CNA HEADMASTERS EXAM PRACTICE SET 1 EXAM

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CNA HEADMASTERS EXAM PRACTICE SET 1 EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

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-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?

• To the lateral aspect of the patient's thigh.
• To the bed sheet.
• To the medial aspect of the patient's thigh.
• To the bed.

Answer:

• To the lateral aspect of the patient's thigh.

Securing the catheter to the lateral aspect of the patient's thigh ensures it cannot be painfully pulled during the bath.Question 2: The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware

that you will obtain the specimen:

• At bedtime

• 30 minutes after meals and at bedtime
• 30 minutes before meals and at bedtime
• Before breakfast

Answer:

30 minutes before meals and at bedtime In diabetes, some sugar appears in the urine (glucosuria or glycosuria). The diabetic person may also have acetone (ketone bodies, ketones) in the urine. To determine the presence of these substances in the urine, these tests are usually done four times a day - 30 minutes before meals and at bedtime. The doctor uses the test to make drug and diet decisions. Double-voided specimens are best for these tests.Question 3: The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?

• Check the client's blood glucose before cutting her toe nails.
• Check the chart for physician orders regarding nail trimming.
• Report to the nurse that the client needs her toenails trimmed.
• Retrieve a safety clipper and hand it to the client.

Answer:

• Check the chart for physician orders regarding nail trimming.

Diabetic clients often have special instructions regarding nail trimming. Check the chart for specific orders.Question 4: Which of the following are examples of fluid output that need to be recorded on the I&O sheet?

• Urine only.
• Urine and blood loss.
• Urine, blood loss, and excessive perspiration.
• Urine, emesis, blood loss, and excessive perspiration.

Answer:

• Urine, emesis, blood loss, and excessive perspiration

Fluid output is the sum total of liquids that come out of the body. Most fluid is discharged from the body as urine. Output also includes emesis (vomitus), drainage from a wound, loss of blood, and excessive

perspiration. Every time the client uses the urinal, emesis basin, or bedpan, the urine and other fluids must be measured. For perspiration, wound discharges, or bleeding, indicate what was wet, how wet, the size of the wet area, and the time it occurred.Question 5: Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for

hypoxia include:

• Breathing comfortably only when sitting.
• Restlessness, dizziness, and disorientation.
• Cyanosis and increased pulse rate.
• Increased temperature and decreased respiratory rate.

Answer:

• Restlessness, dizziness, and disorientation.

Hypoxia means that the cells do not have enough oxygen. It is a life-threatening condition. The brain is very sensitive to inadequate oxygen. Restlessness is an early sign, as are dizziness and disorientation.Hypoxia will have increased respiratory rate, increased pulse rate, but not increased temperature.Cyanosis, or bluish discoloration of the skin, is a late sign of hypoxia.Question 6: The nursing assistant knows that the responsibilities of the position do NOT include?

• Helping a resident to bathe.
• Administering a medication.
• Keeping a resident's room tidy.
• Applying an icepack as ordered.

Answer:

• Administering a medication.

Nursing assistants may not administer medications, it is not within their scope of practice. Only RNs, LPNs, and other properly licensed personnel may give medications.Question 7: A nursing assistant cares for a resident. Which of the following skin care measures are correct?

• The nursing assistant does not begin perineal care until a second staff member is present.
• The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it

to the nurse.

• The nursing assistant applies talcum powder beneath the abdominal folds of the resident.
• The nursing assistant applies a prescription ointment as ordered.

Answer:

• The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it to the

nurse.It is the duty of the nursing assistant to report any red pressure spots on the resident to the nurse. The nursing assistant may not apply any prescription ointments. Talcum powder is not recommended. A second staff member is not needed for perineal care.Question 8: Proper body mechanics when lifting clients involve which of the following?

• Keep the spine curved.
• Bending at the waist.

C .Bending at the knees.

• Avoid seeking assistance.

Answer:

Bending at the knees.Bending at the knees is the only proper body mechanic listed. Avoid doing all the others!Question 9: A client with Alzheimers wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by

• recording intake and output.
• taking the client to the bathroom.
• assisting the client to call family members.
• brushing the client's teeth.

Answer:

• taking the client to the bathroom.

Taking the client to the bathroom will most likely prompt a bowel movement, which supports GI tract health. A confused patient may not remember what the urge means.