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Quiz Session - Attempts With Random Questions

CNA Exam Questions

Page 5 of 28

81.

Which of the following are strategies for the provision of privacy?

  • Leaving the patient's room when the patient is talking on the telephone

  • Sharing details of a patient's personal life with friends and family

  • Leaving the bathroom door open when the patient is toileting

  • Leaving the patient's door open while helping the patient dress

Correct answer: Leaving the patient's room when the patient is talking on the telephone

Patients have the right to personal privacy. Be sure to keep personal information confidential. Allow patients their privacy while visiting with others or while conversing on the telephone. Respect physical privacy by ensuring doors are closed when assisting with personal care activities. Never share details of a patient's personal life with friends and family.

82.

All of the following are indicators that a person is choking except:

  • Coughing forcefully

  • Stridor (high-pitched sound during inspiration)

  • Inability to speak

  • Lips and skin turning blue or dusky in color

Correct answer: Coughing forcefully

If a patient is able to forcefully cough, he or she will likely expel any foreign body they may be choking on, from the airway themselves and will not need emergency care.

All of the other choices are signs that a person may be choking - stridor, change in color of lips and skin around the mouth, and the inability to speak. Many patients will clutch their throats with their hands, which is the universal sign for choking. Loss of consciousness may also eventually occur if the obstruction is not removed. The Heimlich maneuver will need to be performed.

83.

Which of the following may result in suffocation?

  • Choking

  • Coughing

  • Fever

  • Common cold

Correct answer: Choking

Suffocation occurs as a result of lack of oxygen. Breathing stops. The patient may be resuscitated if treated quickly. Suffocation can result in death. Drowning, electrocution, and strangulation may all result in suffocation.

84.

Which of the following is true about periodontal disease?

  • All of these

  • Causes inflammation of the tissue surrounding the teeth

  • Can result in tooth loss

  • Can result in serious infection

Periodontal disease is an inflammation of the tissue around the teeth. Plaque and tartar build up at and below the gums, may result in tooth loss if not treated adequately. Oral infection may also occur when periodontal disease is present. Report redness, swelling, irritation, or mouth sores, if observed.

85.

What equipment might you use to safely transfer a weak ambulatory patient from the bed to a chair?

  • A gait belt

  • A partial lift

  • A slide board

  • A waist restraint

Correct answer: A gait belt

A gait belt can be used to allow you to hold the patient at the waist securely while the patient is transferring from bed to chair.

A lift is not necessary if the patient is ambulatory. A slide board is used to transfer a patient from one bed to another. A waist restraint is used to restraint patients, not to transfer patients.

86.

The correct compression-to-ventilation ratio for CPR in an adult is:

  • 30 to 2

  • 15 to 2

  • 30 to 1

  • 15 to 1

Correct answer: 30 to 2

The adult compression-to-ventilation ratio is 30 to 2 for both 1- and 2-rescuer CPR.

2-rescuer child and infant CPR is done at a rate of 15 to 2

87.

Your patient with diabetes has been given his morning insulin. He refuses to eat breakfast. What should you do?

  • Report it to the patient's nurse

  • Make the patient eat breakfast even though he doesn't want to

  • Offer the patient a snack at 10:00 am

  • Offer double portions at lunchtime

Correct answer: Report it to the patient's nurse

You should inform the patient's nurse if the patient has received insulin or oral medications to lower blood glucose and will not eat, as the patient is at risk for hypoglycemia. Do not force the patient to eat if he doesn't want to, and don't give extra portions at lunchtime. A between-meal snack makes up for what was not eaten at a meal, but the nurse will instruct you when and what to give the patient between meals. Monitor the patient closely, and follow the instructions of the nurse.

88.

Your patient has urinary retention. You know that this means that your patient may:

  • Be unable to urinate

  • Urinate frequently

  • Urinate frequently during the night

  • Experience pain with urination

Correct answer: Be unable to urinate

Urinary retention means that the patient may be unable to void or may be unable to empty the bladder. Urinary frequency, nocturia (voiding frequently at night) and dysuria (pain with urination) may be signs of infection. Urinary retention is often caused by an enlarged prostate gland in older men.

89.

You are interviewing for a position as a CNA. How should you dress for your interview?

  • In a dress, dress pants and blouse, or pantsuit

  • In your favorite jeans and t-shirt

  • In scrubs

  • It doesn't matter how you dress as long as you are clean

Correct answer: In a dress, dress pants and shirt, or pantsuit

Females should wear a dress, dress pants and blouse, or a pantsuit. Males should wear dress pants and shirt or a suit. Jeans are not acceptable attire nor is a t-shirt. Scrubs should be worn for work only.

90.

Universal precautions may include the use of what?

  • Gowns, gloves, and mask/face shield

  • Gowns and masks

  • Gloves only

  • Gloves and gowns

Correct answer: Gowns, gloves, and mask/face shield

Universal precautions reduce the risk of spreading pathogens and are taken to protect the worker from coming in contact with body fluids or secretions that may be infectious in nature and that might pose a risk to the worker's health. Universal precautions (also known as standard precautions) are used for all persons whenever care is given. In some cases, precautions are needed to protect patients with compromised immunity from coming into contact with potential sources of infection carried by health care workers. Universal precautions may include the use of gloves, gowns, and mouth, nose, and eye protection.

91.

A cesarean delivery involves:

  • An abdominal incision

  • A vaginal incision

  • A perineal incision

  • A normal delivery through the birth canal

Correct answer: An abdominal incision

A cesarean delivery is when the baby is delivered through an incision made into the abdominal wall. The doctor performs a C-section when the baby cannot be born via a normal vaginal delivery, or the mother has a vaginal infection that could be transmitted to the baby.

Incisions to the perineal area are called episiotomies. A vaginal delivery is a normal delivery through the birth canal.

92.

The first line of defense against infection is:

  • The skin

  • The immune system

  • The heart

  • The lymph nodes

Correct answer: The skin

The skin is the largest organ and first line of defense against infection. It prevents microorganisms and other substances from entering the body.

  1. The immune system protects the person against a disease or condition; the person will not get or be affected by the disease. If the person does get sick, the immune system fights off the illness. The heart pumps blood through the blood vessels to tissues and cells. The lymph nodes contain proteins, fats, and WBCs that help to maintain fluid balance and defends the body against infection by producing lymphocytes, or WBCs.

93.

Bathing provides the ideal opportunity to inspect the patient for all of the following except:

  • Tattoos

  • Rashes

  • Reddened or open areas of skin

  • Bruises

Correct answer: Tattoos

When bathing the patient you should inspect the patient for any abnormalities of the skin, hair, nails,or pain with movement. If you notice an abnormal observation, you should report it to the nurse and chart it in the appropriate area in the patient's chart.

Tattoos do not need to be reported and recorded unless there are signs of infection, or the patient is complaining of discomfort or pain at or near the site.

94.

What should you do if a patient asks you to pray with her?

  • Do so only if you feel comfortable

  • Refuse to pray with the patient as it is unprofessional

  • Attempt to distract the patient

  • Call a clergy member as it is not your job to pray with patients

Correct answer: Do so only if you feel comfortable

You may pray with the patient if you are comfortable doing so, but you are under no obligation to do so. If you are uncomfortable with this, you may let the patient's nurse know so a cleric can be notified. Always respect your patients' religious beliefs. Help patients follow their beliefs as much as possible while they are in your care.

95.

Which of the following is true concerning wandering behavior?

  • Restlessness, stress, and/or anxiety may cause a patient to wander

  • Wandering always has an obvious cause

  • Patients who wander are not in any danger

  • Patients who wander do not have impaired judgment

Correct answer: Restlessness, stress, and/or anxiety may cause a patient to wander

Wandering may have no cause, or the person may be looking for something or someone - the bathroom, the bedroom, a child, or a partner. Pain, drug side effects, stress, restlessness, too much stimulation, and anxiety are all possible causes of wandering. The person who wanders is at high risk for injury and may require special supervision so that they may wander safely.

96.

Which of the following is an artificially created opening from an organ to the outside of the body?

  • Stoma

  • Stomach

  • Orifice

  • Hole

Correct answer: Stoma

A stoma is an opening from a part of an organ to the outside of the body. It may be naturally or surgically created. When a stoma is surgically created, the surgical procedure name ends in the suffix -ostomy. The prefix of the surgical name denotes the body area being operated on. For example, a colostomy is a surgical procedure in which the colon is brought to the outside of the body.

97.

The following are examples of nursing diagnoses except:

  • Pneumonia

  • Chronic pain

  • Fatigue

  • Diarrhea

Correct answer: Pneumonia

A nursing diagnosis is a statement of a health problem that can be treated by nursing interventions; a medical diagnosis is a condition or disease identified by a physician. Chronic pain, fatigue, and diarrhea are all nursing diagnoses, while pneumonia is an illness that must be diagnosed by a physician.

98.

Your patient is very agitated. She is speaking very loudly, and you note that other patients are becoming alarmed. How should you respond?

  • Speak in a calm, soothing manner to the patient and attempt to ascertain what might be causing the behavior

  • Tell the patient that she will need to go to her room if she continues to be disruptive

  • Report her behavior to the nurse

  • Ignore the patient as she will likely stop if you don't pay attention to the behavior

Correct answer: Speak in a calm, soothing manner to the patient and attempt to ascertain what might be causing the behavior

When dealing with an agitated patient, you should remain calm and speak in a quiet and soothing manner while you try to determine the cause of the behavior. Never threaten a patient with seclusion, restraint, or other punishment. Ignoring the behavior will not be helpful in this situation. Attempt to manage the situation yourself. If you are unable, ask someone else to assist you, such as the nurse.

99.

You have just completed shaving your patient with a safety razor. You should:

  • Dispose of the razor in a sharps container

  • Throw the razor in the garbage

  • Save the razor for future use

  • Send the razor to be sterilized

Correct answer: Dispose of the razor in a sharps container

Safety razors are designed for a single use and should always be disposed of in a sharps container when you have finished using it. Throwing it away in the garbage poses a risk to others.

100.

When bathing a patient, the water should always be checked prior to the patient getting into the tub to prevent:

  • Scalding the patient's skin if the water is too hot

  • Chilling the client if the water is too cold

  • Drowning

  • Hydrophobia (fear of water)

Correct answer: Scalding the patient's skin if the water is too hot

It is crucial to check tub temperature before allowing a patient to bathe by themselves or before assisting patients with bathing. You will need to adjust water temperature and pressure to prevent chilling or, most importantly, burns. Scald burn injuries can result in death in the elderly.  Be sure to check the facility's protocol for taking and recording tub temperatures. Many tubs in hospitals and other facilities come equipped with a built-in thermometer.

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