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CNA PRACTICE EXAM 3
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -20 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: After signing the consent forms for an upcoming invasive procedure, a patient has a few questions. What should the CNA say to the patient?
a) I am so sorry, but you already signed the consent forms so the time for questions has
passed
b) I am sure you can ask the doctor right before the procedure begins
c) I'll speak to the nurse to ask the doctor to speak with you
d) What are your questions? I'll see if I can answer them.
Answer:
c) I'll speak to the nurse to ask the doctor to speak with you
A CNA should never discuss healthcare procedures above his or her standard of care. The CNA should tell the nurse that the patient has additional questions. The nurse will then tell the doctor, who will speak with the patient.Question 2: If a resident can sit up, pivot, and get out of bed with little assistance but has difficulty reaching the bathroom, which device is the most appropriate to use for elimination?
- portable commode
- regular toilet
- bedpan
- all of the above
Answer:
- portable commode
Since the resident can sit up and turn independently, a portable commode, which is placed near the bed, is the most appropriate device. It is important to use the device that gives the resident the most independence. Bedpans are used for residents who cannot get out of bed. The regular toilet is not appropriate because the bathroom is too difficult for the resident to get to.
Question 3: When a resident complains of chest pains, what should a CNA do?
- call for help immediately
- help the resident perform breathing exercises to increase her oxygen levels
- massage the area where the resident is in pain
- offer a pain reliever to help make the resident more comfortablea
Answer:
- call for help immediately
- place dentures on a shelf next to the sink to dry
- place a paper towel in the sink while cleaning the dentures
- after cleaning, place the dentures in a glass next to the sink
- place a cloth towel in the sink while cleaning the dentures
Chest pain can be a sign of a heart attack (myocardial infarction), which is an emergency situation. The CNA should call for help immediately. The CNA should never give pain medication because this is outside the scope of her care.Question 4: Which is the proper safety technique for a CNA to use when cleaning a resident's dentures?
Answer:
- place a cloth towel in the sink while cleaning the dentures
Dentures are expensive and hard to replace if they break, so a CNA must place a cloth towel in the sink to cushion any falls should the dentures be dropped during cleaning; paper towels will not cushion the fall.
Question 5: When putting anti-embolism stockings on a patient, the CNA should:
- pull the stockings up quickly from the resident's foot
- ensure that the stockings have no wrinkles in them
- ensure that the stockings are very tight
- all of the above
Answer:
- ensure that the stockings have no wrinkles in them
- trapeze
- slide board
Anti-embolism stockings should have no wrinkles, twists, or creases when they are worn. Wrinkles and creases can cause skin to break down and twists can affect circulation. They should not be so tight as to limit circulation, and the CNA should remove the stockings at least once every eight hours to encourage circulation and check the resident's skin for signs of rash or breakdown. It is not necessary to put anti-embolism stockings on "quickly," rather it is important to ensure that they have no bubbles or wrinkles in them.Question 6: Which device is used to transfer a resident from a bed to a stretcher?
c) Hoyer lift
- gait belt
Answer:
- slide board
A slide board is used to transfer a resident from a bed to a stretcher and back again. A CNA uses a Hoyer lift to transfer a weak or immobilized resident from the bed to a chair and back again. A gait belt is used to help a resident stand or walk. A trapeze is used to help a resident sit up in bed.
Question 7: What is the expected order of the five stages of grief?
- bargaining, denial, anger, depression, acceptance
- denial, anger, bargaining, depression, acceptance
- depression, anger, bargaining, denial, acceptance
- anger, denial, bargaining, depression, acceptance
Answer:
- denial, anger, bargaining, depression, acceptance
- mouthwash
- a soft toothette
- a toothbrush
- all of the above
The expected order of the stages of grief is: denial, anger, bargaining, depression, and acceptance.However, not all patients express all of these stages explicitly to caregivers and family members.Additionally, not all patients go through every stage. Some stay in one stage or cycle back to an earlier stage in the process.Question 8: When performing oral care on an unconscious resident, a CNA must use:
Answer:
- a soft toothette
- while assisting a resident in the shower, a CNA leaves the door cracked open
- a CNA helps a resident dress behind a curtain
- a CNA forgets to close the curtain when assisting a resident using a bedpan
- a CNA remains in the room while a resident has visitors
An unconscious resident cannot spit. Therefore, a CNA should not use mouthwash because there is a risk of aspiration. An unconscious resident cannot move or respond, so a hard toothbrush could harm a resident's mouth. A soft toothette is the approved tool for oral care of unconscious residents.Question 9: Which of the following actions protects a resident's right to privacy?
Answer:
- a CNA helps a resident dress behind a curtain
- toe
- finger
A resident has a right to privacy. Pulling the curtain closed while the resident is getting dressed provides for privacy. Remaining in the room while the resident has visitors, forgetting to pull the curtain, and not shutting the door completely during procedures does not provide for privacy.Question 10: A pulse oximeter can be effective when attached to a person's: