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Quiz Session - Attempts With Random Questions

CNA Exam Questions

Page 10 of 28

181.

What is the single most effective way to prevent the spread of disease?

  • Frequent hand washing

  • Isolating patients who have infectious diseases

  • Use of antibiotics

  • Good personal hygiene

Correct answer: Frequent hand washing

Hand hygiene is the easiest and most important way to prevent the spread of microbes and infection. Health care workers should wash their hands before and after every patient contact, and after handling any potentially infectious objects.

The other options are necessary to prevent spreading disease as well, but hand-washing is the most important method.

182.

You are turning a patient in bed. How should you turn the patient?

  • Turn the patient toward you or away from you, depending on the patient's condition

  • Turn the patient away from you

  • Turn the patient towards you

  • Logroll the patient

Correct answer: Turn the patient toward you or away from you, depending on the patient's condition

You should turn the patient toward you or away from you, depending on the patient's condition and situation. Make sure to use proper body mechanics and ensure the patient is in good alignment. Make sure the far bed rail is up if turning the patient away from you. Logrolling is preferred if the person has arthritis in their spines, hips, and knees as it is less painful.

183.

The last sense of the five senses to fade is:

  • Hearing

  • Taste

  • Smell

  • Vision

Correct answer: Hearing

Hearing is the last sense to fail. Always assume that the dying person can hear you, even if they cannot speak or have lost consciousness. Speak in a normal voice. Provide reassurance and explanations about care. Offer words to comfort and do not talk about the person.

184.

Where should you secure a urinary catheter drainage bag?

  • To the frame of the bed

  • To the bedside table

  • To the floor under the patient's bed

  • To the side rail of the bed

Correct answer: To the frame of the bed

Secure the catheter drainage bag to the frame of the bed, below the level of the bladder. If you secure the drainage bag to a movable object (bedside table, side rail), the catheter may inadvertently be pulled out. Never place the drainage bag on the floor as the floor is very unsanitary.

185.

Observing, reporting, and recording are part of which nursing process?

  • Implementation

  • Assessment

  • Planning

  • Evaluation

Correct answer: Implementation

Implementation involves carrying out the interventions listed in the care plan. The functions of the implementation process include providing the planned care, observing the patient during the care, and reporting/recording the care after it has been given, as well as any observations made. New observations may change the nursing diagnoses and the care plan. To give correct care, you must know about changes in the care plan.

Assessment involves collecting information about the patient. Planning is the process of setting priorities and goals. Evaluation involves measuring if the goals in the planning step have been met.

186.

All of the following tasks should be performed before leaving a patient's room except:

  • Ensure the lights have been turned off

  • Ensure the bed is in the lowest position and side rails are up if indicated

  • Ensure the call light is within reach

  • Ensure the patient's bedside table is within reach, including any necessary items such as water and tissue

Correct answer: Ensure the lights have been turned off

Always ensure there is adequate lighting before leaving a patient's room to avoid the risk for falls. Do not turn off all lights when leaving a patient's room. Ensuring that the patient has everything they need and is safe is essential to providing good care and prevents the need to go back and perform these duties, saving time.

187.

What is the most professional manner to answer a call light?

  • "This is Jane, CNA. How can I help you?"

  • "What do you want?"

  • "What do you need?"

  • "You'll have to wait a while. We're very busy at the moment."

Correct answer: "This is Jane, CNA. How can I help you?"

You should answer the call light (or the telephone if answering the telephone is part of your job description) by stating your name and your professional designation. After that, you should politely ask how you can be of assistance. The other answers sound rude and very brusque and do not convey a caring attitude.

188.

In the RACE acronym for fire safety, what does the 'E' represent?

  • Extinguish

  • Exit

  • Enter

  • Escape

Correct answer: Extinguish

R stands for rescue, A stands for alarm, C stands for contain or confine, and E stands for extinguish. If a fire starts, you must act very fast. You must R-A-C-E and follow your fire plan.

189.

Which of the following is an adverse outcome of a nosocomial infection?

  • Prolonged hospital stay

  • Decreased health care spending

  • Decreased patient pain and suffering

  • Fewer admissions to ICU (Intensive Care Unit)

Correct answer: Prolonged hospital stay

Nosocomial infections are infections acquired during hospitalization. Nosocomial infections can lead to prolonged hospitalization, increased health care spending, increased pain and suffering, increased need for admission to the ICU, increased readmission to the hospital, and, in the worst case scenario, patient death.

190.

Which of the following is true regarding rheumatoid arthritis (RA)?

  • It is an autoimmune disease

  • It is rarely painful

  • More men than women are diagnosed with RA

  • Exercise is not recommended for patients with RA

Correct answer: It is an autoimmune disease

Rheumatoid arthritis is an autoimmune disease. It is often painful and disabling. It is diagnosed with higher frequency in middle age. The disease affects more women than men. Exercise is often beneficial for patients with RA, helping to keep the joints mobile.

191.

You are assisting a client to dress. The client has had a stroke and has residual left-sided weakness. How should you dress this client?

  • Dress the weaker side first

  • Dress the stronger side first

  • Dress either the weak or the strong side first

  • Dress in the same way they are removed

Correct answer: Dress the weaker side first

You should dress the weaker side first. When assisting to undress, undress the stronger side first to prevent the affected limb from becoming twisted or tangled.

192.

All of the following are common serious injuries in elderly patients who have experienced a fall except: 

  • Urinary tract infection

  • Hip fracture

  • Contusion

  • Laceration

Correct answer: Urinary tract infection

A urinary tract infection is common in elderly patients due to physical changes to the urinary system and is not a complication from a fall.

All of these other injuries can occur when an elderly patient falls. Hip fractures are a common injury that can have devastating implications and can lead to disability or even death.

193.

You take Mrs. M's vital signs and find that they are abnormal. What should you do?

  • Inform the nurse immediately

  • Ignore it - the machine is probably "off"

  • If the client seems well, you don't need to worry

  • Repeat the vital signs in one hour; if they are still abnormal, you should inform the nurse

Correct answer: Inform the nurse immediately

If a patient's vital signs are abnormal, report it to the nurse immediately. If you wait and recheck, the patient may deteriorate and an opportunity to remedy the situation may be lost. Never ignore abnormal vital signs.

194.

You have just made up a surgical bed. The surgical bed should be left in the ______ position.

  • Highest

  • Neatest

  • Lowest

  • Cleanest

Correct answer: Highest

Surgical beds are left in the highest position to facilitate transfer of the patient from a stretcher to bed.

195.

Patients who are experiencing dyspnea (difficulty breathing) are often most comfortable in which position?

  • Semi-Fowler's 

  • Supine

  • Lateral

  • Prone

Correct answer: semi-Fowler's 

Patients who are experiencing dyspnea (difficulty breathing) are often most comfortable in an upright position.

You can raise the head of their bed to facilitate easier breathing. Clients who have access to a recliner will often sleep in a semi-reclining position. Lying flat generally worsens dyspnea.

196.

When can a CNA refuse to perform an assigned task?

  • When the task is not within the CNA's scope of practice

  • When the CNA does not like to perform the task requested of him/her

  • When the task has already been completed on another patient

  • When the CNA perceives that he/she has already worked hard enough that shift

Correct answer: When the task is not within the CNA's scope of practice

The only time a CNA can refuse to perform a requested task is when a task is not within the CNA's scope of practice. The other responses are not grounds to refuse to perform a requested task.

197.

You are gathering linen to perform a complete linen change on your client's bed. You accidentally drop the top sheet on the floor. You should:

  • Put the dropped top sheet in the laundry and get a new top sheet

  • Follow the "5 second rule" and use the top sheet anyways

  • Inform the nurse

  • Make the bed without a top sheet

Correct answer: Put the dropped top sheet in the laundry and get a new top sheet

Linen that has been on the floor is potentially contaminated and should be placed in the laundry, never used. Obtain a new top sheet with which to make the patient's bed. The nurse does not need to be informed and a bed without a top sheet is not complete.

198.

A person with memory problems, poor judgment, and problems in performing everyday tasks (handling money, paying bills, maintaining a budget) is probably in what stage of dementia?

  • Stage 1 (early or mild dementia)

  • Stage 2 (moderate dementia)

  • Stage 3 (severe or late stage dementia)

  • This person probably does not have dementia

Correct answer: Stage 1 (early or mild dementia)

This is the first of three stages of dementia, with each stage getting progressively severe in terms of symptoms.

  1. Early or mild dementia (Stage 1) is characterized by mild memory loss, poor judgment, and only occasional difficulties performing routine tasks.
  2. Moderate dementia (Stage 2) is characterized by problems recognizing family and friends, increased memory loss, confusion, and impulsive behaviors.
  3. Severe dementia (Stage 3) occurs when a person can no longer care for oneself, communicate adequately and likely experiences weight loss/skin infections and seizure activity.

199.

Elastic stockings are often used to treat which condition?

  • Edema of the lower legs

  • Bruising of the lower extremities

  • Eczema

  • Spider veins

Correct answer: Edema of the lower legs

Elastic stockings (TED hose) are used to treat edema of the lower legs. The stockings exert pressure on the veins, promoting venous blood return to the heart. The stockings also help prevent blood clots in leg veins. They are worn in the daytime and removed when the patient is lying down at night.

Bruising, eczema and spider veins all require different interventions.

200.

Obesity is a risk factor for which of the following?

  • Type 2 diabetes

  • Parkinson's disease

  • Multiple sclerosis

  • Shingles

Correct answer: Type 2 diabetes

Obesity is a major risk factor for type 2 diabetes. It can occur at any age, even in children. Being over-weight and lack of exercise are risk factors. The pancreas secretes insulin. However, the body cannot use it well. Onset is slow. Infections are frequent. Wounds heal slowly.

It is not a risk factor for the other conditions listed. Parkinson's disease and MS are neurological diseases. Shingles is the reactivation of the herpes virus that causes chickenpox.

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