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- Which of the following actions is ethically wrong in the care of nursing home residents? The CNA remains right outside the bathroom door and instructs the patient to pull the call light when they have finished urinating. The CNA wipes the patient's...
- Waiting to change the patient every 4 hours can cause skin breakdown if the patient is incontinent every hour. Changes should happen every 2 hours at the most, and a trained CNA should be aware of these standards. It is appropriate for a CNA to wait...
- Assessment, planning, implementation and evaluation are phases of the nursing process. Subjective data, objective data, data analysis, open ended questions and close ended questions are parts and aspects of the interview process. Lastly, the integumentary, respiratory, nervous and cardiac systems are a few of our bodily systems. 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 , and It is currently and all patients have received their breakfast trays. Last vital signs were taken at Which of the following is the highest priority? A patient is requesting a full bed bath right now. Taking vitals on all patients since they were not taken at The patients have finished their meals and are requesting the trays to be taken from the room. A patient is complaining of chest pain after surgery and is requesting pain medicine.
- A patient complaining of chest pain is the highest priority and should be reported to the nurse immediately. A patient requesting a bed bath would be a low priority. Vital signs should be started as soon as the CNA reports the patient complaining of chest pain to the nurse. The CNA can start collecting trays as possible when entering patient rooms to complete other higher priority tasks. 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? Gather supplies and assist the nurse with the bed change.
- Attending school to become a CNA has its challenges. Studying for the Certified Nursing Assistant exam may be difficult, but it is can be easy to pass with a few helpful tips. What is the CNA Exam? They must pass this exam in order to qualify for employment opportunities as CNAs. The exam tests the skills, knowledge, and ability levels of CNAs to ensure that they perform their tasks safely. The exam consists of a written or oral portion and a hands-on aspect of the exam. Nursing Assistants must successfully pass both portions of the examination in order to receive their licenses. In the event Nursing Assistants pass one section of the test and fail another, they are allowed to retake the section that they failed instead of retaking both exams. The exam can be hard if Nursing Assistants do not have the knowledge and skills needed to pass the exam.
- The written or oral section of the exam may consist of approximately 70 questions, but the exact number of questions varies by state. Some Nursing Assistants may find the exam hard because they do not know the exact information to study for this section of the exam. Nursing Assistants who have a firm grasp of the content learned in their courses should do well on the written section of the exam. Nursing Assistants may find this section very difficult because they must be competent in all 25 areas to do well on this area.
- Those who are only competent in 10 of the 25 areas may struggle to pass this section because the tester randomly selects the 5 skills. Studying all 25 skills may provide the best chance to pass the exam. All of the information that Nursing Assistants need to know to pass their licensing exams can be found in their course materials. Specific material that students should be familiar with for the oral or written section includes recording and measuring weight, respiration, blood pressure, radial pulse, and urinary output of patients in their care.
- Nursing Assistants also need to have a firm grasp of certain concepts to pass the hands-on section of the exam. A few of the testing skills may include hand washing, giving modified baths, assisting with use of bedpans, recording and measuring urinary output, providing mouth cares, positioning clients, providing food care, and recording and counting the radial pulse of clients. Knowing how to study for the exam can be very beneficial to Nursing Assistants. Here are a few tips to help Nursing Assistants study for the CNA exam: Create a solid study plan before taking the exam.
- It may be beneficial to get a calendar and write down the materials to study before the exam. Creating time to study each day before taking the exam is very important. Use as many study materials as possible. Using online study materials and supplemental materials from courses to prepare for the exam is helpful. There is an abundance of study materials available. Here is what it looks like: Take practice exams.
- Create a study guide for the exam. Nursing Assistants may want to use the notes from their courses to create a personalized study guide to help them do well on the exam. Nursing Assistants must know that the exam consists of an oral or written section and a hands-on section. They should also know the specific topics that they will be tested on in the hands-on section. They must pass this exam to receive their certification. The course materials and the other supplemental materials provide an excellent opportunity for Nursing Assistants to pass the CNA exam.
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- Federal financial aid, aid on the state level, scholarships and grants are all available for those who seek them out. Are online courses any good? You can do it without having to quit your job or make long sacrifices of time from your family. Search Courses By.
- You make Mrs. Dewey's unoccupied bed. To leave it open, you: fanfold the top linen to the foot of the bed with the top edge closest to the center of the bed do not put on the top linen fanfold the top linen to the side of the bed fanfold the top linen to the foot of the bed with the top edge closest to the foot of the bed You assist Mrs. Dewey to walk. You should: stand in front of her and hold her hands stand behind her in case she falls stand to the side and slightly behind her hold her under the arm for balance Dewey from infection is by: cleaning her room keeping other residents away from her wearing gloves whenever you touch her As you approach her, Mrs. Dewey begins kicking and tries to hit you. You should: leave the room and do not provide care for her grab her wrists and hold her arms down give her medication provide for her safety and report to the nurse immediately You use reality orientation with Mrs. You: remind her of person, place, and time let her talk about past experiences acknowledge her feelings When Mrs.
- Dewey is dressing, you should: choose her clothes for her let her wear whatever she wants even if it looks bad give her a choice of two outfits ask her family to pick her outfits Dewey is very agitated. The nurse tells you to apply a protective device restraint. You should: apply the device according to manufacturer's guidelines fasten the ties in a double knot apply the device as tightly as possible refuse to restrain the resident and report the nurse for abuse Dewey is trying to tell you something but it doesn't make sense. You should: ignore her watch her facial expressions and body language get the nurse nod your head and pretend to understand Answers 1. C - Cerebrovascular accident CVA, stroke is a decreased blood flow to the brain resulting in brain injury.
- Symptoms include headache, dizziness, weakness or paralysis of an extremity or one side of the body, inability to talk, incontinence. A decrease of oxygen to the heart can result in a heart attack myocardial infarction. A decrease of oxygen to the hands or feet can cause cyanosis, a bluish tinge to the skin and nail beds.
- A decrease of oxygen to the hands or feet may cause cyanosis, a bluish tinge to the skin and nail beds. C - An occupied bed is made when a resident is unable to get out of bed. To make an occupied bed, change the sheets while the resident is in the bed. The resident should never be inconvenienced in order to make the CNA's job easier. The CNA must provide care according to the resident's comprehensive care plan and according to the direction of the nurse. A toe pleat is made at the foot of the unoccupied bed. If the bed is occupied, top linens should be loosened over the resident's feet. B - The resident needs a clean, neat, wrinkle-free bed to prevent skin breakdown and skin irritation, and for comfort and dignity.
- Procedures are performed for the benefit and well-being of the resident. Most families are pleased when the resident's needs are identified and met but that is not the primary reason for performing the procedure correctly. The resident's room may look nicer if the bed is made properly but that is not the primary reason for performing the procedure correctly. The CNA should perform procedures as directed by the nurse but should also understand why a procedure must be done a certain way. B - Range of motion ROM exercises are exercises that move each joint in the resident's body to the fullest extent possible without causing pain.
- Begin at the shoulder, then exercise the elbow, wrist and fingers, hip, knee, ankle and toes. If you start at the hip, you would be moving pathogens from the hip up toward the face. If you start at the foot, you would be moving pathogens from the foot up toward the face. If you start at the hands, you would be moving pathogens from the hands up toward the face. A - You may spread pathogens by letting roommates share supplies including bedpans, basins, tissue, etc. Each resident should have his own supplies. Holding contaminated items away from your uniform reduces the number of pathogens on your uniform and minimizes the spread of infection. Washing your hands correctly and frequently is the best way to reduce the spread of infection.
- All common use equipment such as wheel chairs, lifts, showers, bathtubs, etc. D - Listen to family member's suggestions, complaints, and comments and direct the family to the nurse. The resident's family may feel anger about losing control and responsibility for the care of the resident. They may feel that they are being replaced. Their anger may be directed toward staff. Acknowledging the family's feelings by patiently listening, often defuses the anger. The family is an extension of the resident and a valuable part of the health care team.
- Part of your responsibility is to help the family develop trust in you and the facility. How the family feels directly effects the resident. The resident has a right to visit with family without interruption. Therefore, you may not tell a visitor to leave. The family should always be treated with the same respect as the resident. It is disrespectful to walk away and ignore the concerns of the family.
- B - Cognitive impairment is a temporary or permanent change within the brain which affects a person's ability to think, reason, and learn. Dementia is a general term used to describe a group of symptoms related to a decline in thinking skills. Edema is swelling of joints, tissue, and organs. Hypertension is another word for high blood pressure. Dehydration is a condition in which fluid output is greater than fluid intake. C - The resident has the right to confidentiality. Personal information, medical records, written and telephone communications, medical treatment, personal care, behavior, and meetings with family are not discussed with anyone but appropriate staff in a private place. You respect the resident's right to choose by allowing the resident to select activities. You respect the resident's right to be free of abuse by reporting any suspected abuse to the nurse immediately.
- You respect the resident's right to privacy by closing doors, curtains, and drapes before giving care. B - Remember RACE: Remove residents from the area of immediate danger; activate the fire alarm; close the doors and windows to contain the fire; extinguish small fires with a fire extinguisher if possible. Always remove residents from the area of immediate danger before doing anything else. In all other emergency situations, the first thing you do is call for help. Close the doors and windows is the third letter in the word RACE. Extinguisher is the fourth letter in the word RACE. A - Documentation is the written account of a resident's condition. Documentation may include charts, worksheets, and facility records. Documentation should include what you observe and care you perform. Reporting means verbally informing the person in authority the nurse about resident care and what has been observed.
- All care you give and all observations you make should be documented. Alzheimer's disease is a disease of the brain affecting memory, judgment, ability to think, and eventually, all physical functions. Residents in phase one of Alzheimer's disease are independent with ADLs. Residents in phase three are of Alzheimer's disease dependent for all ADLs.
- Residents in phase three are of Alzheimer's disease unable to recognize family, staff, and self. B - Place the chair on the resident's unaffected side strong side. The unaffected side supports weight. Placing the chair on the resident's affected side weak side may put undue stress on that side and result in pain, loss of balance, and possible injury for the resident. The chair should be braced firmly against the side of the bed which helps stabilize the chair and is the shortest distance for the resident to turn. If the resident needs to ambulate walk , the care plan will reflect that need. The CNA does not determine the resident's need to walk. A - When making an unoccupied open bed, the top linen should be fanfolded to the foot of the bed with the top edge closest to the center of the bed. If the resident gets into the bed, he must be able to reach the edge of the top linen to cover himself. If top linen is not put on the bed, the resident will be unable to cover himself.
CNA Practice Test 2021 Certified Nursing Assistant Exam Study Guide (Free PDF)
Fanfolding the top linen to the side of the bed allows the resident to get into the bed from one side only. Fanfolding linens to the bottom of the bed allows the resident to get into the bed from either side. If the top edge of the linen is closest to the foot of the bed, the resident will have difficulty covering himself. C - When walking with a resident, you should stand to the side and slightly behind the resident. This position allows you to clearly see in front of the resident, allows you to guide the resident toward a clear path, and puts you in a position to assist the resident if he begins to fall.- Standing in front of the resident limits your ability to clearly see the path and any obstacles that may be present. Holding both of the resident's hands may cause imbalance. Standing behind the resident limits your ability to clearly see the path and any obstacles that may be present. Never attempt to move or stabilize a resident by holding her under the arm.
- You are removing a soiled gown from a resident who has an IV. You should a. The preferred way to remove a bedpan from a resident who is unable to lift her buttocks is to a. A fracture-type bedpan is used for residents who a. If your patient does not eat all the food on his tray, the first thing you should do is a. Asking first allows you to request a replacement if the problem is this simple. The resident states that a mistake has been made: there is salt on her tray, although the doctor has ordered a low-salt diet. If a resident is receiving forced-fluid treatment, you should a. Choice b is incorrect because a force-fluid diet is different from high-protein fluids.
- Choice d cannot be correct if a and b are incorrect. The main safety factor in transferring a patient is to a. A resident who is too large for staff members to transfer safely is a. Before transferring a resident from the bed to a wheelchair, you should sit him on the edge of the bed for a few minutes to a. At the beginning of your shift, you give a resident a water pitcher containing cc 9 oz. At the end of your shift, you note that 35 cc of water is left in the pitcher. How much water has been consumed?
- However, some states require students to fill out an application and mail or fax it in. The test can be taken at many sites, including American Red Cross locations, community colleges, and approved nursing homes and hospitals. Rescheduling often requires an additional fee. Students need be prepared when they arrive at the center on testing day. They must bring their authorizations to test as well as two forms of identification, one of which must have a photograph. Most states require applicants to wear a typical CNA uniform and closed-toe, non-skid shoes for the skills test and to bring a watch with a second hand. Students should also have several number two pencils with erasers for the written portion of the test. Complete the Written Test When students arrive for the competency examination, they should expect to take the written exam first. Most written tests are completed with pencil and paper. However, some can be taken using computers, or they can be taken orally upon request.
- Students can expect between 60 to 70 multiple-choice questions depending on their states. The NNAAP written examination tests three core domains, which include physical care skills, psychosocial care skills and the role of the nurse aide. Of these three, physical care skills are by far the most important with 37 of the test questions belonging to this domain.
- Students should particularly study basic nursing skills, such as infection control, safety and data collection. Of the other two sections, students will find the most content weight going to emotional and mental health needs as well as to communication. Complete the Skills Test The skills section of the examination tests students on hands-on CNA skills that they will demonstrate in front of a nurse aide evaluator who may or may not be a registered nurse. This section is timed, and students will have between 25 to 41 minutes to complete their assigned skills.
- Depending on the state, students must perform between five to seven skills on a mannequin or an actor who is often a fellow tester. Most of the skills are chosen randomly on test day. Students are often tested on hand washing before completing the remaining assigned tasks. Other tasks could include making an occupied bed, using a gait transfer belt, giving a partial bed bath, performing range-of-motion on one limb and taking a measurement, such as a blood pressure, radial pulse or urine output. During the entire test, students must keep their hands clean and dispose of waste properly.
- Students who take the knowledge test on a computer will find out their results immediately after they submit their answers. Those who take this section with pencil and paper and those completing the skills section will often have their answers faxed in to be graded and will receive their scores approximately 10 minutes later. Passing scores vary by the entity providing the test for the state. However, students must complete all critical steps correctly, or they will automatically fail this section.
- I passed, what do I do now? After passing the competency examination, applicants will have their information, including their passing test scores, submitted to the state for approval. Some states approve applicants very quickly and have individuals listed on the state nurses aide registry within two to three days. To be listed on a registry, applicants must be fingerprinted and have criminal background checks completed before testing. Applicants should note that most states allow first-time applicants to work as CNAs for days before becoming registered. This gives applicants a chance to take CNA classes as well as apply for and take the examination while working. This day timeframe cannot be extended for any reason and can only be used once.
- I failed, am I screwed? Students who fail one or both components of the competency examination must retake the section or sections that they failed. When they receive their failing grades, they will also receive information on how to reschedule a test for a different day. They will need to reapply and wait to receive a new authorization to test. While not the same for every state, most states give students up to three chances to pass the examination before being required to retrain. Depending on the state, students will also be required to complete the examination successfully within one or two years from the completion of training.
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