physical and cognitive well-being. This positive reinforcement also helps to build the resident's self-esteem and motivation, which are essential for their overall rehabilitation and restoration of their abilities.

The correct answer is that the small lines between the lines on the dial of a mercury manometer represent two-point intervals. This means that each small line on the dial represents a difference of two units or points. This information is important for accurately reading and interpreting the measurements on the manometer.

As individuals age, it is common for their nervous system to experience a mild slowing of movement. This can be attributed to the natural decline in nerve cell function and the decrease in neurotransmitter production. This slowing of movement may result in a decrease in reaction time and a slight decrease in overall mobility. However, severe confusion, continuous forgetfulness, and mild personality changes are not considered normal parts of the aging nervous system and may indicate underlying medical conditions such as dementia or neurodegenerative diseases.

Proper body alignment refers to maintaining a correct posture while sitting. It involves keeping the hips and buttocks against the back of the chair, which helps to support the spine and maintain its natural curve. This alignment helps to distribute body weight evenly and reduces strain on the back muscles. Keeping the back 2 inches from the back of the chair, having freely dangling feet, or pressing the knees against the edge of the chair do not contribute to proper body alignment.

The NA should report a resident's weight gain or loss if there is any change. This means that any noticeable increase or decrease in weight should be reported, regardless of the frequency or timing. It is important to keep track of any changes in weight as it can indicate potential health issues or the effectiveness of a treatment plan. Reporting any changes promptly allows for appropriate interventions and monitoring to be implemented.

Culture is not genetically determined because it is not inherited through genes or biological factors. Instead, culture is acquired through socialization and learning from one's environment and society. It is a result of the interactions, beliefs, values, traditions, and practices that are passed on from generation to generation. While individuals may inherit certain physical traits from their ancestors, culture is a product of social learning and not determined by genetics.

The correct answer is 105*. This temperature is considered ideal for a tub bath as it is warm enough to provide relaxation and comfort, but not too hot to cause discomfort or burns. Water at this temperature can help soothe muscles, relieve tension, and promote relaxation. It is important to ensure that the water is not too hot to avoid any potential harm or discomfort to the person taking the bath.

When lifting an object or picking something up off the floor, squatting down is the best option to reduce strain on the spine. Squatting allows you to engage the muscles in your legs and hips, which are stronger and better equipped to handle the weight. By keeping your legs bent and using your leg muscles to lift, you can distribute the load more evenly and minimize the pressure on your spine. This position also helps maintain a better posture and prevents excessive bending or twisting of the back, reducing the risk of injury.

The resident uses a cane on their stronger side because it provides them with more stability and support. By using the cane on the stronger side, they can distribute their weight more evenly and reduce the risk of falls or injuries. Additionally, using the cane on the stronger side allows them to have better control and balance while walking.

When a resident is receiving intravenous feeding, it is important for the NA to observe and report any complaint of pain at the site. Pain at the site can indicate complications such as infection, infiltration, or phlebitis. Prompt reporting allows for early intervention and appropriate treatment to prevent further complications. It is crucial for the NA to monitor the resident's comfort and well-being during intravenous feeding to ensure their safety and proper care.

When using a stethoscope to take blood pressure, it is correct to use your fingers to hold the diaphragm in place. This helps to ensure that the diaphragm is properly positioned and allows for accurate sound transmission. By holding the diaphragm with your fingers, you can also control the pressure applied to the patient's skin, which can affect the quality of the sound heard. This technique helps to improve the accuracy of blood pressure measurements.

The care plan is developed by setting short- and long-term goals and means of achieving them. This involves identifying the specific needs of the resident and creating a plan to address those needs. By setting goals, the care team can work towards improving the resident's health and well-being. The means of achieving these goals may include medical treatments, therapies, and interventions. This process ensures that the care provided is tailored to the individual resident and their unique needs.

To correct an error in charting on a resident's chart, the correct procedure is to draw one line through the error, write the words "mistaken entry," and initial it. This method ensures that the original information is still visible, but clearly marked as an error. By writing the words "mistaken entry" and initialing it, it provides a clear indication that the entry was made in error and who made the correction. This helps maintain the accuracy and integrity of the resident's chart.

The correct way for the person to sign their name is "T. Orick, CNA." This includes their initial, last name, and professional designation.

If a choking resident can speak, cough, or breathe, it indicates that their airway is partially blocked but not completely obstructed. Intervening by starting the procedure may cause the resident to breathe in harder, which can create a stronger suction effect and force the object further down the respiratory tract. This can potentially worsen the situation and make it more difficult to remove the object. Therefore, it is recommended to encourage the resident to continue coughing and breathing while monitoring their condition closely.

The responsibility of a NA in transferring a resident is to assist the resident with packing. This means that the NA should help the resident gather their belongings and prepare them for the transfer to another location. This is an important task as it ensures that the resident's personal items are properly packed and ready to be moved to their new location. By assisting with packing, the NA can help make the transfer process smoother and more efficient for the resident.

The correct answer is checking the activity calendar daily. The NA, or Nursing Assistant, is responsible for ensuring that the resident's daily activities are properly scheduled and organized. By checking the activity calendar daily, the NA can ensure that the resident is aware of their activities and can participate in them as needed. This helps to promote a structured and engaging environment for the resident's overall well-being.

Good body mechanics involve standing with feet apart, about 18 inches, with one foot slightly ahead of the other. This position provides a stable base of support, distributing weight evenly and reducing the risk of imbalance or falls. It also allows for better alignment of the spine and reduces strain on the lower back. Standing with feet close together or with one foot at a right angle does not provide the same level of stability and balance.

When giving range of motion exercises, it is important for the NA to support the joint above and below. This provides stability and prevents excessive movement or strain on the joint. Supporting only above the joint or below the joint may not provide adequate support and could lead to injury or discomfort for the patient. A firm grip at the joint may not be necessary or appropriate for all range of motion exercises.

When making a bed, it is recommended to start by making the near side of the entire bed first. This allows for a more organized and efficient process of bed-making. By starting with the near side, one can easily tuck in the sheet and ensure a smooth and neat appearance. This also prevents any wrinkles or creases from forming on the near side of the bed while making the far side. Once the near side is properly made, it becomes easier to move to the far side and complete the bed-making process.