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CNA STATE EXAM PRACTICE TEST. (ILLINOIS)
QUESTIONS AND CORRECT ANSWERS
The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient ____ times. a. Four b. Three c. Two d. One - Correct Answer✔✔C. two Sometimes the best response for a nursing assistant is to assure the resident you are listening. Which of these behaviors is the best way to exhibit good listening skills? A. Speaking about your own experiences on the topic to direct the conversation. B. Asking questions that direct the conversation further. C. Talking to the resident while you continue to work. D. Turning in the residents direction and responding when it is appropriate. - Correct Answer✔✔D. Turning in the residents direction and responding when it is appropriate. While emptying the trash in a client's room, you get stuck by a needle that should have been placed in the sharps container. What is the first thing to do?
a. Call your personal physician. b. Wash the site for several minutes. c. Fill out an Incident Report. d. Try to squeeze blood out. - Correct Answer✔✔ b. Wash the site for several minutes. Infection control practices that prevent the transmission of disease are called a. isolation protocols. b. policies and procedures. c. standard precautions. d. hand hygiene mandates. - Correct Answer✔✔ c. standard precautions. A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions? a. Report the incident to the supervising nurse. b. Walk away from the patient in an effort to show you won't tolerate the behavior. c. Offer support and care using a comforting and calming manner. d. Ask the resident to lower his voice in courtesy to other residents who are getting upset. - Correct Answer✔✔ c. Offer support and care using a comforting and calming manner.
b. Touch c. Taste d. Sight - Correct Answer✔✔ a. Hearing If you have a resident who is completely deaf, which of these would be the most important for effective communication? a. A laptop or pen and paper. b. A loud voice that projects over noise. c. An alarm that rings louder than in non-hearing impaired rooms. d. A phone system with amplifiers. - Correct Answer✔✔ a. A laptop or pen and paper. When getting dressed, a client always wants to wear her favorite outfit. What is a good solution? a. Hide the favorite outfit for a few days so she forgets. b. Tell the resident that the outfit is dirty and she will have to choose another. c. Ask the family to get several identical outfits. d. Explain the benefits of variety and offer several other outfits. - Correct Answer✔✔ c. Ask the family to get several identical outfits. Blood-borne infections include
a. chicken pox b. pneumonia c. hepatitis d. measles - Correct Answer✔✔ c. hepatitis A resident in your care has just received news of a death in the family. What is the best way to assist them with the grieving process? a. Tell the resident about an experience you had with death and what helped you cope with it. b. Remind the resident that death is inevitable. c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. d. Suggest that the resident get his or her mind off of things by thinking of something pleasant. - Correct Answer✔✔ c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. Elizabeth Kübler-Ross describes the stages of grief a person goes through when they lose someone close to them. She believes the first stage of the grieving process is ____. a. Acceptance b. Anger c. Depression d. Denial - Correct Answer✔✔ d. Denial
b. Put her in physical restraints until she calms down. c. Tell her she cannot leave without a doctor's order. d. Advise her that she can leave if she wants to. - Correct Answer✔✔ a. Notify the charge nurse immediately. When caring for a confused resident what should a nursing assistant do? a. Say nothing to avoid more confusion. b. Give simple directions. c. Allow the resident to plan daily activities. d. Give the resident activities. - Correct Answer✔✔ b. Give simple directions. Reality orientation should include a. Calling the resident by his name. b. Using nicknames like "Granny". c. Talking about your interests. d. Telling imaginative stories to the resident. - Correct Answer✔✔ a. Calling the resident by his name. As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to ____.
a. Open the shades to let in more light and brighten the surroundings. b. Leave the room so the resident can re-group and re-focus in private. c. Speak in a calm voice and exhibit a calm and comforting demeanor. d. Turn on the radio or television to distract the resident from their immediate thought. - Correct Answer✔✔ c. Speak in a calm voice and exhibit a calm and comforting demeanor. Used disposable supplies and equipment should be discarded a. outside the resident's room. b. in a designated receptacle. c. in the resident's wastebasket d. in the clean utility room. - Correct Answer✔✔ b. in a designated receptacle. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? a. Shake them in the air to remove any dirt. b. Carry them close to the nurse aide's body. c. Put them in the dirty linen container.
A resident catches you off guard with a comment that is sexual. Your best response would be to ____. A. Change the conversation to a different subject. B. Walk away and pretend you did not hear it. C. Make a humorous comment in return. D. Let the resident know that the comment is not acceptable to you. - Correct Answer✔✔ D. Let the resident know that the comment is not acceptable to you. A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth? A. MN B. NOC C. NPO D. NKA - Correct Answer✔✔ C. NPO Explain what each abbreviation means
- MN
- NOC
- NPO
- NKA - Correct Answer✔✔ 1. MN - morning stands
- NOC- night stands
- NPO- nothing per mouth
- NKA- no known allergies A resident calls his relatives and then tells you he is frustrated and plans on leaving the building without medical approval. Your first line of communication should be ____. A. Reporting it to the physician. B. Reporting it to the facility administrator. C. Reporting it to the nurse. D. Calling the relatives and asking them to wait. - Correct Answer✔✔ C. Reporting it to the nurse. Which of the following is NOT true of dementia? A. People with dementia are often frightened and anxious. B. Grooming is difficult for patients with dementia. C. People with dementia act uncooperative in order to be spiteful. D. Patients can have vivid hallucinations. - Correct Answer✔✔ C. People with dementia act uncooperative in order to be spiteful. In a reality orientation program you would do all of the following EXCEPT
what is the normal range of the radial pulse? a. 80- 120 b. 100- 130 c. 60- d. 60- 90 - Correct Answer✔✔ c. 60- A resident died and his roommate is upset and wants to discuss it with you. What is the best action to take? a. Remind the patient that death is a natural part of life and reassure him his roommate had a great life and is in a better place. B. Talk to the patient about a time you lost someone you loved and how you dealt with it. C. Try and distract the patient by changing the subject and bringing up something happy. D. Talk with the roommate and allow him to express his feelings. - Correct Answer✔✔ D. Talk with the roommate and allow him to express his feelings. All are types of pathogens EXCEPT A. fungus B. virus
C. bacteria D. ebola - Correct Answer✔✔ D. ebola When caring for a patient with MRSA, the nurse aide should wear A. isolation suit. B. surgical goggles. C. rebreather mask. D. gown and gloves. - Correct Answer✔✔ D. gown and gloves. A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take? A. the resident to calm down. B. Call the residents family to assist with the situation. C. Call the charge nurse. D. Attempt to apply restraints. - Correct Answer✔✔ C. Call the charge nurse. Which of these is not part of the process upon entering a residents room for the first time? A. Showing the resident your licensing card. B. Knocking and waiting a few seconds before entering.
A resident's input and output must be documented in a patient's record ____. A. At the end of your shift. B. By the nurse; the nursing assistant does not record this. C. Every two hours. D. In the early morning, noon, and late evening. - Correct Answer✔✔ A. At the end of your shift. A resident with memory difficulties often needs a nursing assistant who will ____. A. Remind the resident of the forgotten information. B. Make jokes and laugh to lighten the residents mood. C. Make eye contact, sit with the resident, and listen. D. Leave the resident alone to minimize his or her agitation. - Correct Answer✔✔ C. Make eye contact, sit with the resident, and listen. Which of these is not a normal biological change to the body from the aging process? A. The ability to make decisions is weakened. B. Joints become stiffer and less flexible. C. Bones become thinner and less strong.
D. The movement of food from the digestive system becomes slower.
- Correct Answer✔✔ A. The ability to make decisions is weakened. Which of these is not a common cause of constipation? A. An increase in intestinal motility. B. A low fiber diet. C. Ignoring the urge to go. D. Not drinking enough water. - Correct Answer✔✔ A. An increase in intestinal motility. Which of these is not a sign of depression? A. Increased amount of time sleeping. B. A decrease in appetite. C. Withdrawal D. Increased interest in participating in social activities. - Correct Answer✔✔ D. Increased interest in participating in social activities. While Mr. Jones is visiting his wife, you notice that he is sneezing and blowing his nose. What is the best step? A. Teach him proper hand washing. B. Move them to a private area. C. Ask the nurse for a decongestant.
C. Antibiotics D. Vaccinations - Correct Answer✔✔ B. Hand washing When wearing gloves, it is important to remember A. alcohol wipes do not affect gloves. B. gloves are sturdy enough for jewelry. C. gloves are worn when using disinfectants. D. gloves can be left on for as long as needed. - Correct Answer✔✔ C. gloves are worn when using disinfectants. All of these are ways that a nursing assistant can help a resident who is dealing with his or her impending death, except ____. A. Spending more time with the resident than you normally would so you are available to offer support. B. Sitting and listening if the resident wants to talk about it. C. Giving the resident privacy if they ask for it. D. Spending less time with the resident so there is no pressure to be sociable. - Correct Answer✔✔ D. Spending less time with the resident so there is no pressure to be sociable. A resident recently learned that her spouse has died. The best response the nursing assistant can give is to ____.
A. Sit and offer support if the resident wants to talk about it. B. Introduce humor to lighten the mood. C. Bring in other residents frequently so it occupies the residents time. D. Ignore the topic and switch the conversation if the resident gets emotional so it takes his or her mind off of it. - Correct Answer✔✔ A. Sit and offer support if the resident wants to talk about it. All of these are indications of visual impairment except ____. A. The resident squints or tilts his or her head to one side to focus on an object. B. The resident spills or knocks over food. C. The resident withdraws from social activities he or she once enjoyed. D. The resident has difficulty navigating on stairs. - Correct Answer✔✔ C. The resident withdraws from social activities he or she once enjoyed. What is the most likely diagnosis for a resident who cannot smell smoke, increases their use of sugar or salt on foods, asks for a magnifying glass to read, and asks for the volume to be turned up while watching television? A. Sensory impairment. B. Sensory stimulation.
