2020 CNA PRACTICE TEST: BASIC NURSING SKILLS - CNA

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2020 CNA PRACTICE TEST: BASIC NURSING SKILLS - CNA

PLUS Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -9 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Before performing any procedure, a nurse aide must

Answer:

A: do all above

• Explain the procedure, identity the patient, wash his or her hands)

*Clinical standards require all health care professionals to identify the client by checking the ID band or tag before providing care. They should wash their hands both before and after an encounter with a client. They should also explain what they are going to do and give the client an opportunity to ask questions before proceeding.Next Question

Question 2: Drainage bags from urinary catheters should always

Answer:

A: Be kept below the level of the bladder

*Drainage bags from an indwelling Foley catheter should be kept below the the level of the bladder to prevent urine from backflowing into the bladder. It also allows gravity to help drain the tubing. Always check that the tubing is not kinked or compressed. Depending on the reason for the catheter, urine may have an unusual appearance; ask the nurse what is abnormal for the patient. Monitor and record the color of the urine as well as observations such as sediment, cloudiness, or blood. Follow your facility's policy or the patient's care plan regarding how often to change the urinary drainage bag.

Question 3: A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient

Answer:

A: had breakfast

• Diabetic clients have a strict schedule regarding insulin injections and eating. Eating causes blood

sugar to rise, and the insulin helps move it into the cells. Without food, the blood sugar drops quickly, causing a serious situation. Immediate treatment is necessary. Quickly check the client's blood sugar level and report it to the nurse. The client will need to eat 15 grams of glucose or a simple carbohydrate such as 1/2 cup orange juice or a tablespoon of sugar. The nurse aide should be aware of which clients are diabetic so that meals are served shortly after the clients receive insulin.Question 4: You are caring for Mr. Brown, who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?

Answer:

A: Report it STAT to the nurse.

• The normal SpO2 range for a client with Chronic Obstructive Pulmonary Disease (COPD) is 88-92%.

This is because oxygen reaches the lungs but lung damage prevents oxygen from getting into the blood.For clients with COPD, giving oxygen is carefully regulated with limits according to how the oxygen is delivered. Immediately report a low saturation to the nurse. Do not make any changes on your own.Next Question

Question 5: Normal color of urine

Answer:

A: yellow

• Normal urine has a yellow color that ranges from dark yellow to light straw color. Urine that is

amber-colored indicates dehydration; more fluids need to be taken. Brown urine can mean severe dehydration or liver disease, and should be checked. Red-tinted urine can occur after the client eats certain foods, such as beets or blueberries. Red urine can also be a sign of kidney disease, urinary tract infection, or prostate problems. Colorless urine may mean that the client is overhydrated and should reduce fluid intake.

Question 6: Which of the following statements about blindness are false?

Answer:

A: Most legally blind or visually impaired people have no sight at all.

• People who are legally blind or visually impaired may still be able to see, but images can be quite

blurry even when they're wearing glasses. They have difficulty reading and are restricted from such activities as driving. Another disability results from tunnel vision. A person with this condition can only see straight ahead, lacking peripheral vision to see almost 180 degrees. Only about 10 - 15% of people who are diagnosed as blind see nothing at all.

Question 7: A patient appears paler than usual. The nurse aide should

Answer:

A: ask the patient how he feels and take his vital signs immediately

• Whenever you notice a change in the client's condition, stop to assess the client and take vital signs. If

the client is able to respond, ask the person how he or she feels. Report the change, vital signs, and client's response to the nurse. When charting, document what you observed and did.

Question 8: Which of the following are associated with smoking?

Answer:

A: all above

• Pneumonia, Vitamin C Deficiency, Heat Attacks)
• The effects of smoking can cause many diseases and medical complications. Cigarette smoking is the

most frequent cause of lung cancer, and it also causes other lung conditions such as chronic obstructive pulmonary disease (COPD), emphysema, and pneumonia. Furthermore, smokers are more likely to develop heart disease and have heart attacks and strokes. Vitamins are depleted in smokers, especially vitamin C and the B vitamins.Question 9: In the Nursing Care Plan, you note that it is written, "O2 per N/C @3L, Orthopnea pos. as needed". As a CNA, you know that this means which of the following?

Answer:

A: The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler's position.

• The CNA should become familiar with these, for reading care plans and for preparing documentation.

This nursing care plan means that the client is receiving oxygen at a constant rate of 3 liters per minute, using a nasal cannula. If the client has difficulty breathing, the CNA can assist the client to sit in a Fowler's (upright) position.