1. When Mrs. Carter had a CVA (stroke), it was the result of decreased oxygen to her:
2. You make Mrs. Carter’s occupied bed. You should:
a. get her into a chair to make it easier for you
b. make the bed any way you want
c. change the sheets with Mrs. Carter in the bed
d. put a toe pleat at the foot of the bed
3. Mrs. Carter’s bed should be clean, neat, and free of wrinkles because:
a. her family will be happy
b. it will help prevent skin breakdown
c. it will look nicer
d. that’s what the nurse told you to do
4. You will do range of motion (ROM) with Mrs. Carter. You should begin at the:
5. You can spread pathogens from Mrs. Carter to her roommate by:
a. letting them share supplies
b. holding contaminated items away from your uniform
c. washing your hands frequently
d. cleaning shared equipment between use
6. Mrs. Carter’s daughter complains about her mother’s care. She is angry. You should:
a. forget it – what she thinks doesn’t matter
b. tell her to leave before she upsets Mrs. Carter
c. leave the room – it is not your problem
d. listen and kindly tell her you will get the nurse
7. Mrs. Carter’s roommate is cognitively impaired. A term used to describe impairment of mental function is:
8. You respect Mrs. Carter’s right to confidentiality by:
a. asking her which activities she would like to attend
b. reporting possible abuse
c. never discussing her information publicly
d. closing the door, curtains, and drapes before giving care
9. The fire alarm sounds. The FIRST thing you do is:
a. call for help
b. move the residents to safety
c. close doors and windows
d. use the fire extinguisher
10. You are responsible for documentation which is:
a. a written account of a resident’s care and condition
b. a report to the nurse
c. a verbal account of a resident’s care and condition
d. only necessary if there is a change in the resident’s condition
11. If a patient refuses a treatment and the CNA attempts to perform it anyway, what could the CNA be charged with?
c. Either A or B
d. Neither A nor B
12. A CNA who forgets to lock the wheels on a wheelchair (which results in a subsequent fall) could be charged with:
13. If a CNA observes the nursing supervisor acting in a negligent way, what should she do?
a. Speak with the doctor in charge of the patient.
b. Follow the institution’s chain of command to determine who to report the behavior to.
c. Go to the institution’s president of nursing to report the behavior.
d. Confront the nursing supervisor directly.
14. If a CNA begins to suspect that a patient is being abused by a family member, what should she do?
a. Report it to the charge nurse.
b. Report it to the police.
c. Ignore it because the nurse and doctor probably suspect it too.
d. Confront the suspected abuser.
15. Who is the most important member of the health care team?
a. The nurse
b. The patient
c. The physician
d. The CNA
16. What is the minimum number of hours of continuing education that a CNA should complete each year?
17. What is the BEST way for a CNA to assist during a code?
a. Administer emergency medications according to the physician’s instructions.
b. Document the events.
c. Speak with the family and answer their questions about what is happening.
d. Retrieve emergency equipment, including the code cart or intubation box, and carry out other assigned tasks that fall within a CNA’s scope of practice.
18. A patient’s daughter is requesting to perform morning care for her mother. The patient is okay with the request, and it has been cleared with the charge nurse. What should the CNA do?
a. Refuse to let the daughter assist.
b. Allow her to perform the morning care and leave the room to provide privacy.
c. Allow her to assist with morning care, but stay in the room to ensure it is being done correctly.
d. Request that the nurse supervise the patient’s daughter.
19. When the CNA is informed of an admission, what is her responsibility?
a. Prepare the room, including the linens, gowns, and other necessary equipment.
b. Complete the admissions interview.
c. Make sure the patient’s medications have been received from the pharmacy and are correct.
d. Coordinate the patient’s care with the rest of the treatment team.
20. Which of the following is NOT a reason for a CNA to refuse an assignment?
a. The CNA feels the task is unethical.
b. Performing the task would cause harm to the CNA.
c. The CNA had a serious disagreement with the patient’s family the day before.
d. The assignment is outside the CNA’s scope of practice.
1. C – Cerebrovascular accident (CVA, stroke) is a decreased blood flow to the brain resulting in brain injury. Symptoms include headache, dizziness, weakness or paralysis of an extremity or one side of the body, inability to talk, incontinence.
a. A decrease of oxygen to the heart can result in a heart attack (myocardial infarction).
b. A decrease of oxygen to the hands or feet can cause cyanosis, a bluish tinge to the skin and nail beds.
d. A decrease of oxygen to the hands or feet may cause cyanosis, a bluish tinge to the skin and nail beds.
2. C – An occupied bed is made when a resident is unable to get out of bed. To make an occupied bed, change the sheets while the resident is in the bed.
a. The resident should never be inconvenienced in order to make the CNA’s job easier.
b. The CNA must provide care according to the resident’s comprehensive care plan and according to the direction of the nurse.
d . A toe pleat is made at the foot of the unoccupied bed. If the bed is occupied, top linens should be loosened over the resident’s feet.
3. B – The resident needs a clean, neat, wrinkle-free bed to prevent skin breakdown and skin irritation, and for comfort and dignity.
a. Procedures are performed for the benefit and well-being of the resident. Most families are pleased when the resident’s needs are identified and met but that is not the primary reason for performing the procedure correctly.
c. Procedures are performed for the benefit and well-being of the resident. The resident’s room may look nicer if the bed is made properly but that is not the primary reason for performing the procedure correctly.
d. The CNA should perform procedures as directed by the nurse but should also understand why a procedure must be done a certain way.
4. B – Range of motion (ROM) exercises are exercises that move each joint in the resident’s body to the fullest extent possible without causing pain. Begin at the shoulder, then exercise the elbow, wrist and fingers, hip, knee, ankle and toes.
a. If you start at the hip, you would be moving pathogens from the hip up toward the face.
c. If you start at the foot, you would be moving pathogens from the foot up toward the face.
d. If you start at the hands, you would be moving pathogens from the hands up toward the face.
5. A – You may spread pathogens by letting roommates share supplies including bedpans, basins, tissue, etc. Each resident should have his own supplies.
b. Holding contaminated items away from your uniform reduces the number of pathogens on your uniform and minimizes the spread of infection.
c. Washing your hands correctly and frequently is the best way to reduce the spread of infection.
d. All common use equipment such as wheel chairs, lifts, showers, bathtubs, etc. must be cleaned between use by different residents to reduce the spread of pathogens.
6. D – Listen to family member’s suggestions, complaints, and comments and direct the family to the nurse. The resident’s family may feel anger about losing control and responsibility for the care of the resident. They may feel that they are being replaced. Their anger may be directed toward staff. Acknowledging the family’s feelings by patiently listening, often defuses the anger.
a. The family is an extension of the resident and a valuable part of the health care team. Part of your responsibility is to help the family develop trust in you and the facility. How the family feels directly effects the resident.
b. The resident has a right to visit with family without interruption. Therefore, you may not tell a visitor to leave.
c. The family should always be treated with the same respect as the resident. It is disrespectful to walk away and ignore the concerns of the family.
7. B – Cognitive impairment is a temporary or permanent change within the brain which affects a person’s ability to think, reason, and learn. Dementia is a general term used to describe a group of symptoms related to a decline in thinking skills.
a. Edema is swelling of joints, tissue, and organs.
c. Hypertension is another word for high blood pressure.
d. Dehydration is a condition in which fluid output is greater than fluid intake.
8. C – The resident has the right to confidentiality. Personal information, medical records, written and telephone communications, medical treatment, personal care, behavior, and meetings with family are not discussed with anyone but appropriate staff in a private place.
a. You respect the resident’s right to choose by allowing the resident to select activities.
b. You respect the resident’s right to be free of abuse by reporting any suspected abuse to the nurse immediately.
d. You respect the resident’s right to privacy by closing doors, curtains, and drapes before giving care.
9. B – Remember RACE: Remove residents from the area of immediate danger; activate the fire alarm; close the doors and windows to contain the fire; extinguish small fires with a fire extinguisher if possible. Always remove residents from the area of immediate danger before doing anything else.
a. In all other emergency situations, the first thing you do is call for help.
c. Close the doors and windows is the third letter in the word RACE.
d. Extinguisher is the fourth letter in the word RACE.
10. A – Documentation is the written account of a resident’s condition. Documentation may include charts, worksheets, and facility records. Documentation should include what you observe and care you perform.
b. Reporting means verbally informing the person in authority (the nurse) about resident care and what has been observed.
c. Reporting means verbally informing the person in authority (the nurse) about resident care and what has been observed.
d. All care you give and all observations you make should be documented.
11. C – A CNA could be charged with assault if she threatens or tries to touch a patient (provide care) without the patient’s consent. It does not matter if she actually touches the patient or provides the treatment; the patient just needs to be afraid that she will do it. Battery refers to the actual act of touching the patient in a threatening manner or in a way that the patient has not consented to. In the situation outlined in the question, the CNA could be charged with both assault and/or battery, depending on the specific circumstances surrounding the incident.
12. D – The CNA could be charged with negligence because she performed a task in a way that was inconsistent with her training. Only a professional with advanced training or one who needs to maintain a license, such as a doctor or nurse, can be charged with malpractice. A CNA can’t because they only need to maintain a certification, not a license. Assault and battery do not apply because the CNA is not behaving in a threatening manner.
13. B – The CNA should follow the chain of command when determining who to report the behavior to. It is inappropriate to contact the physician in charge of the patient’s care because he does not have any authority to deal with this type of nursing situation. It is inappropriate to go directly to the nursing supervisor or president of nursing without following the guidelines set in place by the institution.
14. A – The CNA should immediately report the suspected abuse to the charge nurse so she can determine how best to proceed. It is possible that the suspicions have already been addressed, which is why it is not appropriate to directly report the suspected abuse to the police or confront the potential abuser. The behavior should not be ignored, however, because of the potential for the patient being harmed.
15. B – The most important member of the health care team is the patient. His or her needs-medical, spiritual, and emotional-are the most important. The patient must ultimately consent to and be actively involved in their plan of care. What the physician, nurse, and CNA need, recommend, or want takes a back seat to the needs and wishes of the patient.
16. B – The CNA should complete a minimum of 12 hours of continuing education each year to keep her skills up to date. Additional continuing education hours may be necessary, depending on the skill level and needs of the CNA. Her employer should provide some of the continuing education credits, but it is ultimately the responsibility of the CNA to maintain her certification.
17. D – During a code, the CNA should promptly retrieve emergency equipment or other supplies according to the needs of the physicians and nurses. That may include blood from the blood bank, needles, syringes, etc. Documenting the events and administering medications is the responsibility of the nurse, and is outside the scope of practice of the CNA. The CNA should not answer medical questions from the family, but may be able to provide comfort or support if necessary.
18. C – In cases where the patient will be going home to be cared for by the family, it is definitely appropriate for family members to begin to assist in the patient’s care. The CNA should allow the daughter to participate in her mother’s care, but should be available to supervise and assist as necessary.
19. A – The CNA should prepare the room, ensuring that linens, personal protective equipment, and other medical supplies are present. The CNA should also help orient the patient to the unit and take vital signs. The nurse should complete the admission interview and assessment and coordinate all aspects of care. This includes contacting the pharmacy and ensuring the correct medications are received.
20. C – A serious disagreement with the patient’s family is not a reason to refuse an assignment. The CNA must find a way to work professionally with her patient and the family. If the disagreement begins to interfere with the care the patient is receiving, the CNA should speak with her nurse supervisor about the steps that will need to be taken. The other answer choices are all valid reasons for refusing an assignment.