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Certified Nursing Assistant State Exam
Questions and Answers (Verified Revised Full Exam)
- When assisting a client in learning how to use a cane, the nurse aide stands a. approximately two feet directly behind the client. b. about one foot from the client's weak side. c. about one foot from the client's strong side. d. slightly behind the client on the client's weak side. Ans>> d. slightly behind the client on the client's weak side.
- When working with a client who has urinary retention, the nurse aide can expect that the client will a. urinate large volumes. b. be unable to urinate. c. urinate frequently. d. be incontinent of urine.
Ans>> b. be unable to urinate.
- Aging-related hearing changes result in older clients gradually losing their ability to hear a. high-pitched sounds. b. low-pitched sounds. c. slow sounds. d. rapid sounds. Ans>> a. high-pitched sounds.
- The best way to safely identify your patient is by a. asking his name. b. calling his name and waiting for his response. c. checking the bed plate. d. checking the name tag. Ans>> d. checking the name tag.
- A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should a. report it to the charge nurse.
c. a.c. d. t.i.d. Ans>> c. a.c.
- A client diagnosed with hypertension will most likely have a history of a. low blood pressure. b. high blood pressure. c. low blood sugar. d. high blood sugar. Ans>> b. high blood pressure.
- A patient who has difficulty chewing or swallowing will need what type of diet? a. clear liquid b. low residue c. bland d. mechanical soft Ans>> d. mechanical soft
- An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent? a. Tell her to stay in the room. b. Have her roommate secretly watch her. c. Place a familiar object on the client's door.
d. Write the room number on a piece of paper. Ans>> c. Place a familiar object on the client's door.
- How often should a patient's intake and output records be totaled? a. once each shift b. twice a day c. every four hours d. every 12 hours Ans>> a. once each shift
- Which of the following should the nursing assistant observe and record when admitting a client? a. freckles b. wrinkles c. short nails d. bruises Ans>> d. bruises
- When responding to a client on the intercom, the nursing assistant should say a. "Hello, who is calling, please?" b. "What is it that you want?"
c. raise the bed to its maximum height. d. lower all safety rails. Ans>> a. employ body mechanic techniques.
- How often should clients be repositioned during an eight-hour shift? a. qlh b. q2h c. q3h d. q4h Ans>> b. q2h
- Which of the following is the correct procedure for serving a meal to a client who must be fed? a. Serve the tray along with all the other trays, and then come back to feed the client. b. Bring the tray to the client last; feed after you have served all the other clients.
c. Bring the tray into the room when you are ready to feed the client. d. Have the kitchen hold the tray for one hour. Ans>> c. Bring the tray into the room when you are ready to feed the client.
- The most serious problem that wrinkles in the bedclothes can cause is a. restlessness. b. sleeplessness. c. decubitus ulcers. d. bleeding and shock. Ans>> c. decubitus ulcers.
- Restorative care begins a. as soon as possible. b. when the client is ready. c. when the client is discharged. d. when the client is diagnosed as terminally ill. Ans>> a. as soon as possible.
- Before placing a client in Fowler's position, the nurse aide should a. open the window. b. explain the procedure to the client. c. check with the client's family. d. remake the bed. Ans>> b. explain the procedure to the client.
- An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should a. ask if the client is hungry. b. inspect the client's skin. c. assess the client's intake and output. d. make sure the client knows how to use the call bell. Ans>> d. make sure the client knows how to use the call bell.
- When lifting a heavy object, the correct method would be to bend at the a. waist, keeping your legs straight. b. waist, rounding your shoulders. c. knees, keeping your back straight. d. knees and waist. Ans>> c. knees, keeping your back straight.
- When should nurse aides wash their hands? a. after eating b. before using the bathroom c. after client care d. before cleaning a bedpan Ans>> c. after client care
- When assisting a client with eating, one of the first things the nurse aide should do is a. cut the food into bite-size pieces. b. wash his own hands and the client's hands.
c. butter the client's bread. d. provide the client with privacy. Ans>> b. wash his own hands and the client's hands.
- A patient has a new cast on her right arm. While caring for her, it is important to first observe for a. pulse above the cast. b. color and hardness of the cast. c. warmth and color of fingers. d. signs of crumbling at the cast end. Ans>> c. warmth and color of fingers.
- Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is a. done only when time permits. b. the family's responsibility. c. necessary for rehabilitation. d. a violation of client rights. Ans>> c. necessary for rehabilitation.
d. behind the client. Ans>> c. on the left side.
- While making rounds at 5 : 30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first? a. Call 911. b. Perform CPR. c. Call for help. d. Assess the client's pulse and respirations. Ans>> d. Assess the client's pulse and respirations.
- When moving a wheelchair onto an elevator, the nurse aide should stay a. behind the chair and pull it toward the aide. b. behind the chair and push it away from the aide. c. in front of the client to observe the client's condition.
d. at the side of the wheelchair while opening the door. Ans>> a. behind the chair and pull it toward the aide.
- The Foley bag must be kept lower than the client's bladder so that a. urine will not leak out, soiling the bed. b. urine will not return to the bladder, causing infection. c. the bag will be hidden and the client will not be embarrassed. d. the client will be more comfortable in bed. Ans>> b. urine will not return to the bladder, causing infection.
- As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first a. substitute diet soda for the ice cream. b. hold the afternoon snack and report to the charge nurse. c. call the kitchen and report the error. d. allow the client to have half of the ice cream. Ans>> b. hold the afternoon snack and report to the charge nurse.
- When assisting a client who is using the commode, it is important to
- The purpose of cold applications is usually to a. speed the flow of blood to the area. b. prevent heat exhaustion. c. prevent or reduce swelling. d. prevent the formation of scar tissue. Ans>> c. prevent or reduce swelling.
- The hot water bottle is an example of a a. local dry heat application. b. generalized dry heat application. c. local moist heat application. d. generalized moist heat application. Ans>> a. local dry heat application.
- Clients receiving an enema are usually placed a. on the right side. b. on the left side. c. flat on the back. d. in a semisitting position. Ans>> b. on the left side.
- A female client's perineal area should be cleansed before which specimen is collected? a. 24 - hour urine specimen b. midstream clean-catch urine specimen c. pediatric routine urine specimen d. routine urine specimens Ans>> b. midstream clean-catch urine specimen
- The most common site for counting the pulse is the a. carotid artery. b. femoral artery. c. brachial artery. d. radial artery. Ans>> d. radial artery.
- When counting respirations, the nurse aide should a. wait until after the client has exercised. b. not tell the patient what he is going to do. c. count five respirations and then check his watch. d. have the client count respirations while the aide takes her pulse Ans>> b. not tell the patient what he is going to do.
- Which of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters? a. inserting the catheter
d. explain the location of food on the plate, using the face of the clock to assist. Ans>> b. rearrange the furniture.
- When family members visit a client, the visitors should a. stay in the day room. b. stay a short while so as not to tire the client. c.,be expected to help with care. d. be allowed privacy with the client Ans>> d. be allowed privacy with the client
- A resident asks, "If I need help during the night, who will be there?" The nursing assistant should respond, a. "Don't worry, you'll be okay." b. "Just yell; someone will hear you." c. "Your roommate will probably ring the call bell."
d. "There are people here all night to help you." Ans>> d. "There are people here all night to help you."
- Which of the following is a client's right? a. having personal information kept confidential b. obtaining private duty staff if desired c. knowing what is wrong with the client's roommate d. treating the staff any way he or she pleases Ans>> a. having personal information kept confidential
- A resident often cries while she is receiving her P.M. care. What should the nurse aide do? a. Tell her to stop crying. b. Ignore her and continue with her carq. c. Tell her jokes to make her laugh. d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk. Ans>> d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk.
- When providing denture care, the nurse aide must a. wash them in boiling water. b. hold them under warm running water. c. dunk them in and out of cool water.
