CNA Practice Test exam 1 — Questions and Answers

Question 1: When a patient who has been dizzy is showering, you should

sit the patient in a shower chair, and remain nearby. (Correct answer)
take care of the patient's roommate while the patient showers.
get the patient started, then leave to respect privacy.

Correct answer: sit the patient in a shower chair, and remain nearby.

When a dizzy patient is showering, the safest approach is to have them sit in a shower chair and for the CNA to remain nearby. The shower chair prevents falls due to dizziness or weakness, while the CNA's presence ensures immediate assistance if needed. This prioritizes patient safety and provides necessary support during a potentially risky activity.

Question 2: The case manager for a client requiring home health care is usually done by

A registered nurse (Correct answer)
A nutritionist
A home health aide
A physician

Correct answer: A registered nurse

A Registered Nurse (RN) typically serves as the case manager for clients requiring home health care. RNs have the comprehensive medical knowledge and clinical judgment to assess patient needs, coordinate services, develop care plans, and communicate with physicians and other healthcare providers. This ensures holistic and effective management of complex care at home.

Question 3: What does afebrile mean?

Low fever
High fever
No fever (Correct answer)
Sudden fever

Correct answer: No fever

The term 'afebrile' means without fever. In medical terminology, 'a-' is a prefix meaning 'not' or 'without,' and 'febrile' refers to having a fever. Therefore, an afebrile patient has a normal body temperature and does not exhibit signs of fever, indicating the absence of an elevated body temperature.

Question 4: Which device does NOT make toileting easier?

Elevated toilet seat
Grab bars on the wall next to the toilet
Bedside commode
Egg crate toilet cover (Correct answer)

Correct answer: Egg crate toilet cover

An egg crate toilet cover is designed to provide pressure relief and comfort, typically for patients who spend extended periods sitting, but it does not make toileting easier. Elevated toilet seats, grab bars, and bedside commodes directly assist with mobility, balance, and accessibility, thereby facilitating the toileting process for individuals with physical limitations.

Question 5: You walk into the dining room. The conscious resident has his hands to his throat and is making no sounds. The first thing you will do is...

Call the nurse
Start chest compressions
Ask, “Are you choking?” (Correct answer)

Correct answer: Ask, “Are you choking?”

When a conscious person has their hands to their throat and is making no sounds, the first step is to ask, 'Are you choking?' This question helps confirm if they are indeed choking and if their airway is completely obstructed. If they can respond, even with a nod, it indicates some air movement, guiding the next steps for intervention.

Question 6: How would a nursing aide identify a problem with a diabetic patient?

Increased alertness
Seizures
Gasping
Cold, clammy skin (Correct answer)

Correct answer: Cold, clammy skin

Cold, clammy skin is a classic sign of hypoglycemia (low blood sugar) in a diabetic patient. Other symptoms can include confusion, shakiness, and increased heart rate. Recognizing this symptom is crucial for a CNA to report immediately, as severe hypoglycemia can lead to seizures, unconsciousness, and even death if not treated promptly.

Question 7: In the Nursing Care Plan you note it is written; “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA you know this means

Orient new client @ 3:00 to orthopedic unit
Oral care every 3 hours
Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers (Correct answer)
Resident is to be ambulated every 3 hours

Correct answer: Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers

Understanding medical abbreviations is essential for CNAs to correctly interpret care plans. 'O2 per N/C @3L' means the resident has oxygen delivered via a nasal cannula at three liters per minute. 'Orthopnea pos. as needed' indicates that the resident needs to be assisted to an upright position (Fowler's position) as needed to ease breathing, as orthopnea is difficulty breathing when lying flat.

Question 8: What is the definition of Aphasia?

The loss of long term memory
The ability to remember recent events
The inability to articulate words or speak (Correct answer)
The ability to understand and interpret words

Correct answer: The inability to articulate words or speak

Aphasia is a communication disorder that affects a person's ability to express and understand written or spoken language. It results from damage to the brain, often due to stroke or head injury. This condition can manifest as difficulty articulating words, finding the right words, or comprehending what others are saying, significantly impacting communication.

Question 9: Who should manage the resident's finances?

The administrator
The family
The resident (Correct answer)
The attorney

Correct answer: The resident

Residents in healthcare facilities have the right to manage their own finances, as part of their autonomy and personal rights. Unless a legal guardian or power of attorney has been appointed due to incapacitation, the resident retains control over their financial affairs. Healthcare staff should support this right and provide assistance as needed, but not take over management.

Question 10: The RN, LPN, and CNA are members of the

Medical team
Ancillary team
Nursing team (Correct answer)
Primary team

Correct answer: Nursing team

The Registered Nurse (RN), Licensed Practical Nurse (LPN), and Certified Nursing Assistant (CNA) are all integral members of the nursing team. They work collaboratively under a hierarchical structure, with the RN typically leading the team, to provide comprehensive patient care. Each role has distinct responsibilities but contributes to the overall nursing care plan.

Question 11: Mrs. Johnson, a resident with dementia, loves to wear her favorite blue plaid shirt with her favorite green striped pants. What should you do?

Insist on picking out her outfits.
Tease her about her sense of style.
Keep her in her pajamas all day.
Respect her choice of clothing. (Correct answer)

Correct answer: Respect her choice of clothing.

When caring for a resident with dementia, it is important to respect their choices, even if their clothing combinations seem unusual. Forcing them to change or teasing them can cause distress and agitation. Allowing them to maintain some control over their personal preferences, like clothing, promotes their dignity, autonomy, and overall well-being, even with cognitive impairment.

Question 12: Of the human needs listed below, which are considered basic?

Sexual
Social
Spiritual
All of the above (Correct answer)

Correct answer: All of the above

Basic human needs encompass a wide range of physical, emotional, social, and spiritual requirements for well-being. According to frameworks like Maslow's Hierarchy, these include physiological needs (which cover sexual health), safety, love/belonging (social connection), esteem, and self-actualization (often involving spiritual fulfillment). CNAs must address all these aspects to provide holistic and person-centered care.

Question 13: Mr. Burns just smoked a cigarette. How long should you wait to take his oral temperature?

No wait is necessary
5 minutes
10 minutes
15-20 minutes (Correct answer)

Correct answer: 15-20 minutes

Smoking, eating, or drinking can temporarily alter the temperature of the oral cavity, leading to inaccurate readings. Waiting 15-20 minutes allows the mouth temperature to return to its baseline, ensuring the most precise measurement. This waiting period is crucial for obtaining reliable vital signs that reflect the client's true physiological state.

Question 14: When helping a resident get out of bed, what should a nurse aide do?

Ask another nurse aide to help.
Raise the bed all the way up.
Keep the side rails up.
Use good body mechanics. (Correct answer)

Correct answer: Use good body mechanics.

Using good body mechanics, such as keeping the back straight, bending at the knees, and using leg muscles, is essential for preventing injury to both the nurse aide and the resident during transfers. This practice ensures a safe and efficient transfer while protecting the aide's musculoskeletal health. While other options like asking for help might be necessary for heavier residents, good body mechanics are universally applied for all transfers.

Question 15: When interacting with clients, the nurse aide should remember that

speaking is the most reliable way to communicate.
more than half of all communication is non-verbal. (Correct answer)
picture boards are not considered an accurate way to communicate.
clients lose the ability to communicate as they get older.

Correct answer: more than half of all communication is non-verbal.

Non-verbal cues, including body language, facial expressions, gestures, and tone of voice, convey a significant portion of a message. CNAs must be observant of these cues, especially with clients who have difficulty speaking, to accurately understand their needs, feelings, and discomfort. Relying solely on spoken words can lead to misunderstandings and inadequate care.

Question 16: To prevent dehydration of the client, the nurse aide SHOULD

feed the client salty food to increase thirst.
wake the client during the night to offer fluids.
use moisturizing lotion to keep skin intact.
offer fluids frequently while the client is awake. (Correct answer)

Correct answer: offer fluids frequently while the client is awake.

Dehydration is a common and serious risk for clients, particularly the elderly. Offering fluids frequently throughout the day while the client is awake helps ensure adequate fluid intake and prevents the negative health consequences of dehydration. This proactive approach is essential for maintaining overall health, kidney function, and preventing complications like constipation or confusion.

Question 17: Signs of poor circulation are

paleness, cold skin, edema (Correct answer)
warm, dry, pink skin
hot flashes
perspiration, red skin

Correct answer: paleness, cold skin, edema

Poor circulation indicates that blood flow to tissues is restricted, leading to a lack of oxygen and nutrients. Paleness and cold skin are direct signs of reduced blood supply, while edema (swelling) can occur due to fluid retention when circulation is impaired. Recognizing these signs is crucial for a CNA to report to the nurse, as they can indicate serious underlying health issues.

Question 18: Elderly residents sometimes appear stooped over and like they have lost height. This is due to

osteoporosis in the spinal column (Correct answer)
decreased cardiac output
the resident’s increased difficulty in breathing
the deterioration of muscle tissue

Correct answer: osteoporosis in the spinal column

Osteoporosis is a condition that causes bones to become brittle and weak, particularly affecting the spinal column. This can lead to compression fractures of the vertebrae, resulting in a stooped posture known as kyphosis and a gradual loss of height over time. It is a common age-related change that impacts skeletal structure.

Question 19: A patient who is on suicide watch should be allowed to have

pictures of their family in an album. (Correct answer)
their favorite leather belt.
a mirror at the bedside table.
a glass container of flowers in her room.

Correct answer: pictures of their family in an album.

For a patient on suicide watch, safety is the highest priority, meaning any items that could be used for self-harm must be removed from their environment. Pictures in an album are generally safe and can provide comfort and a connection to loved ones without posing a risk. Items like belts, mirrors, or glass containers could potentially be used to inflict harm and are typically restricted.

Question 20: When caring for a home health client, all team members need to

Communicate frequently with each other. (Correct answer)
Put all the responsibility on the case worker.
Ask another team member to do the charting.
Work individually on their assigned tasks.

Correct answer: Communicate frequently with each other.

Effective and frequent communication among all team members is vital for providing coordinated and comprehensive care, especially in a home health setting. Regular updates ensure everyone is aware of the client's current condition, needs, and any changes, leading to better outcomes and preventing errors. This collaborative approach ensures continuity and quality of care.

Question 21: A client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe?

lower both footrest pedals
release the wheel brakes
place the bed in the low position (Correct answer)
place a pillow on the wheelchair seat

Correct answer: place the bed in the low position

Placing the bed in the low position minimizes the distance the client has to move when transferring to a wheelchair, significantly reducing the risk of falls and injury. This makes the transfer safer for the client and easier for the nurse aide to manage. It is a fundamental safety measure to prevent accidents during transfers.

Question 22: Which of the following is true about caring for a resident who wears a hearing aid?

Replace batteries weekly.
Remove the hearing aid before showering. (Correct answer)
Clean the ear mold and battery case with water daily, drying completely.
Apply hairspray after the hearing aid is in place.

Correct answer: Remove the hearing aid before showering.

Hearing aids are electronic devices that can be severely damaged by water. Therefore, it is crucial to remove them before any activity involving water, such as showering or bathing, to prevent malfunction and ensure their longevity. This practice protects the device and ensures the resident can continue to use it effectively for communication.

Question 23: A resident has difficulty remembering what day it is and where they are. How can you best help the resident?

Tell the resident often what day it is and where the resident is. (Correct answer)
Keep the resident from talking about the past.
Joke with the resident about their forgetfulness.
Agree with whatever the resident says.

Correct answer: Tell the resident often what day it is and where the resident is.

For residents experiencing confusion or disorientation, consistent reorientation is a key intervention to help them stay grounded in reality. Regularly reminding them of the day, time, and location can reduce anxiety, improve cognitive function, and help them feel more secure. This therapeutic communication technique supports their mental well-being.

Question 24: While you are at lunch with other nurse aides, they start to discuss how rude a resident was behaving. What should you do?

Be quiet and do not say anything to the other nurse aides.
Return to the unit after lunch and tell the client what was said.
Tell them that this is not the place to discuss the client. (Correct answer)
Join in the conversation so they know the truth.

Correct answer: Tell them that this is not the place to discuss the client.

Discussing a client's personal information or behavior in a public area, such as a lunchroom, violates client confidentiality and professional ethics. A nurse aide has a responsibility to protect client privacy and should remind colleagues of this boundary. Client discussions should only occur in private, designated areas among relevant care team members to maintain professionalism and respect client rights.

Question 25: An elderly resident has a advance health directive that includes a DNR (Do Not Resuscitate) order. You enter their room and find them not breathing. What do you do?

Close the door and notify the nurse. (Correct answer)
Call the family to see if they agree with the DNR.
Call for help and begin CPR.
Start the resident on oxygen at 2L/minute.

Correct answer: Close the door and notify the nurse.

A DNR (Do Not Resuscitate) order is a legal directive indicating that a patient does not wish to receive life-saving measures like CPR. In this situation, the nurse aide's role is to respect the patient's wishes, ensure privacy by closing the door, and immediately notify the nurse, who will then follow the established care plan. Initiating CPR would go against the patient's advance directive.

Question 26: When giving a bed bath, the last area to be cleaned is the

Armpits
Eyes
Feet
Perineum (Correct answer)

Correct answer: Perineum

During a bed bath, the perineal area is cleaned last to prevent the spread of microorganisms from the genital and anal regions to other parts of the body. This practice is a standard infection control measure that maintains hygiene and significantly reduces the risk of infection. It ensures that cleaner areas are not contaminated by potentially soiled areas.

Question 27: What is the FIRST thing a nurse aide should do when finding an unresponsive client?

Close the door
Call for help (Correct answer)
Call family
Start compressions

Correct answer: Call for help

When finding an unresponsive client, the immediate priority is to activate the emergency response system by calling for help. This ensures that trained medical professionals can quickly assess the situation and initiate appropriate interventions, such as CPR or other life support measures. Time is critical in such emergencies to improve the client's chances of survival.

Question 28: Proper oral hygiene _______________.

isn't appropriate for unconscious residents.
is only necessary once a day.
prevents mouth odor, decay, and infection (Correct answer)
allows buildup of tartar and plaque.

Correct answer: prevents mouth odor, decay, and infection

Proper oral hygiene, including regular brushing and cleaning, effectively removes food particles, plaque, and bacteria from the mouth. This prevents bad breath (halitosis), tooth decay (cavities), and gum disease, which can lead to more serious infections and discomfort. It is essential for maintaining overall health, comfort, and dignity, even for unconscious residents.

Question 29: Which of the following stages of dying is usually the final stage?

Depression
Bargaining
Acceptance (Correct answer)
Anger

Correct answer: Acceptance

According to Kübler-Ross's stages of grief, acceptance is typically the final stage, where the individual comes to terms with their impending death or significant loss. While not everyone experiences all stages or in a linear fashion, acceptance represents a state of peace, understanding, and readiness regarding the inevitable. It signifies a resolution of emotional turmoil.

Question 30: Urinary incontinence is a predisposing factor to

Pressure Sores (Correct answer)
Congestive Heart Failure
Urinary Tract Infections
Dehydration Syndrome

Correct answer: Pressure Sores

Urinary incontinence means the skin is frequently exposed to moisture and urine, which can lead to skin breakdown and irritation. This constant moisture, combined with friction and pressure, significantly increases the risk of developing pressure sores (decubitus ulcers) in vulnerable areas like the buttocks and hips. Proper skin care and frequent changes are crucial to prevent this.

Question 31: Mrs. Featherhat is a Native American who has been diagnosed as near death. Her family wishes to perform a ceremony with candles and incense. The facility should

Inform the family that the ceremony will not help her terminal condition.
allow the ceremony with proper safety measures. (Correct answer)
transfer Mrs. Featherhat to a private facility for Native Americans.
not allow the ceremony because of safety precautions.

Correct answer: allow the ceremony with proper safety measures.

Healthcare facilities must respect and accommodate residents' cultural and spiritual beliefs, especially at the end of life, as long as it doesn't compromise safety. Allowing the ceremony with appropriate safety measures, such as supervising candles and ensuring ventilation for incense, demonstrates cultural sensitivity and provides person-centered care. This supports the resident's spiritual well-being and family's needs.

Question 32: Mr. Jackson is having a phone conversation with his son. You accidentally pick up the line and hear the conversation. You should

ask him to get a cell phone.
keep listening in case he complains about his care.
apologize and hang up immediately. (Correct answer)
tell him that it’s time to end the call.

Correct answer: apologize and hang up immediately.

Accidentally overhearing a client's private phone conversation is a breach of their privacy and confidentiality. The correct and ethical action is to immediately apologize for the intrusion and hang up, demonstrating respect for their personal space and rights. Continuing to listen or making comments would further violate their privacy and trust.

Question 33: While helping an 86 year-old male resident get ready for bed, he tells you that he is tired of living and has been saving his pain pills. What should you do?

Go through his belongings to search for the pills.
Make him give you the pills so you can flush them.
Ask him why he feels his life is so worthless.
Notify the nurse and stay with the resident. (Correct answer)

Correct answer: Notify the nurse and stay with the resident.

Any statement indicating suicidal ideation or intent must be taken seriously and reported immediately to the nurse. The nurse aide's priority is to ensure the resident's safety by staying with them and preventing any self-harm until professional help and assessment can be provided. This is a critical safety protocol to protect the resident.

Question 34: There is an order to give a female patient a shower, but she refuses. The nurse aide should

document in the chart that the patient refused to shower. (Correct answer)
take the patient to the shower anyway.
tell her that she must do what is ordered.
threaten to use restraints if she does not cooperate.

Correct answer: document in the chart that the patient refused to shower.

Clients have the right to refuse care, even if it is ordered, as part of their autonomy and patient rights. The nurse aide's responsibility is to respect this refusal, document it accurately in the client's chart, and then inform the nurse. Forcing care or threatening the client is a violation of their rights and can be considered abuse.

Question 35: The nurse aide finds Miss Jones alone in her room. She is sad and crying. Which is the best statement to tell Miss Jones?

"Oh, my, Miss Jones, you seem sad. Is anything wrong?" (Correct answer)
"Shall I call your family, Miss Jones? Maybe they can make you feel better."
"Come on, Miss Jones. Cheer up. Let's go to the activity room."
"Are you crying again? Miss Jones, what in the world is going on with you?"

Correct answer: "Oh, my, Miss Jones, you seem sad. Is anything wrong?"

This statement uses open-ended communication, acknowledges the resident's apparent emotion, and invites her to share her feelings without judgment. It demonstrates empathy and respect, allowing the resident to express herself if she chooses, which is therapeutic and promotes trust. Other options are dismissive, judgmental, or make assumptions, which can hinder communication.

Question 36: Various factors will change pulse rate. Increased pulse rates can be caused by

exercise (Correct answer)
depression
coma
sleep

Correct answer: exercise

Exercise increases the body's demand for oxygen, causing the heart to pump faster and harder to deliver more blood to the muscles. This physiological response results in an elevated pulse rate. Other factors like stress, fever, and pain can also increase pulse rate, while rest, sleep, and certain medications typically decrease it.

Question 37: Rheumatoid arthritis may

Cause pain and muscle spasms
Cause deformities
Have periods of remission
All of the above (Correct answer)

Correct answer: All of the above

Rheumatoid arthritis is a chronic inflammatory condition that can cause significant pain, stiffness, and muscle spasms due to joint inflammation. Over time, this inflammation can lead to permanent joint damage and deformities. The disease also characteristically involves periods of remission, where symptoms improve, and flare-ups, where symptoms worsen, making 'All of the above' the correct answer.

Question 38: When helping a disabled person with ADLs, the nursing assistant should

Encourage the person to watch in order to learn
Encourage as much participation as possible (Correct answer)
Avoid praise and positive feedback
Do everything for the person in order to save time

Correct answer: Encourage as much participation as possible

Encouraging a disabled person's participation in Activities of Daily Living (ADLs) is crucial for maintaining their independence, self-esteem, and existing functional abilities. It promotes rehabilitation and prevents further physical decline. Doing everything for them can foster dependence and lead to a loss of skills, while active involvement empowers the individual.

Question 39: The definition of scope of practice is?

All skills learned on the job or described by the nurse
Any skills that the charge nurse requests you to perform
Skills which the health care worker is legally able to perform (Correct answer)
Skills the CNA has seen and feels competent to perform

Correct answer: Skills which the health care worker is legally able to perform

A healthcare worker's scope of practice legally defines the specific procedures, actions, and tasks they are authorized to perform based on their education, training, and licensure. This legal framework ensures patient safety by preventing individuals from undertaking responsibilities for which they are not qualified. It is not determined by on-the-job learning, a nurse's request, or personal feelings of competence.

Question 40: The Patient’s Bill of Rights includes

access to the laundry.
free medical care.
freedom of choice. (Correct answer)
access to the medicine cart.

Correct answer: freedom of choice.

The Patient's Bill of Rights emphasizes patient autonomy, granting individuals the fundamental right to make informed decisions about their own medical care. This includes the freedom to choose or refuse treatments, participate in care planning, and receive information necessary to make those choices. Freedom of choice is a core principle ensuring respect for the patient's wishes and values.

Question 41: A type of service that long term care facilities can provide include

Diagnostic care
Psychiatric care
Home care (Correct answer)
Emergency care

Correct answer: Home care

Long-term care facilities provide a range of services for individuals needing ongoing medical or personal assistance, often for extended periods. While they offer various levels of institutional care, many long-term care organizations also provide 'home care' services, allowing residents to receive support and assistance in their own homes. This extends their continuum of care beyond facility walls.

Question 42: Reality orientation should include

Using nicknames like "Granny"
Calling the resident by his name (Correct answer)
Telling imaginative stories to the resident
Talking about your interests

Correct answer: Calling the resident by his name

Reality orientation techniques aim to reduce confusion and disorientation, especially in residents with cognitive impairments. Calling a resident by their proper name helps reinforce their identity and current reality, promoting dignity and respect. Using nicknames or engaging in imaginative stories can be demeaning or further confuse the individual, hindering their connection to reality.

Question 43: When muscles atrophy, they become

Stretched
Larger
Smaller (Correct answer)
Hardened

Correct answer: Smaller

Muscle atrophy refers to the wasting or thinning of muscle tissue, which results in a decrease in muscle size and strength. This condition often occurs due to disuse, immobility, disease, or injury. Regular movement and exercise are essential to prevent atrophy and maintain muscle mass.

Question 44: When cleaning a male's genital area during perineal care, the nurse aide should

Clean the penis with a circular motion starting from the base and moving toward the tip.
Finish by washing the upper thighs and inguinal area.
Clean the rectal area first, before washing the genital area.
Replace the foreskin when pushed back to wash an uncircumcised penis. (Correct answer)

Correct answer: Replace the foreskin when pushed back to wash an uncircumcised penis.

When providing perineal care for an uncircumcised male, it is crucial to gently retract the foreskin to clean the glans, but then immediately replace it to its original position. Failure to replace the foreskin can lead to paraphimosis, a painful and serious condition where the retracted foreskin becomes trapped and restricts blood flow, potentially causing tissue damage. This step is vital for patient safety and comfort.

Question 45: A patient suffering from pneumonia might exhibit symptoms such as

Persistent coughing
Chest pains and discomfort
Thick sputum
All of the above (Correct answer)

Correct answer: All of the above

Pneumonia is an infection that inflames the air sacs in the lungs, often causing them to fill with fluid or pus. Common symptoms include a persistent cough, which may produce thick, discolored sputum, and chest pain or discomfort, especially when breathing deeply or coughing. These symptoms collectively indicate the presence of pneumonia, making 'All of the above' the correct answer.

Question 46: Non-verbal communication includes

Shouting
Facial expressions
Gestures
All of the above (Correct answer)

Correct answer: All of the above

Non-verbal communication encompasses all forms of communication that do not involve spoken words. This includes a wide range of cues such as facial expressions, gestures, body language, eye contact, and even the tone of voice. These elements often convey significant meaning and can greatly impact how a message is received, making 'All of the above' the correct answer.

Question 47: The nurse aide documents that about 45 minutes after the resident is put to bed for an afternoon nap, the resident urinates in bed. To help with bladder training, the nurse aide should

take the resident to the bathroom right before going to bed (Correct answer)
report to the registered nurse that the resident will not succeed in bladder training
take the resident to the bathroom after about 30 minutes of being in bed for the nap
remind the resident that it is important to cooperate with bladder training

Correct answer: take the resident to the bathroom right before going to bed

Bladder training aims to establish a predictable voiding schedule to prevent incontinence. Since the resident urinates about 45 minutes after being put to bed, taking them to the bathroom *before* this anticipated voiding time, such as right before going to bed, helps to empty the bladder proactively. This strategy reinforces desired bladder control and prevents accidents.

Question 48: Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document

685cc
240cc
920cc
450 cc (Correct answer)

Correct answer: 450 cc

To calculate the total intake, convert ounces to cubic centimeters (cc) using the conversion 1 oz = 30 cc. Half of a 6oz glass of juice is 3 oz (3 x 30 cc = 90 cc). 4 oz of milk is 4 x 30 cc = 120 cc. 8 oz of coffee is 8 x 30 cc = 240 cc. Adding these together (90 + 120 + 240) gives a total intake of 450 cc.

Question 49: A nurse aide closes the door, pulls curtains between beds, and covers the resident with a bath sheet when giving a bath. This is an example of maintaining a resident's

Facility
Sexuality
Privacy (Correct answer)
Confidentiality

Correct answer: Privacy

Closing the door, pulling curtains, and covering a resident during personal care activities like bathing are all actions taken to protect their personal space and prevent others from seeing them in a vulnerable state. These measures directly relate to maintaining the resident's privacy and dignity. Confidentiality, in contrast, refers to protecting personal information.

Question 50: The primary reason for combative behavior in a resident is

stubbornness
hunger
resentment
confusion (Correct answer)

Correct answer: confusion

While factors like hunger or resentment can contribute to difficult behaviors, confusion is a primary underlying cause of combative behavior in residents, especially those with cognitive impairments like dementia. Disorientation, fear, and an inability to understand their surroundings or communicate their needs can lead to frustration and aggression. Addressing the confusion and its root cause is crucial for managing such behaviors safely and effectively.

CNA Practice Test exam 1

When a patient who has been dizzy is showering, you should