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1. The nurse asks you to ambulate a patient BID during your shift. This
means you will ambulate the patient times. a. Four b. Three c. Two d. One Ans>>: C. two
2. Sometimes the best response for a nursing assistant is to assure the resident
you are listening. Which of these behaviors is the best way to exhibit good listening skills?
A. Speaking about your own experiences on the topic to direct the conversa- tion.
B. Asking questions that direct the conversation further.
C. Talking to the resident while you continue to work.
D. Turning in the residents direction and responding when it is
appropriate. Ans>>: D. Turning in the residents direction and responding when it is appropriate.
Certified Nursing Assistant State Exam Study Guide
200+ Questions and Answers (100% Verified Answers by Expert)
3. While emptying the trash in a client's room, you get stuck by a needle that
should have been placed in the sharps container. What is the first thing to do? a. Call your personal physician. b. Wash the site for several minutes. c. Fill out an Incident Report. d. Try to squeeze blood out. Ans>>: B. Wash the site for several minutes.
4. Infection control practices that prevent the transmission of disease are called
a. isolation protocols. b. policies and procedures. c. standard precautions. d. hand hygiene mandates. Ans>>: C. standard precautions.
5. A resident in your care is frustrated, upset, and raising his voice in com-
plaint. Which of these is the best response to his actions? a. Report the incident to the supervising nurse.
d. Ask the resident to lower his voice in courtesy to other residents who are getting upset. Ans>>: C. Offer support and care using a comforting and calming manner.
6. There are certain steps to follow from start to finish when beginning a
procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks? a. Enter the date in the patients medical record. b. Document what you did. c. Provide privacy in the immediate area. d. Verify the residents identification. Ans>>: D. Verify the residents identification.
7. As dementia progresses, incontinence can become an issue. How can the
nurse aide assist? a. Avoid outings to minimize accidents and possible embarrassment. b. Remind the resident to let you know when they need to use the bathroom. c. Start to use an adult diaper to keep clothing and linens clean. d. Watch for signs of discomfort so you can take the resident to the bathroom.- Ans>>: D. Watch for signs of discomfort so you can take the resident to the bathroom.
8. When a patient is dying, the last of the five senses the patient loses is?
a. Hearing b. Touch c. Taste d. Sight Ans>>: A. Hearing
9. If you have a resident who is completely deaf, which of these would be
the most important for effective communication? a. A laptop or pen and paper. b. A loud voice that projects over noise. c. An alarm that rings louder than in non-hearing impaired rooms. d. A phone system with amplifiers. Ans>>: A. A laptop or pen and paper.
10. When getting dressed, a client always wants to wear her favorite outfit.
What is a good solution? a. Hide the favorite outfit for a few days so she forgets. b. Tell the resident that the outfit is dirty and she will have to choose another. c. Ask the family to get several identical outfits. d. Explain the benefits of variety and offer several other outfits. Ans>>: C. Ask the family to get several identical outfits.
d. Denial Ans>>: D. Denial
14. When you are documenting in a medical record, which of these is not part
of the process? a. Author identification. b. Using correct spelling. c. Dating your entries. d. Writing in pencil so erasures can make the record clean. Ans>>: D. Writing in pencil so erasures can make the record clean.
15. A nurse aide finds a resident looking in the refrigerator at the nurses' sta- tion
at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to.
a. tell him that residents are not allowed in the nurses' station.
b. remind him that he is retired from his job and in a nursing home.
c. ask the resident about his job and if he is hungry.
d. help the resident back to his room and into bed.
Ans>>: C. ask the resident about his job and if he is hungry.
16. A resident who has not been discharged insists she is going home. What
should the nurse aide do? a. Notify the charge nurse immediately. b. Put her in physical restraints until she calms down. c. Tell her she cannot leave without a doctor's order. d. Advise her that she can leave if she wants to. Ans>>: A. Notify the charge nurse immediately.
17. When caring for a confused resident what should a nursing assistant do?
a. Say nothing to avoid more confusion. b. Give simple directions. c. Allow the resident to plan daily activities. d. Give the resident activities. Ans>>: B. Give simple directions.
18. Reality orientation should include
a. Calling the resident by his name. b. Using nicknames like "Granny". c. Talking about your interests. d. Telling imaginative stories to the resident. Ans>>: A. Calling the resident by his name.
21. To prevent the spread of infection, how should the nurse aide
handle the soiled linens removed from a client's bed? a. Shake them in the air to remove any dirt. b. Carry them close to the nurse aide's body. c. Put them in the dirty linen container. d. Place them in a neat pile on the floor. Ans>>: C. Put them in the dirty linen container.
22. A resident who consistently becomes more confused during dusk, early
evening, or during the night is most likely suffering from. a. Psychosis b. Alzheimer's disease c. Sundowners Syndrome d. Dementia Ans>>: C. Sundowners Syndrome
23. The primary reason for combative behavior in a resident is
A. confusion
B. resentment
C. stubbornness
D. hunger
Ans>>: A. confusion
24. It is important that a client's dressings remain
A. snug to keep out bacteria.
B. loose to admit fresh air.
C. clean and dry.
D. secured by tape.
Ans>>: C. clean and dry.
25. A resident catches you off guard with a comment that is sexual. Your best
response would be to.
A. Change the conversation to a different subject.
B. Walk away and pretend you did not hear it.
C. Make a humorous comment in return.
D. Let the resident know that the comment is not acceptable to
you. Ans>>: D. Let the resident know that the comment is not acceptable to you.
26. A patient is having surgery the following day. Which of these notations
in the orders indicates the patient should have nothing by mouth?
A. MN
B. NOC
C. People with dementia act uncooperative in order to be spiteful.
D. Patients can have vivid hallucinations.
Ans>>: C. People with dementia act uncoop- erative in order to be spiteful.
30. In a reality orientation program you would do all of the following EXCEPT
A. Ask them to identify the smells of their meal.
B. Show them the weather outside their window.
C. Ask the resident about their childhood.
D. Tell them the date and time each
morning. Ans>>: C. Ask the resident about their childhood.
31. When preparing to give peri-care to an incontinent female
resident with dementia, the CNA knows
A. the resident may become tearful.
B. the resident may feel sexually assaulted.
C. the resident may become combative.
D. all of the above.
Ans>>: D. all of the above.
32. Which of these should be reported to the charge nurse "STAT"?
A. Urine that is cloudy.
B. A respiratory rate of 18.
C. Loose stools.
D. A radial pulse of 135.
Ans>>: D. A radial pulse of 135.
33. what does the abbreviation STAT mean?: immediately
34. what is the normal range of the radial pulse?
a. 80- 120 b. 100- 130 c. 60- 100 d. 60- 90 Ans>>: C. 60- 100
35. A resident died and his roommate is upset and wants to discuss it
with you. What is the best action to take? a. Remind the patient that death is a natural part of life and reassure him his roommate had a great life and is in a better place. B. Talk to the patient about a time you lost someone you loved and how you dealt with it. C. Try and distract the patient by changing the subject and bringing up some- thing
38. A resident is pacing around his room, yelling and swearing. What
is the first action the nursing assistant should take?
A. the resident to calm down.
B. Call the residents family to assist with the situation.
C. Call the charge nurse.
D. Attempt to apply restraints.
Ans>>: C. Call the charge nurse.
39. Which of these is not part of the process upon entering a residents room
for the first time?
A. Showing the resident your licensing card.
B. Knocking and waiting a few seconds before entering.
C. Speaking to the resident using his or her name.
D. Telling the resident your name.
Ans>>: A. Showing the resident your licensing card.
40. What is an important way to help the resident feel comfortable in a
long- term facility?
A. Discourage visitors until the resident has settled in.
B. Allow the resident to establish their own schedule.
C. Bring the resident to all activities.
D. Provide space for personal possessions.
Ans>>: D. Provide space for personal pos- sessions.
41. Residents with cognitive impairments often have difficulty sleeping. What can
be helpful?
C. Every two hours.
D. In the early morning, noon, and late
evening. Ans>>: A. At the end of your shift.
43. A resident with memory difficulties often needs a nursing assistant who will
A. Remind the resident of the forgotten information.
B. Make jokes and laugh to lighten the residents mood.
C. Make eye contact, sit with the resident, and listen.
D. Leave the resident alone to minimize his or her
agitation. Ans>>: C. Make eye contact, sit with the resident, and listen.
44. Which of these is not a normal biological change to the body from the aging
process?
A. The ability to make decisions is weakened.
B. Joints become stiffer and less flexible.
C. Bones become thinner and less strong.
D. The movement of food from the digestive system becomes
slower. Ans>>: A. The ability to make decisions is weakened.
45. Which of these is not a common cause of constipation?
A. An increase in intestinal motility.
B. A low fiber diet.
C. Ignoring the urge to go.
D. Not drinking enough water.
Ans>>: A. An increase in intestinal motility.
