Certified Nursing Assistant Exam Practice Test

The correct answer is "before and after contact with a patient" because washing hands before and after contact with a patient helps to prevent the spread of germs and infections. Before contact, it helps to remove any potential pathogens on the hands, reducing the risk of transmission to the patient. After contact, it helps to remove any pathogens that may have been acquired from the patient, reducing the risk of transmission to oneself or others. This practice is crucial in healthcare settings to maintain proper hygiene and prevent the spread of diseases.

Before changing the position of the client's bed, it is important to explain the procedure to the client. This is necessary to ensure that the client is aware of what is happening and feels comfortable with the change. By explaining the procedure, the client can provide any necessary input or express any concerns they may have. This helps to establish trust and maintain good communication between the client and the caregiver, ensuring a smooth transition in the client's position.

Before assisting a client into a wheelchair, it is important to check if the wheels of the chair are locked. This is crucial for the safety and stability of the client during the transfer process. If the wheels are not locked, there is a risk of the chair moving or rolling unexpectedly, which could lead to accidents or injuries. Therefore, ensuring that the wheels are locked provides a secure and stable base for the client before assisting them into the wheelchair.

The appropriate action is to answer the call light and get the urinal because as a healthcare professional, it is important to provide assistance and meet the needs of all patients, regardless of whether they are assigned to you or not. Ignoring the light or waiting until you have time to respond is not appropriate as it may cause discomfort and distress to the patient. Announcing on the intercom about other patients ahead of him is not necessary and may breach patient confidentiality.

To familiarize a new client with their surroundings, it is important to show them where the call light is and how to work it. This allows the client to easily call for assistance when needed, ensuring their safety and comfort. The other options, such as telling the client not to operate the TV, asking visitors to leave the room, or raising the side rails and bed, do not directly address familiarizing the client with their surroundings.

When responding to a client on the intercom, it is important to provide a professional and courteous greeting. Giving your name and position and asking "may I help you?" demonstrates a polite and helpful attitude towards the client. This approach establishes a positive and welcoming interaction, ensuring that the client feels valued and supported. It also sets the tone for effective communication and assists in addressing the client's needs promptly and efficiently.

When arranging a patient's room, there are several tasks that need to be completed. Checking signal cords is important to ensure that the patient can easily call for assistance. Adjusting the back and knee rests as directed is necessary to provide the patient with comfort and support. Checking the light is important to ensure that the room is well-lit and safe for the patient. However, administering medications is not a task that falls under the responsibility of arranging a patient's room. Medication administration is typically done by nurses or healthcare professionals and is not directly related to the physical arrangement of the room.

If the nurse aide accidentally touches the inside of the sink while rinsing the soap off, it means that the hands may have come into contact with potentially contaminated surfaces. To ensure proper hand hygiene and prevent the spread of germs, the next action should be to repeat the handwashing process from the beginning. This will ensure that the hands are thoroughly cleaned and the risk of contamination is minimized.

The first action before leaving Mr. Roark alone would be to make sure he knows how to use the call light. This is important for his safety and well-being, as the call light allows him to easily communicate with the healthcare staff in case he needs any assistance or has an emergency. Ensuring that he knows how to use the call light ensures that he can reach out for help if needed, promoting his comfort and security while in bed.

When family members visit a client, it is important to allow them privacy with the client. This is because privacy allows the family members to have meaningful interactions and conversations with the client without any interruptions or distractions. It also creates a comfortable and relaxed environment for the client and their family members to spend quality time together. Privacy is essential for maintaining the dignity and respect of the client and their family, and it allows them to discuss personal matters or sensitive topics without any discomfort or hesitation.

The most appropriate response in this situation is to call the kitchen for a tray without bacon. This is because the client's religion forbids eating pork, so it would be respectful and considerate to accommodate their dietary restrictions. Encouraging the client to eat it because she needs protein would not be appropriate, as it disregards her religious beliefs. Similarly, telling the client it is all right since her doctor ordered the diet or saying that restrictions don't pertain in times of illness would not address the client's religious dietary restrictions.

The first thing the nurse aide should do when assisting a client with eating is to wash his/her hands and the client's hands. This is important to maintain hygiene and prevent the spread of germs and infections. Washing hands before handling food helps to remove any potential contaminants and ensures that the client's food is safe to eat. Additionally, washing the client's hands helps to maintain their personal hygiene and prevent the spread of germs from their hands to their mouth while eating.

The nurse aide's responsibility does not include the insertion of the catheter. This task is typically performed by a healthcare professional with specialized training, such as a nurse or a doctor. The nurse aide's role is to assist with the care and management of the catheter once it is inserted, such as checking for proper drainage and recording the patient's output. Prevention of infection is also an important responsibility of the nurse aide when caring for catheterized patients, but it is not specifically mentioned in the given options.

If a client objects to certain food for religious or cultural reasons, the appropriate action would be to offer to substitute something different for him. This is because respecting and accommodating the client's religious or cultural beliefs is important in providing appropriate care. By offering an alternative option, the client's dietary needs and preferences can be met while still ensuring they receive a suitable meal.

Wrinkles in the bedclothes can cause decubitus ulcers, also known as bedsores. These ulcers occur when there is prolonged pressure on the skin, usually in areas where bones are close to the surface. The pressure reduces blood flow to the area, leading to tissue damage and the formation of ulcers. Restlessness and sleeplessness may be temporary discomforts caused by wrinkles, but decubitus ulcers are a more serious and long-term consequence. Bleeding and shock are not directly caused by wrinkles in the bedclothes.

Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is necessary for rehabilitation. This is because participating in ADLs helps clients regain their independence, improve their physical and cognitive abilities, and promote their overall well-being. By engaging in these activities, clients can enhance their self-esteem, maintain their functional abilities, and develop the skills needed to perform daily tasks on their own. Therefore, encouraging clients to participate in ADLs is an essential component of the rehabilitation process.

The Foley bag must be kept lower than the client's bladder so that urine will not return to the bladder, causing infection. This is because if the bag is positioned higher than the bladder, gravity may cause the urine to flow back into the bladder, increasing the risk of infection. Keeping the bag lower ensures that the urine flows out of the bladder and into the bag, preventing any potential contamination.

The correct answer is an artificial substitute for a missing body part. A prosthesis is a device or artificial limb that is used to replace a missing body part, such as an arm, leg, or hand. It is designed to restore function and improve the quality of life for individuals who have lost a body part due to injury, illness, or congenital conditions. Prostheses can be custom-made to fit the individual's specific needs and can be made from a variety of materials, such as plastic, metal, or carbon fiber.

When admitting a client, it is important to observe and record any bruises, marks, rashes, or broken skin. This is crucial for assessing the client's overall health and identifying any potential injuries or skin conditions that may require medical attention. Monitoring the color of the stool and the amount of urine voided is important for assessing the client's digestive and urinary system functioning. Recording how much the client has eaten and drunk helps in monitoring their nutritional intake and hydration levels. However, insurance information is not directly related to the client's immediate health assessment and does not need to be observed and recorded during admission.

The correct method for lifting a heavy object is to bend at the knees, keeping your back straight. This is because bending at the knees helps to distribute the weight evenly and allows the leg muscles to do most of the work, reducing strain on the back. Keeping the back straight helps to maintain proper alignment and prevents injury to the spine.

Fowler's position is the best position for Mrs. Kelley if permitted because it provides optimal comfort and support for a patient on bed rest. This position involves raising the head of the bed to a 45-degree angle, which helps to prevent aspiration, improve breathing, and promote circulation. It also allows for easier feeding and digestion. The Tredelenberg position, hyperextension, and legs dangling at the side of the bed are not suitable in this scenario as they do not provide the same level of support and comfort as Fowler's position.

not-available-via-ai

The correct answer is to call for help. When encountering a client who is not breathing, the first and most important action is to call for assistance. This ensures that additional help is on the way to provide further assistance and support. While other actions such as laying the client down, giving breaths, or performing abdominal thrusts may be necessary, they should only be done after help has been summoned.

All of the options listed are considered a client's right. Having curtains pulled during personal care ensures privacy and dignity. Keeping personal information confidentially protects the client's privacy and maintains trust. Receiving and sending private mail allows the client to maintain communication and personal connections. Therefore, all of these options are considered a client's right.

Cold applications, such as ice packs or cold compresses, are commonly used to prevent or reduce swelling. When applied to an injured area, the cold temperature causes vasoconstriction, narrowing the blood vessels and reducing blood flow to the area. This helps to decrease inflammation and swelling by limiting the amount of fluid that accumulates in the tissues. Additionally, cold applications can also help to numb the area and provide pain relief.

The radial artery is the most common site for counting the pulse because it is easily accessible and located close to the surface of the skin. It is located on the wrist, on the thumb side, and is commonly used for measuring the heart rate. The carotid artery, femoral artery, and brachial artery are also sites where the pulse can be felt, but they are not as commonly used as the radial artery for this purpose.

The correct procedure for serving a meal to a client who must be fed is to bring the tray into the room when you are ready to feed the client. This ensures that the meal is served fresh and at the appropriate time for the client's needs. Serving the tray along with all the other trays or bringing it to the client last may result in the food becoming cold or losing its quality. Having the kitchen staff hold the tray for one hour is not a suitable option as it may lead to food safety concerns.

The correct answer is to hold the nourishment and report to the charge nurse. Since Mrs. Black is a diabetic, it is important to consider her dietary restrictions and ensure that she receives appropriate nourishment. Chocolate ice cream is likely to contain high amounts of sugar, which can be harmful for a diabetic individual. Therefore, it is necessary to hold the nourishment and inform the charge nurse to address the situation and provide an alternative option that is suitable for Mrs. Black's condition.

When assisting a blind client with his meal, it is necessary to identify each item on his tray. This is because the client is unable to see the food and may not be able to determine what items are on his tray without assistance. By identifying each item, the client can have a better understanding of what is in front of him and make informed choices about what he wants to eat. This ensures that the client is able to have a satisfactory meal experience.

Changing position every 2 hours is an important way to reduce the incidence of decubitus ulcers. This helps to relieve pressure on specific areas of the body, improving blood circulation and preventing the development of pressure ulcers. Keeping the client in bed and forcing fluids every 2 hours may have their own benefits, but they are not specifically targeted at reducing the incidence of decubitus ulcers.

The appropriate action when an ECF resident calls you by your name is to smile and give the appropriate reward. This indicates a positive reinforcement for the resident's behavior of not swearing and encourages them to continue behaving in a respectful manner. Teasing the resident about not swearing may be inappropriate and could potentially discourage them from maintaining their goal. Continuing whatever task that is being done is not necessarily the appropriate response in this situation. Telling all of the staff that the resident didn't swear is not relevant to the resident's behavior and does not address the appropriate action to take.

The correct answer is to notify the charge nurse. The charge nurse is responsible for overseeing the care of patients and managing the nursing staff. In this situation, the charge nurse would be the appropriate person to notify as they can coordinate the search for the lost dentures and ensure that the client's needs are addressed. The administrator may not have direct involvement in patient care, and the doctor may not be immediately available or the most appropriate person to handle this situation. Therefore, notifying the charge nurse is the most logical and efficient first action.

When cleaning a client's dentures at the sink, lining the emesis basin with a paper towel or filling the sink with water helps to guard against breaking the dentures. This is because dentures are fragile and can easily slip out of the hands and fall onto a hard surface like the sink, which may cause them to break. By lining the basin with a soft paper towel or filling the sink with water, it provides a cushioning effect and reduces the risk of dentures breaking if they accidentally fall.

When assisting a client to use the bedside commode, it is important to leave the call light within reach so that the client can easily call for assistance if needed. Placing toilet tissue close by ensures that the client can maintain hygiene during and after using the commode. Returning to check on the client periodically is crucial to ensure their safety and well-being, as they may require assistance or have any concerns. Therefore, all of the above options are important when assisting a client to use the bedside commode.

The nurse aide's first action when waking up an agitated resident who needs to be turned every two hours all night long should be to speak quietly and calmly. This approach helps to create a soothing and peaceful environment for the resident, reducing their agitation and making the turning process easier. Turning on the light or shouting the resident's name may startle or further agitate the resident, while touching her shoulder may not be enough to effectively calm her down. Therefore, speaking quietly and calmly is the most appropriate initial action in this situation.

When a patient has a new cast on their right arm, it is important to first observe for warmth and color of the fingers. This is because a cast can potentially cause circulation problems, such as restricted blood flow or nerve damage, which can lead to the fingers becoming cold or discolored. By checking the warmth and color of the fingers, healthcare providers can assess the patient's circulation and ensure that there are no complications arising from the cast.

The nurse aide should not tell the patient what they are going to do when counting respirations. This is because if the patient is aware that their respirations are being counted, they may alter their breathing pattern, leading to inaccurate results. It is important to count the respirations discreetly and without the patient's knowledge to obtain an accurate measurement.

As a nurse aide, it is important to follow the instructions and guidance of the supervisor. They are responsible for assigning tasks based on the client's needs and the overall care plan. By doing the tasks assigned by the supervisor, the nurse aide ensures that the client's care is being carried out effectively and efficiently. It is not advisable to do the best without asking for help or comparing assignments with coworkers as this may compromise the quality of care provided.

When assisting a client in and out of bed, the nurse aide should always employ body mechanic techniques. This is because body mechanic techniques involve using proper body mechanics and positioning to prevent strain or injury to both the nurse aide and the client. By using these techniques, the nurse aide can minimize the risk of musculoskeletal injuries and provide safe and effective care to the client. Getting another person to help, pulling the client's feet out first, and putting shoes on the client are not directly related to employing body mechanic techniques.

The correct answer is to help her obtain supplies. This is the appropriate response because the resident wants to wash her own underwear, indicating a desire for independence and self-care. By assisting her in obtaining the necessary supplies, you are supporting her autonomy and promoting her well-being.

When moving a wheelchair onto an elevator, it is important to stay behind the chair and pull it toward you. This position allows for better control and stability while maneuvering the wheelchair onto the elevator. It also ensures that the wheelchair user is facing forward and can easily see where they are going. Pushing the chair away from you can make it more difficult to control and may cause the wheelchair to move too quickly or in an unintended direction. Staying behind the chair and pulling it toward you is the safest and most effective method for moving a wheelchair onto an elevator.

Patients with developmental disabilities can learn, but they may do so at a slower pace compared to individuals without disabilities. Developmental disabilities can affect cognitive, physical, and/or social functioning, making it more challenging for individuals to acquire new skills or knowledge. However, with appropriate support and interventions, individuals with developmental disabilities can still make progress and learn new things.

The correct answer is OBRA. OBRA stands for the Omnibus Budget Reconciliation Act, which is a federal law that sets the standards for nursing home care and requires that long-term-care nurse aides be competency evaluated and complete a distinct education course. OSHA (Occupational Safety and Health Administration), CDC (Centers for Disease Control and Prevention), and FDA (Food and Drug Administration) do not have specific regulations regarding the education and evaluation requirements for long-term-care nurse aides.

When performing catheter care, it is important for the nurse aide to wash the catheter away from the meatus. This is because washing towards the meatus can introduce bacteria and increase the risk of infection. Washing away from the meatus helps to maintain cleanliness and reduce the risk of complications. Betadine soap and alcohol are not typically used for catheter care, as they can be irritating to the skin and may interfere with the functioning of the catheter.

The correct answer is engaging in public fondling. Sexuality in long-term care clients is a normal and important aspect of their lives. It may include needing private time with a partner, caring about one's physical appearance, and desiring sexual interaction. However, engaging in public fondling is not appropriate or acceptable behavior in any setting, including long-term care facilities. It is important to respect the privacy and dignity of all individuals, including their sexual expression, but within appropriate boundaries.

The best response when a client asks a question you cannot answer is to ask the charge nurse to talk to the client. This is because the charge nurse is typically more experienced and knowledgeable and can provide the client with accurate information or find someone who can. It is important to ensure that clients receive accurate and reliable information, even if it means seeking assistance from someone else.

When giving information to the charge nurse for an incident report, the nurse aide should state the facts clearly. This is important because incident reports should be objective and based on factual information rather than personal opinions or assumptions. By stating the facts clearly, the nurse aide ensures that an accurate account of the incident is documented, which can be helpful for further investigation and analysis. It also helps to maintain professionalism and avoid any potential biases or misinterpretations.

When giving mouth care to an unconscious patient, the safest position to prevent aspiration is with the head turned to the side. This position helps to ensure that any fluids or secretions in the patient's mouth can easily drain out, reducing the risk of aspiration into the lungs. Keeping the head turned to the side also helps to maintain an open airway and prevent any obstruction. This position is commonly recommended in order to promote safe and effective mouth care for unconscious patients.

As individuals age, their sexuality can undergo various changes. Some may experience a decrease in sexual desire due to hormonal changes, health conditions, or medications. Others may find that their sexual desire remains unchanged, while some individuals may actually experience an increase in sexual desire due to factors such as increased confidence or a sense of liberation. Therefore, all of the given options can be possible outcomes of sexuality changes in aging.

When giving an unconscious patient a bath, it is important to pass the range of motion to all joints. This is because immobility can lead to joint stiffness, contractures, and pressure ulcers. By gently moving the patient's joints through their full range of motion, it helps to maintain joint flexibility, prevent muscle atrophy, and improve circulation. This should be done regularly to promote the patient's overall well-being and prevent complications associated with immobility.