NURSE AIDE WRITTEN EXAM (CNA) REAL EXAM 2 LATEST

VERSIONS 2023-2024 EACH VERSION WITH 60 QUESTIONS AND

CORRECT ANSWERS WITH RATIONALES|AGRADE

VERSION A

1. The best way to safely identify your patient is by

A. asking his name.
B. calling his name and waiting for his response.
C. checking the bed plate.
D. checking the name tag.

The correct answer is D.

RATIONALE: A confused patient may answer to any name or lie down in any bed.

2. Mrs. Jones is on a bowel and bladder training program. She has not had a bowel movement for three days.
What should the nurse aide do?
A. Report it to the charge nurse.
B. Give the patient an enema.
C. Offer prune juice.
D. Increase fluids.
The correct answer is A.
RATIONALE: The nurse aide should report it to the charge nurse. Nurse aides cannot order a procedureor increase
fluids. Anything unusual must be reported to the nurse in charge.

3. The proper medical abbreviation for before meals is

A. p.c.
B. b.i.d.
C. a.c.
D. t.i.d.

The correct answer is C. RATIONALE: The proper medical abbreviation for before meals is a.c.

4. The proper medical term for high blood pressure is

A. diabetes.
B. hypertension.
C. hypotension.
D. CVA.

The correct answer is B.

RATIONALE: The proper medical term for high blood pressure is hypertension.

5. A patient who has difficulty chewing or swallowing will need what type of diet?
A. clear liquid
B. low residue
C. bland
D. mechanical soft

The correct answer is D.

RATIONALE: A mechanical soft diet is easy to chew, swallow, and digest.

6. Mrs Smith is an 81-year-old resident with Alzheimer’s disease and cannot find her room. What should the
nurse aide do to help Mrs Smith feel more independent?
A. Scold her and tell her to stay in the room.
B. Ask her roommate to watch her.
C. Place a familiar object outside her room door.
D. Write the room number on a piece of paper.

The correct answer is C.

RATIONALE: Helping her locate her room on her own would make Ms. Lee feel better about herself.

7. How often should a patient’s intake and output records be totaled?

A. once each shift
B. twice a day
C. every four hours
D. every 12 hours

The correct answer is A.

RATIONALE: Input and output are totaled once per shift as well as every 24 hours.

8. Which of the following should you observe and record when admitting a client?
A. color of the stool and amount of urine voided
B. how much the client has eaten and drunk
C. bruises, marks, rashes, or broken skin
D. insurance information

The correct answer is C. RATIONALE: Failure to notice bruises or marks on the skin on admission may later cause
someone tobelieve you were involved in abuse.

9. When responding to a client on the intercom, you should

A. ask for the client’s name.
B. say, “What do you want?”
C. give your name and position and say, “May I help you?”
D. say, “The nurse will answer your call.”

The correct answer is C. RATIONALE: When responding to a patient on the intercom, you should give your name
and position.

10. Which of the following things should you do to familiarize a new client with his or her surroundings?
A. Show the client where the call light is and how to work it.
B. Tell the client not to operate the TV.
C. Ask visitors to leave the room while you finish admitting the client.
D. Raise the side rails of the bed and raise the bed to high position.

The correct answer is A. RATIONALE: You should never leave a new admit until the patient knows how to call for
help.

11. When arranging a patient’s room, you should do all of the following EXCEPT
A. check signal cords.
B. adjust the back and knee rests as directed.
C. administer medications.
D. check lighting.

The correct answer is C. RATIONALE: Nursing assistants are never allowed to give medications.

12. When assisting a client in and out of bed, the nurse aide should always
A. employ body mechanic techniques.
B. get another person to help.
C. pull the client’s feet out first, and then lift the back up.
D. put shoes on the client because the patient may slip.

The correct answer is A. RATIONALE: You should always use good body mechanics when moving patients.

13. It is important to reposition a patient during an eight-hour shift. How often should he or she be turned?
A. q2h
B. q4h
C. q1h
D. q1d
The correct answer is A. RATIONALE: It is necessary to turn the patient q2h to prevent pressure ulcers.

14. Which of the following is the correct procedure for serving a meal to a client who must be fed?
A. Serve the tray along with all the other trays, and then come back to feed the client.
B. Bring the tray to the client last; feed after you have served all the other clients.
C. Bring the tray into the room when you are ready to feed the client.
D. Have the kitchen hold the tray for one hour.

The correct answer is C. RATIONALE: You should not bring the tray into the room until you have time to feed.

15. The most serious problem that wrinkles in the bedclothes can cause is
A. restlessness.
B. sleeplessness.
C. decubitus ulcers.
D. bleeding and shock.

The correct answer is C. RATIONALE: The most serious problem that wrinkles in the bedclothes can cause patients
is decubitusulcers, or decubiti.

16. Restorative care begins

A. a week after admission.
B. as soon as possible.
C. when the patient wants.
D. twice a week.

The correct answer is B. RATIONALE: Restorative care begins as soon as possible to prevent further complications.

17. You are told to put a client in Fowler’s position. Before changing the position of the client’s bed, you should
A. open the window.
B. explain the procedure to the client.
C. check with the client’s family.
D. remake the bed.

The correct answer is B. RATIONALE: You should always explain procedures first.

18. During hand washing, you accidentally touch the inside of the sink while rinsing the soap off. The next action
is to
A. allow the water to run over the hands for two minutes.
B. dry the hands and turn off the faucet with the paper towel.
C. repeat the wash from the beginning.
D. none of the above

The correct answer is C. RATIONALE: You have contaminated your hands and must start over.

19. You are going on a job interview. How should you prepare to dress?
A. Wear your best jeans and T-shirt.
B. Use a lot of perfume.
C. Wear simple clothing (dress, shirt, pants, suit).
D. Wear a lot of jewelry.

The correct answer is C. Your appearance is important. You should wear business attire.

20. Mr. Brown, a newly admitted conscious client, has been put to bed. Before leaving him alone, the first action
would be to
A. ask him if he is hungry.
B. inspect his skin.
C. complete the listing of his clothing and valuables.
D. make sure he knows how to use the call light.

The correct answer is D. Always make sure new patients can call for help.

21. When lifting a heavy object, the correct method would be to bend at the
A. waist, keeping your legs straight.
B. waist, rounding your shoulders.
C. knees, keeping your back straight.
D. knees and waist.

The correct answer is C. Keeping your back straight forces you to use your strong leg muscles.

22. At what time(s) during a shift should a nurse aide wash his or her hands?
A. before eating
B. after using the bathroom
C. before and after patient care
D. all of the above

The correct answer is D. Frequent hand washing is the first line to prevent the spread of infection.

23. When assisting a client with eating, one of the first things the nurse aide should do is
A. cut the food into bite-size pieces.
B. wash his or her hands and the client’s hands.
C. butter the client’s bread.
D. provide the client with privacy.

The correct answer is B. Always remember to consider infection control.

24. A patient has a new cast on his right arm. While caring for him, it is important to first observe for
A. pulse above the cast.
B. color and hardness of the cast.
C. warmth and color of fingers.
D. signs of crumbling at the cast end.
The correct answer is C. A new cast may cut off circulation. This is the only choice that reminds you to check for
circulatory impairment.

25. Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding
is
A. done only when time permits.
B. the family’s responsibility.
C. necessary for rehabilitation.
D. a violation of client rights.

The correct answer is C. Rehabilitation should always be part of the care plan.

26. In caring for a confused elderly man, it is important to remember to

A. keep the bed rails up except when you are at the bedside.
B. close the door to the room so that he does not disturb other patients.
C. keep the room dark and quiet at all times to keep him from becoming upset.
D. remind him each morning to shower and shave independently.

The correct answer is A. Make sure to follow agency policy.

27. Before assisting a client into a wheelchair, the first action would be to check if the
A. client is adequately covered.
B. floor is slippery.
C. door to the room is closed.
D. wheels of the chair are locked.

The correct answer is D. Before assisting a patient into a wheelchair, check to see if the wheels of the chair are
locked.

28. You are transferring a resident from the bed to the wheelchair. The patient has a weak left side. You should
stand
A. on the right side.
B. in front of the patient.
C. on the left side.
D. behind the patient.

The correct answer is C. You must assist the patient from the weak side.

29. While making rounds at 4:00am, a nurse aide finds a patient lying on the floor. What should she or he do
first?
A. Call 911/000.
B. Perform CPR.
C. Call for another nurse aide.
D. Assess the patient’s vital signs.
The correct answer is D. Always check for vital signs; the patient may have fainted.

30. When moving a wheelchair onto an elevator, you should stay

A. behind the chair, pulling it toward you.
B. behind the chair, pushing it away from you.
C. in front of the client to observe his or her condition.
D. to the side and hold the door open.

The correct answer is A. You must stay behind the chair to control it, but it should go on and come off an elevator
backward to prevent the wheels from falling into the door opening.

31. The Foley bag must be kept lower than the client’s bladder so that
A. urine will not leak out, soiling the bed.
B. urine will not return to the bladder, causing infection.
C. the bag will be hidden and the client will not be embarrassed.
D. the client will be more comfortable in bed.

The correct answer is B. Raising the bag above the bladder level can lead to backflow of the urine, with its bacteria,
into the bladder.

32. Mr Jones is a diabetic. For his afternoon tea, the kitchen has sent a carton of chocolate ice cream. Your first
action should be to
A. substitute diet cola for the ice cream.
B. hold the nourishment and report to the charge nurse.
C. ask the secretary to notify the kitchen of an error.
D. ask Mrs. Black if she likes ice cream.

The correct answer is B. Always report abnormal conditions.

33. When assisting a client who is using the bedside commode, it is important to
A. leave the call light within reach.
B. place toilet tissue close by.
C. return to check on the client periodically.
D. all of the above

The correct answer is D. All of the choices listed are correct.

34. Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be
accomplished by doing all of the following EXCEPT
A. positioning the patient every two hours.
B. using mechanical aids.
C. giving backrubs.
D. performing active or passive ROM exercises.

The correct answer is A. The patient must be positioned every two hours to prevent skin breakdown due to poor
circulation.

35. The purpose of cold applications is usually to

A. speed the flow of blood to the area.
B. prevent heat exhaustion.
C. prevent or reduce swelling.
D. prevent the formation of scar tissue.

The correct answer is C. The purpose of cold applications is usually to prevent or reduce swelling.

36. The hot water bottle is an example of a

A. local dry heat application.
B. generalized dry heat application.
C. local moist heat application.
D. generalized moist heat application.

The correct answer is A. A hot water bottle applied by itself is dry heat.

37. Clients receiving an enema are usually placed

A. on the right side.
B. on the left side.
C. flat on the back.
D. in a semi-sitting position.

The correct answer is B. Placing the patient on the left side allows better entry into the colon.

38. A female client’s perineal area should be cleansed before which specimen is collected?
A. 24-hour urine specimen
B. midstream clean-catch urine specimen
C. pediatric routine urine specimen
D. routine urine specimen

The correct answer is B. The clean-catch specimen requires cleaning the perineum.

39. The most common site for counting the pulse is the
A. carotid artery.
B. femoral artery.
C. brachial artery.
D. radial artery.

The correct answer is D. The other sites are rarely used by the nursing assistant.

40. When counting respiration’s, you should

A. wait until after the client has exercised.
B. not tell the patient what you are going to do.
C. count five respirations and then check your watch.
D. have the client count respirations while you take her pulse.

The correct answer is B. Telling the patient you are watching her breathing will cause her to change her breathing
pattern slightly.

41. With catheterized patients, which of the following is NOT the nurse aide’s responsibility?
A. inserting the catheter
B. preventing infection
C. checking to make sure the catheter is draining properly
D. recording output

The correct answer is A. A nurse aide is responsible for the other options, but he or she never inserts a catheter.

42. When giving information to the charge nurse for an incident report, you should
A. write in the client’s chart that an incident occurred.
B. keep the report in your personal file.
C. state the facts clearly.
D. give your opinions as to the cause of the incident.

The correct answer is C. An incident report becomes a permanent part of the legal record. Make sure the facts are
clear.

43. All long-term-care nurse aides must be competency evaluated and must complete a distinct educational
course. These requirements are set by
A. OBRA.
B. OSHA.
C. CDC.
D. FDA.

The correct answer is A. OBRA stands for the “Omnibus Budget and Reform Act.”

44. A resident is blind. It is important NOT to

A. leave the door completely opened.
B. rearrange the furniture.
C. announce yourself before entering the room.
D. explain the location of food on the plate, using the face of the clock to assist.

The correct answer is B. Never rearrange the furniture in a blind patient’s room after the patient settles into it. This
can cause falls.

45. When family members visit a client, the visitors should

A. stay in the day room.
B. stay a short while so as not to tire the client.
C. be expected to help with care.
D. be allowed privacy with the client.

The correct answer is D. The family members should expect and be allowed private time during visits.

46. A new resident asks you, “If I need help or get sick during the night, who is going to be here?” You should
say,
A. ”Don’t worry, you’re not going to get sick.”
B. ”Just yell, and someone will hear you.”
C. ”Ask your roommate to ring the call bell.”
D. ”There are people here all night to help you.”

The correct answer is D. Telling the patient that someone is always there will make him feel safe. Explaining how to
use the call system will also help patients feel safe.

47. Which of the following is considered a client’s right?

A. having curtains pulled during personal care
B. having personal information kept confidential
C. receiving and sending private mail
D. all of the above

The correct answer is D. All of the choices given are rights of the resident.

48. Mrs. Wilkes often cries while she is receiving her P.M. care. What should you do?
A. Tell her to stop crying.
B. Ignore her and continue with her care.
C. Tell her jokes to make her laugh.
D. Tell her that it’s all right to cry and you’re there for her if she wants to talk.

The correct answer is D. It is normal for a person to have moments of sadness, and it is important for the patient to
know you care.

49. When providing denture care, the nurse aide must

A. wash them with hot water.
B. hold them firmly under cool running water.
C. place a towel in the sink.
D. both choices B and C

The correct answer is D. Dentures are very expensive—holding firmly and using cool water prevents them from
warping, and padding the sink will prevent breakage if dropped.

50. Sexuality in long-term-care clients may include all of the following EXCEPT
A. needing private time with a partner.
B. caring about one’s physical appearance.
C. engaging in public fondling.
D. desiring sexual interaction.
The correct answer is C. As long-term-care providers, nursing assistants must respect the resident’s right to
sexuality. However, engaging in public fondling is inappropriate and may infringe upon other residents’ rights.

51. Mrs. Wilkes is scheduled for a partial bed bath. This means you must wash her
A. face, neck, ears, arms, and hands.
B. face, underarms, hands, and buttocks.
C. face, hands, underarms, and legs.
D. face, hands, underarms, buttocks, and genitals.

The correct answer is D. Partial bed bath is generally given before breakfast because of incontinence. You want the
patient to feel comfortable and clean.

52. A goal for an extended care facility (ECF) resident is that she not swear at the nurses or aides. When she
calls you by your name instead of swearing at you, your appropriate action is to
A. smile and give the appropriate reward.
B. continue whatever task that is being done.
C. tease the resident about not swearing.
D. tell all of the staff that she didn’t swear.

The correct answer is A. You want to positively reinforce the resident’s appropriate behavior, so smiling and
rewarding her good behavior is the best action.

53. An agitated resident must be turned every two hours all night long. The first action of the nurse aide when
waking up this resident is to
A. turn on the light.
B. speak quietly and calmly.
C. touch her shoulder.
D. shout her name.

The correct answer is B. Do not startle the resident, as this may agitate her. Speak as you enter the room.

54. If a client objects to a certain food for religious or cultural reasons, the appropriate action would be to
A. tell him to wait for the next meal.
B. offer to substitute something different for him.
C. call the dietitian the next day.
D. tell him he needs to eat what is on his tray.

The correct answer is B. Consideration of cultural or religious beliefs is important to all patients.

55. A client’s religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is
to
A. encourage the client to eat it because she needs protein.
B. tell the client it is all right because her doctor ordered the diet.
C. call the kitchen for a tray without bacon.
D. tell the client that restrictions are not as important as her health.
The correct answer is C. The other answers do not address the resident’s right to practice her religion.

56. Which type of communication can often be most powerful?

A. written
B. verbal
C. silent
D. tactile

The correct answer is C. Listening to someone shows that you are very interested in what he or she is saying.

57. Your patient refuses to let you bathe her. You tell her that if she doesn’t let you wash her, she will not get
lunch and will not go to game night. This is an example of
A. discipline.
B. verbal abuse.
C. mental abuse.
D. physical abuse.

The correct answer is B. This is an example of verbal abuse.

58. When assisting a client in learning to use a walker, it is important to:

A. stand behind him and use a transfer belt.
B. put padding all the way around the top rim.
C. let him walk by himself so he gains independence.
D. let him practice using the walker on the day he is discharged.

The correct answer is A. Standing behind him and using a transfer belt protects both the client and the aide.

59. Urinary retention refers to

A. a normal output of urine.
B. an inability to urinate.
C. Incontinence.
D. a large output of urine.

The correct answer is B. Urinary retention refers to an inability to urinate. Retention of urine is a symptom that
should be reported to the charge nurse as soon as it is noted.

60. Normal hearing loss in aging is usually related to the ability to hear
A. high-pitched sounds.
B. loud sounds.
C. all sounds.
D. rapid speech.

The correct answer is A. Because of this aspect of hearing loss, the aged hear well if you lower your voice.
Shouting in a high-pitched voice does not help.
 VERSION B
1. Nursing assistants work in a lot of different places. One place that CNAs work is a skilled nursing
facility. This type of facility is also called a .
a. hospital
b. rehab center
c. hospice
d. nursing home

2. Many people, particularly older people, go to what kind of healthcare facility after they are
discharged from a hospital after a stroke?
a. A subacute care center
b. A hospice
c. A respite center
d. A group home

3. A CNA, MA, and RN all provide care for 10 patients in a sub-acute facility. What is the term for this
collaborative approach to patient care?
a. Group Care
b. Primary Care
c. Team Nursing
d. Rehab

4. A CNA is covering another CNA's lunch break on another floor. She answers the light for a patient
who complains of chest pain. Who should the CNA report this finding to?
a. Nurse
b. Provider
c. Director of Nursing
d. The other CNA when back from lunch break

5. You are asked to complete a bed change for a 300 lb. patient who is immobile and difficult to turn.
You feel uncomfortable changing the bed yourself. What is your next course of action?
a. Schedule a time with another nurse or CNA to have assistance during the bed change.
b. Complete the bed change yourself even though you are uncomfortable.
c. Wait until shift change to let the next shift take care of it.
d. Tell the patient that they do not need a bed change.

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 6. Which duties would be performed by a CNA in team nursing?
a. Assessment of the heart and lungs
b. Teaching physical therapy exercises
c. Taking Vital Signs and Blood Sugars Readings
d. All of the above.

Legal and Ethical Aspects of the CNA Role

7. The CNA can legally .

a. supervise other CNAs
b. teach other CNAs
c. mentor other CNAs
d. None of the above

8. The director of nursing at your long term care nursing home has assigned you to be in charge of
the nursing home for the weekend because she is going away on a cruise vacation to the
Caribbean. What should you do?
a. Refuse to do the assignment
b. Do the best you can do
c. Ask about the details
d. Call the owner

9. Which of the following actions is ethically wrong in the care of nursing home residents?
a. The CNA remains right outside the bathroom door and instructs the patient to pull the call light
when they have finished urinating.
b.The CNA wipes the patient's finger with an alcohol swab prior to taking a blood glucose level.
c. The CNA does not let a confused high-fall risk patient ambulate in the halls without assistance.
d. The CNA chooses to complete an incontinence change every 4 hours on a patient who is
incontinent every hour.

10. A patient requires a dressing change for the first time after surgery. Which of the following staff
cannot legally change the patient's dressing immediately after surgery?
a. CNA
b. LPN
c. RN
d. MD

11. Which of the following is now the minimal requirement to be able to legally record and document
data, such as vital signs and blood sugar readings, within a hospital setting?
a. Experience
b. Certification
c. Licensure
d. College Degree

Priorities and Priority Setting

12. Who developed the Hierarchy of Needs?

a. Erikson
b. Piaget
c. Maslow
d. Nightingale

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13. The levels of the Hierarchy of Needs are
.
a. physical needs, safety and security
needs, love and belonging needs,
esteem needs and self actualization
b. need for freedom, need for resources,
needs of self and needs of others
c. subjective needs, objective needs,
data analysis and needs for resolution
d. integumentary system, respiratory
system, nervous system and cardiac
system

14. The CNA is working on a busy med-surg hospital floor and is caring for 10 patients. Vital signs are
taken every 4 hours, with meals delivered at 0730, 12:30 and 5:30. It is currently 0900 and all
patients have received their breakfast trays. Last vital signs were taken at 0400. Which of the
following is the highest priority?
a. A patient is requesting a full bed bath right now.
b. Taking vitals on all patients since they were not taken at 0800.
c. The patients have finished their meals and are requesting the trays to be taken from the room.
d. A patient is complaining of chest pain after surgery and is requesting pain medicine.

15. It is nearly time for your lunch break. A nurse is requesting assistance with an incontinence bed
change. Which of the following is not a proper response?
a. Gather supplies and assist the nurse with the bed change
b. Tell the nurse you cannot help as you are going on lunch
c. Delay your lunch if needed to assist the nurse as possible
d. Request the CNA covering your lunch to assist the nurse

Acceptable and Unacceptable Abbreviations

16. You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states,
"ambulate at least 10 yards qid". This patient will be assisted with ambulation at which of the
following times?
a. 10 am
b. 10 am and 2 pm
c. 10 am, 2 pm and 6 pm
d. 10 am, 2 pm, 6 pm and 10 pm

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17. The RN asks you to bring the unit's collected lab specimens to the lab "stat". You should
.
a. not do this errand because CNAs do not do "stats".
b. run this errand as soon as you can.
c. run this errand immediately and without delay.
d. Before the end of your shift or after your lunch.

18. Hospital policy states that patients on the medical floor should have vital signs taken every 4
hours. Which of the following is an appropriate abbreviation for this order?
a. V. Signs QID
b. VS q4 hrs
c. Vital signs QOD
d. Vitals QD x 4

19. What does the medical abbreviation ADL stand for?

a. Activities of Daily Living
b. Advantages of Disability and Life Insurance
c. Assessment of Depth and Length
d. All Day Long

20. You are caring for a patient with a BKA. What do you expect to see when entering the patient's
room related to this abbreviation when working with the patient?
a. A patient with an amputation below the knee
b. A patient with tubes coming out of both kidneys
c. A blood sugar of 600 once you take a finger stick glucose
d. A patient with swollen legs from heart failure

Observation, Reporting and Abbreviations

21. Which of the following lists the five senses?

a. sight, hearing, taste, smell and common sense.
b. hearing, taste, smell, common sense and auditory.
c. sight, taste, smell, auditory and visual.
d. hearing, smell, taste, sight and touch.

22. What senses do nursing assistants use to observe patients and residents?
a. Sight, hearing and touch
b. Sight and hearing only
c. Sight and common sense only
d. Taste and hearing only

23. A CNA is caring for an immobile patient and notices a new open sore to the patient's sacrum. What
should the CNA do?
a. Report this finding to the nurse.
b. Place barrier cream over the sore.
c. Ask the patient how they got the sore.
d. Do nothing.

24. A CNA is working in the resident dining hall and notices a resident grabbing at her throat without
making any noise. What should the CNA's response be?
a. Perform the Heimlich maneuver
b. Start chest compressions
c. Slap the residents back
d. Call for help and wait

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25. A CNA is bathing a child on a Pediatric hospital unit. She notices the child has bruising to his
arms and legs. What should be the CNA's first response be?
a. Call Child Protective Services
b. Ask the child what happened
c. Confront the parents
d. Report the finding to the charge nurse per hospital protocol

Safety and Managing Behavior

26. Which risk factor places patients and residents at the greatest risk for falls?
a. Old age
b. Middle years
c. Pneumonia
d. COPD

27. Which sensory impairment places residents and patients at risk for falls?
a. Blindness
b. Confusion
c. Weakness
d. Aging
e. A and c only

28. You are caring for a resident in an Alzheimer's unit in a nursing home. The resident is repeatedly
pushing on the locked door trying to exit the building. Which of the following would be your first
response?
a. Unlock the door and allow the resident to exit the building
b.Take hold of the resident's elbow and direct them toward the room
c. Attempt to verbally reorient or redirect the resident back to their room
d. Assist the resident to their room and apply restraints to prevent her from leaving

29. You are working in a dual occupancy room in a long-term care facility when the residents start
arguing back and forth from their beds. What is the best response?
a. Tell the residents they must stop arguing
b. Notify the nurse or resident care manager
c. Change the room for one resident
d. Pull the curtain between the two residents

30. Which of the following is most likely to de-escalate a disoriented patient who is starting to become
verbally abusive?
a. Address their concerns in a slow and calm manner
b. Shout at them to snap out of it
c. Close the door to their room
d. Physically assist the patient back into a supine position in bed

31. A CNA notices an uncapped syringe lying on the floor in the patient's room. What is the CNA's
response?
a. Safely pick up the syringe and place in the sharps container, then report it to the nurse.
b. Ignore the syringe, the cleaning staff will find it and dispose of it.
c. Safely pick up the syringe and place it in the trash can.
d. Leave the syringe in place and report it to the nurse.

Disasters and Emergencies

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32. The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger.
You must now .
a. evacuate the patients laterally.
b. evacuate the patients vertically.
c. close the patient doors.
d. open the patient doors.

33. A small contained fire breaks out in a small trash can near the lobby of the nursing home. No
visitors or residents are in immediate danger. You have pulled the alarm, what should you do
next?
a. Extinguish the fire if you can do so safely and without harm.
b. Run away from the fire.
c. Cover the fire with a blanket.
d. Open the windows and exit the floor.

34. Which of the following locations would provide you with the most up-to-date information on how
to respond to a disaster within your facility?
a. Google Search
b. Ask another CNA
c.The Facility's Policy and Procedures Manual
d. Human Resources Handbook

35. In the event of a tornado spotting near the proximity of the building, what is the CNA's response to
maintain patient safety?
a. Move patients as far away from windows as possible.
b. Assist ambulatory patients to exit the building.
c. Do nothing, the building is secure.
d. Take patients down to the basement using the elevator.

36. Which patients should be evacuated first in the event of a fire within the area?
a. Immobile patients or patients on life support
b. Small children and ambulatory patients
c. Patients requiring transfer assistance or use of a stretcher
d. Patients in wheelchairs or who can ambulate with walkers

37. You hear the code for an infant abduction over the intercom in the hospital. You notice a
suspicious person walking with a large bag quickly through the halls. What is your response?
a. Tell the person to give you their bag.
b. Ignore the suspicious person.
c. Block the exit to prevent the suspicious person from leaving.
d. Safely attempt to detain the person until security arrives.

Personal Care Skills

38. A patient is confined to their bed and needs assistance at meals. What position should you place
the bed in as you are feeding the patient?
a. Supine
b.High Fowler's
c. Reverse Trendelenburg
d. Lateral

39. When cleansing the genital area during perineal care, the nurse aide should .
a. cleanse the penis with a circular motion starting from the base and moving toward the tip.
b. replace the foreskin after it has been pushed back to cleanse an uncircumcised penis.
c. cleanse the rectal area first and then clean the patient's genital area.
d. use the same area on the washcloth for each washing and rinsing stroke for a female resident

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40. Which of the following tasks would more likely be performed by a nurse?
a.Feeding an Alzheimer's patient who does not have trouble swallowing
b. Ambulating a low fall-risk patient with a walker
c. Bathing a surgical patient prior to surgery
d. Trimming the toenails of a patient with Diabetic Neuropathy

41. may result when patients or residents ignore the urge to defecate.
a. Constipation
b. Diarrhea
c. Incontinence
d. Hemorrhoids

Infections, Infection Control and Blood Borne Pathogens

42. The chain of infection includes the .

a. germ, agent, reservoir, exit portal, mode of transmission, entry port, and susceptible host
b. active natural, active artificial, passive natural and passive artificial
c. opportunism, weakness, immunity, and colonization
d. intrinsic, extrinsic, internal and external transmission

43. Asepsis is defined as .

a. the absence of all microorganisms
b. the absence of disease causing germs
c. a urinary infection
d. a pathogenic infection

44. Which of the following patients is likely to be placed on contact precautions in a hospital setting?
a. A patient with MRSA
b. A patient who is coughing
c. A patient who just had hip surgery
d. An elderly patient

45. What are standard precautions?

a. Hand washing or hand sanitizing between patients, wearing gloves if handling bodily fluids
b. Wearing gloves at all times, only hand washing between patients
c.Wearing gloves and a mask while in the patient's room
d. Gloves and hand washing is not required between patient rooms

46. Which of the following hospital floors would you most likely expect to see Reverse Isolation
Precautions?
a. Surgical
b. Oncology
c. Obstetrics
d.Alzheimer's

Caring for All Ages and Health Maintenance and Restoration

47. Mobility is an important human function. The hazards of immobility lead to many physical
problems and emotional problems. Immobility can lead to detrimental cardiac, muscular,
respiratory, skeletal, urinary, gastrointestinal, skin and emotional changes. Which of the following
is an example of a skeletal hazard of immobility?
a. Contractures
b. Constipation
c. Calcium loss
d. Catabolism

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48. An emotional consequence of immobility is: .
a. depression
b. dementia
c. delirium
d. diversion

49. Which of the following age groups are at the highest risk for injury-causing falls?
a. Elderly
b. Middle-Aged
c. Young Adult
d. Children

50. All of the following are preventive measures to avoid pressure ulcers in the elderly, except:
a. Repositioning every 2 hours
b. Applying skin barrier cream to high pressure areas
c. Changing incontinence pads as soon as they are soiled
d. Applying contracture boots in an immobile patient

51. Where should the wheelchair be placed when transferring a stroke patient from their bed to the
chair?
a.On the patient's weak side
b. At the foot of the bed
c. At the head of the bed
d.On the patient's strong side

52. Which of the following would not be considered a fall risk intervention?
a. Fall Mats
b. Bed Alarm
c. Non-skid Socks
d. Restraints

53. Two CNAs are caring for a total care elderly patient with dementia. Which of the following
scenarios is incorrect?
a. The CNAs stand on either side of the bed to help turn the patient
b. One CNA holds the patient while the other cleans the peri-area
c.The CNAs discuss another patient's care while caring for this patient
d. The CNAs boost the patient up in bed using the draw sheet

Common Physical and Emotional Problems

54. Your patient is saying that they have chest pain and "a pounding heart". You touch the person's
arm and you feel moisture. The patient is sweating and your also see that the person's lips are
blue. These signs and symptoms indicate that the person is most likely .
a. nervous and anxious
b. having a panic attack
c. having a heart attack
d. calling out for emotional attention

55. You are caring for Thomas N. Thomas is 77 years old. He has edema, or swelling, in his legs and
he has a fluid restriction in terms of his fluid intake. You have been assigned to weigh him daily.
Based on these symptoms and the care that he is being given, what disorder is he most likely
affected with?
a. Diabetes
b. Dementia
c. Congestive heart failure
d. Continguous heart disease

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56. You are caring for a diabetic patient who reports dizziness and is shaky and sweaty. The patient is
alert and oriented. The patient's vital signs were normal one hour ago. After reporting your
findings to the nurse, what do you expect the nurse to ask you to do?
a.Take the patient's blood sugar
b.Take the patient's vital signs
c. Call a Rapid Response or Code
d. Answer the call light of a patient who is requesting a walk

57. You are assisting an elderly female patient to the bathroom. Which of the following would be
important to emphasize to the patient to prevent Urinary Tract Infections?
a. Wipe from front to back.
b. Stand up slowly to prevent dizziness.
c. Make sure to press the call light when you are done.
d. Put one hand on the walker and one hand on the seat to press yourself us.

58. You notice a patient is walking with a shuffling gait with a walker and has jerky movements of the
arms and legs. The patient has some difficulty speaking but is alert and oriented. What do you
suspect is causing this patient's symptoms?
a.Alzheimer's
b. Heart Failure
c.Parkinson's Disease
d. Stroke

59. A patient is complaining of shortness of breath and requesting his breathing treatment. You notice
the patient is wearing a nasal cannula with oxygen flowing at 2 L/min. What disease do you
suspect this patient suffers from?
a. Coronary Artery Disease
b. COPD
c. UTI
d. Constipation

Care of the Dying Person at the End of Life

60. Which is considered a "normal" or "healthy" type of grief?

a. Anticipatory grief
b. Complicated grief
c. Unresolved grief
d. Inhibited grief

61. The Grant family has just lost a loved one. A family member informs you that their culture does
not permit a dead person to be left alone before burial. Hospital policy states that all bodies are to
be stored in the hospital morgue. How would you best handle this situation?
a. Gently explain the policy to the family and then implement it.
b. Notify the nurse about this cultural concern.
c. Call the deceased patient's primary care provider for advice.
d. Move the deceased patient to an empty room and stay with the body yourself.

62. A CNA is caring for a patient on hospice care. She notices the patient's lips, hands and feet are
blue and mottled. There is no rise and fall of the patient's chest. What should the CNA's next
action be?
a. Start chest compressions
b. Call 911
c. Shout at the patient to wake up
d. Notify the nurse

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63. Which of the following hospice tasks should not be performed by a CNA?
a. Taking vital signs as requested for the family
b. Providing repositioning and perineal care for the patient
c. Providing emotional support for the family
d. Determining time of death for the family

Score My Practice Test

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