CREDENTIA CNA NORTH CAROLINA EXAM STUDY GUIDE

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CREDENTIA CNA NORTH CAROLINA EXAM STUDY GUIDE

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -22 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Performs modified passive range of motion (PROM) for one knee and one ankle

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Privacy is provided with a curtain, screen, or door
• Ensures that client is supine in bed and instructs client to inform candidate if pain is experienced

during exercise

• While supporting the leg at knee and ankle, bends the knee and then returns leg to client's normal

position (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

• While supporting the foot and ankle close to the bed, pushes/pulls foot toward head (dorsiflexion), and

pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

• Signaling device is within reach and bed is in low position
• After completing skill, washes hands

Question 2: Assists to Ambulate Using Transfer Belt

Answer:

• Explains procedure, speaking clearly, slowly, and

directly, masintaining face-to-face contact whenever possible

• Before assisting to stand, client is wearing shoes
• Before assisting to stand, bed is at a safe level
• Before assisting to stand, checks and/or locks bed

wheels

• Before assisting to stand, client is assisted to sitting

position with feet flat on the floor

• Before assisting to stand, applies transfer belt securely

at the waist over clothing/gown

• Before assisting to stand, provides instructions to enable

client to assist in standing including prearranged signal to alert client to begin standing

• Stands facing client positioning self to ensure safety of

candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing

• On signal, gradually assists client to stand by grasping

transfer belt on both sides with an upward grasp (candidate's hands are in upward position), and maintaining stability of client's legs 10 Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the belt 11 After ambulation, assists client to bed and removes transfer belt 12 Signaling device is within reach and bed is in low position 13 After completing skill, wash hands

Question 3: DONNING & REMOVING PPE (GOWN & GLOVES)

Answer:

• Picks up gown and unfolds
• Facing the back opening of the gown places arms

through each sleeve

• Fastens the neck opening
• Secures gown at waist making sure that back of clothing

is covered by gown (as much as possible)

• Puts on gloves
• Cuffs of gloves overlap cuffs of gown
• Before removing gown, with one gloved hand,

grasps the other glove at the palm, remove glove

• Slips fingers from ungloved hand underneath cuff

of remaining glove at wrist, and removes glove turning it inside out as it is removed

• Disposes of gloves into designated waste container

without contaminating self

10 After removing gloves, unfastens gown at neck and waist 11 After removing gloves, removes gown without touching outside of gown 12 While removing gown, holds gown away from body without touching the floor, turns gown inward and keeps it inside out 13 Disposes of gown in designated container without contaminating self 14 After completing skill, washes hands

Question 4: Hand Hygiene

Answer:

• Address client by name and introduces self to client by

name

• Turns on water at sink
• Wets hands and wrists thoroughly
• Applies soap to hands
• Lathers all surfaces of wrists, hands, and fingers

producing friction, for at least 20 (twenty) seconds, keeping hands lower than the elbows and the fingertips down

• Cleans fingernails by rubbing fingertips against palms

of the opposite hand

• Rinse all surfaces of wrists, hands, and fingers,

keeping hands lower than the elbows and the fingertips down

• Uses clean, dry paper towel/towels to dry all surfaces

of hands, wrists, and fingers then disposes of paper towel/towels into waste container

• Uses clean, dry paper towel/towels to turn off faucet

then disposes of paper towel/towels into waste container or uses knee/foot control to turn off faucet 10 Does not touch inside of sink at any time

Question 5: MEASURES AND RECORDS MANUAL BLOOD PRESSURE

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol
• Client's arm is positioned with palm up and upper arm is exposed
• Feels for brachial artery on inner aspect of arm, at bend of elbow
• Places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site

• Earpieces of stethoscope are in ears and bell/ diaphragm is over brachial artery site
• Candidate inflates cuff between 160mm Hg to 180 mm Hg. If beat heard immediately upon cuff

deflation, completely deflate cuff. Re-inflate cuff to no more than 200 mm Hg

• Deflates cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) (If

rounding needed, measurements are rounded UP to the nearest 2 mm of mercury)

• Removes cuff

10 Signaling device is within reach 11 Before recording, washes hands 12 After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mm of evaluator's reading

Question 6: Cleans Upper or Lower Denture

Answer:

1) Puts on clean gloves before handling denture

2) Bottom of sink is lined and/ or sink is partially filled with water before denture is held over sink

3) Rinses denture in moderate temperature running water before brushing them

4) Applies toothpaste to toothbrush

5) Brushes surfaces of denture 6) Rinses surfaces of denture under moderate temperature running water 7) Before placing denture into cup, rinses denture cup and lid 8) Places denture in denture cup with moderate temperature water/solution and places lid on cup 9) Rinses toothbrush and places in designated toothbrush basin/container 10) Maintains clean technique with placement of toothbrush and denture 11) Sink liner is removed and disposed of appropriately and/ or sink is drained 12) After rinsing equipment and disposing of sink liner, removes and disposes of gloves (without contaminating self) into waste container and *

WASH HANDS

*

Question 7: Provides Perineal Care (Peri-Care) For Female

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Privacy is provided with a curtain, screen, or door
• Before washing, checks water temperature for safety and comfort and asks client to verify comfort of

water

• Puts on clean gloves before washing perineal area
• Place's pad/ linen protector under perineal area including buttocks before washing