10-item CNA practice test. Answers to each of these questions can be found at the bottom of this post.
1. Match the stage of pressure ulcer with it’s description.
A. Stage 1 —————————– full-thickness tissue loss in which the base is covered by slough and/or trough
B. Stage 2 —————————– full-thickness skin loss with some damage/necrosis
C. Stage 3 —————————– nonblanchable erythema of intact skin
D. Stage 4 —————————– partial-thickness skin loss
E. Unstageable —————————– full-thickness skin loss with some damage/necrosis
2. Before feeding a patient who is unable to feed himself, ensure that he is
A. In a 15-30 degree position
B. In an upright sitting position (45-90 degrees)
C. Lying down
3. A nursing assistant can identify herself/himself as a nurse.
4. There is an existing DNR order for a patient. Suddenly, that patient’s heart stops beating. The nursing assistant should:
A. Administer CPR immediately
B. Perform intubation
C. Stop IV drips
D. Withhold CPR and ACLS
5. When taking the blood pressure reading, place the diaphragm of the stethoscope over the:
A. Brachial artery
B. Radial artery
C. Ulnar artery
D. Carotid artery
6. The patient needs assistance with his oral routine medication given “p.c.” which means:
A. Before meals
B. After meals
C. During meals
D. At midnight
7. To address incontinence, you should implement the following five measures:
A. Do not let the patient walk regularly
B. Instruct toileting guidelines based on your own convenience
C. Know the patient’s urinary habits and routines
D. Ignore call lights for fewer bathroom visits
E. Watch out for signs such as holding the abdomen
F. Take the patient to the bathroom often
G. Provide few disposable incontinent pads
H. Place a draw sheet under the patient
I. Give reassurance and understanding
8. You are talking to a patient when you notice a sudden slurring of speech and some facial weakness which resolves by itself after a few moments. This event which is a precursor of stroke is called a:
B. Cardiac arrest
C. Transient ischemic attack
9. When providing perineal care for a female patient, the following guidelines need to be followed. (Select five.)
A. Use single strokes.
B. Wipe from front to back.
C. Move back and forth to clean thoroughly.
D. use same area of washcloth for cleaning.
E. Dry perineal area after washing.
F. Wipre from the anal area into the direction of the prenineum.
G. Wipe sides of labia majora then wipe the middle.
I. Rinse the anal area without contaminating the perineum.
10. A nursing assistant communicates with a patient with dementia effectively by the following means, except
A. Using short and simple sentences
B. Giving one-step commands
C. Speaking clearly and load enough for patient to hear
D. Giving detailed instructions
1. Answer in correct sequence.
A. Stage 1 – nonblanchable erythema of intact skin
B. Stage 2 – partial-thickness skin loss
C. Stage 3 – full-thickness skin loss with some damage/necrosis
D. Stage 4 – full-thickness skin loss with extensive damage
E. Unstageable – full-thickness tissue loss in which the base is covered by slough and/or trough
Also called decubitus ulcers or bed sores, pressure ulcers usually develop in bony prominences of bedridden patients.
2. Answer B. An upright sitting position is safe, comfortable and prevents aspiration of food.
3. Answer B. A nursing assistant is not licensed health care provider like a nurse who instructs and delegate tasks. Nursing assistants should always identify themselves as such or by a similar title.
4. Answer D. “Do Not Resuscitate” order is legal order based on the request of the patient or power of attorney not to administer CPR or advanced cardiac life support in the event of a respiratory and/or cardiac arrest.
5. Answer A. The bell-shaped diaphragm must be held by the thumb and index finger over the brachial artery at the inner aspect of the arm.
6. Answer A. “Post cibum” or p.c. is Latin for after meals. A nursing assistant is not legally allowed to administer medications themselves but only assist patients to take thier own medications.
7. Answer C, E, F, H, I Walking helps stimulate the urge to urinate. The toileting schedule needs to be based on the patient’s habits. Disposable pads need to be provided as much as possible to keep moisture and waste away from skin.
8. Answer C. Symptoms of a TIA can some suddenly and may last up to 24 hours. There is usually no long-lasting damage but a TIA increases the risk of a future stroke.
9. Answers A, B, E, G, I The nursing assistant should wipe from front to back using single strokes to prevent infection. Keeping the perineum dry will prevent the proliferation of germs.
10. Answer D. A patient with dementia has limited ability to process detailed steps which can contribute to confusion and agitation.