×

Quiz Session - Attempts With Random Questions

CNA Exam Questions

Page 4 of 28

61.

Which of the following may be a safe alternative to applying a restraint on a patient who is confused and considered to be high risk for a fall and who is continuously trying to crawl out of bed?

  • Bed alarm

  • Call light within easy reach

  • Diversion

  • Bedpan within reach

Correct answer: Bed alarm

In the provided example, the patient would benefit from a bed alarm, which would signal staff when the patient's movement (i.e. sitting up in bed) triggers an alarm. A severely confused patient may be unable to reliably use a call light or a bed pan and may not respond well to diversion.

62.

When assisting a patient in dressing who has suffered a stroke, you should:

  • Dress the affected side first

  • Dress the strongest side first

  • Remove clothing from the weakest side first

  • Leave the client in a gown- stroke patients should not be getting dressed

Correct answer: Dress the affected side first

It is helpful to remember the following acronyms when assisting a stroke patient to dress or undress: DAF (Dress Affected side First) and RUF (Remove from Unaffected side First).

63.

Your patient has been diagnosed with unstable angina. He complains of chest pain while you are ambulating with him down the hall. You should instruct him to:

  • Sit and rest

  • Ignore the pain - it will pass in a few minutes

  • Turn around and walk quickly back to his room

  • Bend over and place his head between his knees

Correct answer: Sit and rest

Stable angina is chest pain that only occurs with exercise. The patient can generally predict what and how much activity will bring on chest pain. In unstable angina, pain occurs at rest as well as with exercise. Physical exertion is the most common trigger of chest pain in people with angina. Rest often relieves symptoms within a few minutes. Some patients take nitroglycerin, which helps to provide more oxygen-rich blood to the heart by dilating the arteries.

64.

Which of the following measures can help to promote sleep in the elderly patient?

  • All of these

  • Providing a back rub/light massage before bed

  • Maintaining the patient's routine whenever possible

  • Managing pain effectively

Correct answer: All of these

Ensuring an empty bladder, addressing pain, giving a light back rub for relaxation, and avoiding changing the patient's routine unnecessarily are all measures that can promote sleep in elderly patients.

65.

Before performing any procedure on a patient, you should do all of the following except:

  • Measure vital signs every 15 minutes until the patient's condition is stable

  • Introduce yourself

  • Explain what you are going to do and why

  • Wash your hands

Correct answer: Measure vital signs every 15 minutes until the patient's condition is stable

Indirect care is care that is part of every procedure you perform. It includes introducing yourself, hand washing, ensuring the patient's rights to privacy and comfort, and safety and use of standard precautions.

Frequently measuring the patient's vital signs is typically done after a procedure or surgery, depending on the patient's condition.

66.

You find an uncapped needle lying on the counter in a patient's room. How should you dispose of it?

  • Place it in a designated sharp's container

  • Place it in the trash container in the patient's room

  • Place it in the trash can in the staff bathroom

  • Ask the nurse to dispose of it

Correct answer: Place it in a designated sharp's container

Needles and other sharps should be immediately disposed of in a designated sharp's container. Never dispose of a needle or other sharp in a regular trash container as this could pose a risk to other staff who are not aware that a sharp is present. Patients should not have access to needles or other sharps.

67.

You discover that your patient has consumed an entire box of laxatives in one week. She is obsessed with her weight, often complaining that she is "getting fat." She is pale and thin. She eats very little, claiming that she is not hungry; however, she talks about food all the time. She exercises on her treadmill for two hours every day. Based on these symptoms and signs, your patient could be suffering from:

  • Anorexia nervosa

  • Bulimia

  • Obesity

  • Substance abuse

Correct answer: Anorexia nervosa

Anorexia nervosa is a disorder characterized by an abnormal body image. Individuals with anorexia are obsessed with their weight and believe they are overweight even when they are dangerously thin. They may starve themselves or abuse laxatives in an attempt to keep their weight down. Anorexia can be life-threatening.

Bulimia is also an eating disorder involving the person consuming large amounts of food then purging, fasting or exercising to lose weight. Obesity means overweight. Substance abuse is when a person needs alcohol or drugs to function normally.

68.

What should the CNA do to prevent dehydration in an elderly patient?

  • Offer fluids frequently during the day

  • Wake the patient every two hours during the night to offer fluids

  • Make the patient consume all fluids on his meal tray

  • Add salt to the patient's food to promote thirst

Correct answer: Offer fluids frequently during the day

Many elderly patients do not take in enough fluids. It is not necessary to wake patients to increase fluid intake. Adding salt to a patient's food may not be recommended if the patient has heart disease or other conditions. Never force a patient to eat or drink beyond what they are comfortable with. 

69.

A Certified Nursing Assistant is responsible for:

  • Knowing what you can safely do

  • Supervising other nursing assistants

  • Telling the patient his or her diagnosis

  • Deciding what treatments are needed

Correct answer: Knowing what you can safely do

To protect patients from harm, you must understand what you can do, what you cannot do, and the legal limits of your role. It is not your role to supervise other nursing assistants, typically this is done by an RN. Giving the patient a diagnosis and deciding what treatments are needed are both roles of the physician.

70.

You are working in home care. You visit a patient in their home. The patient has a large dog who growls and lunges at you as soon as you enter the house. You should:

  • Ask the owner to restrain the dog or move it to another room

  • Get in your car and leave

  • Report your concerns about the dog to your supervisor when you get back to the office

  • Ignore the dog

Correct answer: Ask the owner to restrain the dog or move it to another room

Your personal safety is of paramount importance, and you have the right to work in a safe environment free of risk. The dog's owner should be asked to move the dog to a separate room. If the owner refuses, you should leave and report the situation to your employer or supervisor.

71.

When recording output, which of the following would not be included?

  • IV fluids administered

  • Urine

  • Emesis

  • Blood collected in a drainage unit

Correct answer: IV fluids administered

All of these except IV fluids administered would be included. Output should include all fluids drained from all sources. IV fluids administered would be considered as intake.

72.

Changes in the digestive system associated with aging may include:

  • Dysphagia

  • Increased secretion of digestive juices

  • Increased saliva production

  • Increased peristalsis

Correct answer: Dysphagia

The digestive system becomes less efficient with aging. Saliva is produced in smaller amounts, causing dry mouth for some. Secretion of digestive enzymes decreases. Peristalsis decreases, causing flatulence and constipation. Muscle weakening results in dysphagia (difficulty swallowing) in some cases.

73.

All of the following could lead to injury for an elderly person except: 

  •  A shower chair

  • Dim lighting

  • Cluttered environment

  • Objects on stairs

Correct answer: A shower chair

Older individuals are at risk for falls due to poor mobility, altered vision and hearing, weaker muscles, and poor balance. A shower chair is used for the unsteady patient and is a safety measure to prevent falls. It is important to keep rooms clean and free of clutter and to ensure that lighting is adequate.

74.

Patients who use oxygen to ease their breathing should not:

  • Smoke

  • Cough

  • Sneeze

  • Drink alcohol

Correct answer: Smoke

Oxygen is extremely flammable and can easily start a fire. Patients who use oxygen should not smoke and should be made aware of the danger involved in such a practice.

75.

A patient with dementia carries a doll with her and refers to it as her daughter. One day, the patient's doll is missing, and the patient is crying inconsolably and wandering around looking for her daughter. Her behavior is distressing to other patients. What should you do?

  • Attempt to comfort the patient and accompany her to look for her "daughter"

  • Reorient the patient to time and place and remind her that her daughter has not visited her in months

  • Ask the RN assigned to the patient to administer a sedative to calm the patient

  • Restrain the patient in her bed so that she can no longer upset the other patients

Correct answer: Attempt to comfort the patient and accompany her to look for her "daughter"

It can be difficult to manage the behavior of patients with dementia. If a patient is upset and wandering, attempt to offer comfort. Attempts to reorient the patient with dementia are likely to fail and may upset the patient even more. Restraining the patient, either chemically or physically, is not an acceptable choice unless the patient poses a risk to herself or others.

76.

Which of the following practices is recommended when communicating with a hearing-impaired adult?

  • Speak in a normal tone and enunciate clearly

  • Face away from the patient when speaking to him

  • Yell into the affected ear

  • Talk rapidly using large hand gestures

Correct answer: Speak in a normal tone and enunciate clearly

When communicating with the hearing impaired, face the patient directly, speak clearly, and do not yell. Many hearing-impaired individuals become adept at reading lips and facial expressions. Ensure that hearing aids are inserted correctly and that batteries are working.

77.

How should you approach an agitated, elderly male patient?

  • Do not rush the client or show impatience

  • Demand that he sit down and relax

  • Restrain him

  • Ask the nurse to sedate him

Correct answer: Do not rush the patient or show impatience

When working with agitated patients, you should speak softly and calmly. Do not rush the agitated patient. Do not overstimulate the patient. Do not make demands or force the patient to do anything. Allow the patient choices regarding their care and do your best to reign in any impatience on your end. Restraining and/or sedating the patient is unnecessary in this situation.

78.

Your patient begins vomiting while you are in the room. The patient is lying on their back. You should:

  • Assist the patient to turn onto their side

  • Leave the client to find the nurse

  • Don gloves to clean up the emesis

  • Leave the room to obtain an emesis basin

Correct answer: Assist the patient to turn onto their side

Assist the patient to a side-lying position. This will prevent the patient from aspirating the emesis, which could result in pneumonia or blockage of the patient's airway. Once the patient is in a safe position, call for help if needed. Remember universal precautions (gloves) while cleaning up.

79.

Hemiplegia means that a patient is experiencing paralysis on what part of the body?

  • On one side of the body

  • From the neck down

  • From the chest down

  • From the waist down

Correct answer: On one side of the body

Hemiplegia is paralysis of the arm, leg, and trunk on one side of the body. Hemiplegia is more severe than hemiparesis, and one-half of the body is less markedly weak. Hemiplegia may be congenital (a person is born with the condition) or acquired.

Paralysis resulting from the neck down is termed quadriplegia (arms, legs, and trunk) and paraplegia is paralysis from the waist down (legs and lower trunk).

80.

Identify the incorrect pairing:

  • Hypertension - low blood pressure

  • Tachycardia - fast heart rate

  • Bradypnea - slow respiratory rate

  • Hypodermic - below the skin

  • R.O.M - range of motion

Correct answer: Hypertension - low blood pressure

The prefix hyper indicates higher than normal; therefore, hypertension means abnormally high blood pressure. The prefix tachy means faster than normal, brady means slower than normal, and hypo means under or below.

×