CNA Quiz Questions

The term geriatric means...
A. elderly
B. medications
C. youthful
D. carefree

Restraining a resident without cause and without a doctors order is considered...
A. assault
B. slander
C. false imprisonment
D. libel

The federal law that regulates care in a long term care facility and established minimum training requirements for nursing assistants is...
A. OOPS
B. OSHA
C. OBRA
D. WISHA

A resident puts on their call light asking for help. The nursing assistant ignores it. The resident fall and injures herself. This is considered...
A. neglect
B. libel
C. invasion of privacy
D. battery

You are responsible for your own actions
True False

Discussing a resident outside the facility or even in the facility in a gossipy manner is a legal offense. You can be charged, convicted and possibly fined.
True False

The nursing assistant has no responsibility in helping the resident voice their grievances or resolve problems.
True False

Calling a resident names, swearing at them or making fun of them is not considered abuse.
True False

Forcefully feeding a resident by poking food or utensils into his/her mouth is considered abuse.
True False

Name 2 things a nursing assistant is not allowed to do.

List 2 members of the restorative-rehabilitation team and what their job responsibilities include.

Name 3 ways you can help the resident maintain their privacy.

If you have a question or do not know how to do a task, you should...

A resident has the right to refuse medications and treatments.
True False

The resident does not have the right to make phone calls.
True False

If it is easier for the resident if you make all decisions for the resident.
True False

Older people do not have sexual needs or urges.
True False

Stress can be caused by unmet basic human needs.
True False

Basic human needs include the need for love, belonging, safety and security.
True False

The sense of smell and taste decrease with age.
True False

Which are the following are aging changes that occur in the integumentary system?
A. Skin becomes more fragile and thin
B. skin becomes drier
C. subcutaneous fat diminishes
D. all of the above

The most basic human needs as described by abraham Maslow is
A. self esteem and respect
B. self actualization
C. physical
D. safety

If you witness abuse, you should...
A. tell the person doing it not to do it
B. tell the resident to ignore it
C. hope it will stop
D. notify your charge nurse immediately

Describe one age related change for the
1. cardiovascular system
2. digestive system
3. muscular system
4. respiratory system
5. urinary system
6. vision
7. hearing
8. integumentary

Explain what you can do for the resident who has poor circulation.

Describe 3 psychosocial losses a person may suffer associated with aging.

If you did not complete an assignment, what should you do on the flow sheet?
A. Leave a blank
B. tell the nurse about not being able to complete the task
C. Write in your initials, circle them and notify the charge nurse.

Smiles, frowns and gestures are examples of...
A. verbal communication
B. non-verbal communication

aphasia means...
A. difficulty speaking and/or understanding speech
B. difficulty swallowing
C. confusion

When speaking to a resident in a wheelchair...
A. speak to them while walking out of the room
B. speak to them while standing
C. bend down to their level and speak while making eye contact.

Which of the following would make the resident feel that you are really listening to them?
A. make eye contact. patiently allowing residents to express themselves and seeking clarification when needed.
B. frequently interrupting them.
C. standing with your arms crossed
D. listening to them while you have your hand on the door knob.

An example of physical block to communication.

An example of a mental clock to communication is?

An example of a emotional block to communicate is?

Make 2 observations regarding
a. the skin
b. respirations
c. behavioral changes
d. eating and drinking

Name 2 observations you should report immediately to the charge nurse.

It is alright to use a pencil when writing on the medical record
True False

The medical record is a legal record and can be subpoenaed in case of a lawsuit.
True False

If a resident is hard of hearing, you should shout.
True False

If you and your co-worker speak a foreign language that the resident does not understand, it is acceptable to speak it while taking care of the resident.
True False

If the resident says something that does not make sense, argue with them until you convince them that they are wrong.
True False

Falls in the elderly are dangerous because they can result in prolonged periods of immobility. This can lead to death due to...
A. emphysema
B. pneumonia
C. decubitus ulcer
D. bronchitis

An accident report should be filled out...
A. immediately after the accident
B. at the end of the shift
C. at the end of the week

Which of the following residents are susceptible to choking?
A. someone with dysphagia after a stroke
B. a person who is not positioned properly in an upright position.
C. a resident without teeth or dentures
D. all of the above

The number one type of accident in a nursing home is a fall.
True False

Smoking is allowed in a room where oxygen is in use.
True False

In case of a fire, all residents in immediate danger should be evacuated first.
True False

ABC fire extinguishers can safely be used for all types of fires.
True False

It is acceptable for residents to smoke in their room
True False

Name 3 enviromental factors that can contribute to falls.

Name 3 medical conditions that may increase the risk of falling.

Describe the type of footwear a resident should have when standing, transferring or ambulating.

List 4 signs of a possible heart attack.

List 2 signs of a complete airway obstruction.

A medication used to control mood, mental status, and behavior is called a
A. chemical restraint
B. physical restriant

The restrained resident should be checked every...
A. 1 hours
B. 2 1/2 hours
C. 4 hours
D. 30 minutes

The restrained resident needs to be released, ambulated and toileted every...
A. 30 minutes
B. 2 hours
C. 1 hour
D. 6 hours

Which if the following are devices that are useful in replacing the restraints?
A. alarm cushion
B. positioning cushion
C. adjustable footrest extender
D. all of the above

List 4 poor outcomes of restraint use.

OBRA law allows use of restraints if it makes it easier for the nursing assistant.
True False

A geriatric chair with the tray locked in place is considered a restraint.
True False

A bed rail is not a restraint and can be put up anytime the nursing assistant feels it's necessary.
True False

Restraints can be deadly
True False

It is acceptable to tie restraints to the bed rail.
True False

Name 5 assistive devices that can help you move the difficult to move resident.

If a resident has a right sided weakness or paralysis, put the chair you will be transferring them to, on the right side.
True False

A resident can bear weight on their contractured leg.
True False

A resident's position should be changed every 4 hours

It is safe to put all residents in a prone position.
True False

If residents cannot bear weight on at least one leg, they require a 2 person transfer.
True False

When lifting, you should stand with your feet together, bending at the waist while keeping your knees locked.
True False

It is acceptable for the residents to put their arms around your neck as you transfer them.
True False

A Fowler's position is sitting up in bed at a 45 degree angle.
True False

Name 5 important rules of good body mechanics

Name at least 3 instances when it is necessary to have 2 people assist with lifting.

The body fluid that is of greatest risk for transmitting deadly pathogens is
A. saliva
B. sputum
C. perspiration
D. blood

Standard precautions should be used...
A. only when the patient exhibits signs and symptoms of illness
B. only when a diagnosis of communicable disease is made
C. in all interactions when direct contact with body fluids is possible

Mucus membranes are...
A. over bony areas
B. moist lining of mouth, nose, eyes, genital areas
C. body fluids

You should not go to work if...
A. your coughing
B. you are tired
C. you have flu symptoms
D. B and C

AIDS is due to a virus that can be transmitted by casual contact or close none-sexual contact.
True False

The HIV positive patient may not exhibit any symptoms for as long as 10 years from coming into contact with the virus
True False

The predominant abnormality in the HIV infection is the profound defect in normal immune functioning. This defect results in diminished body defenses and opportunistic infections that take advantage of the weakened system.
True False

A vaccine is available got HBV and is very strongly recommended for health care workers.
True False

The course of the HIV infection is predictable and similar from patient to patient.
True False

Hepatitis results in damage to the liver
True False

It may take 6 weeks to 6 months following transmission of HIV for seroconversion (discovery of antibodies against HIV in the blood) to take place. It will take this long for the blood test to show positive.
True False

Woman should know there HIV statues before becoming pregnant.
True False

What does the initials AIDS stand for?

What does HIV stand for?

Name a type of cancer common in AIDS patients

Dentures can be wrapped in a tissue and stored in a drawer.
True False

oral care for an unconscious resident should be done once every shift

When bathing the resident, start with the area around the eyes first.
True False

When dressing a resident who has a paralyzed right arm, put the left hand in the sleeve first.

You should carefully trim the nails of a diabetic resident
True False

Bathing provides the best opportunity for observation of skin condition
True False

When trimming nails, cut straight across and file the edges with an emery board.
True False

Our first line of defense against infection is skin.
True False

There are significant changes in skin as a person ages, making them more susceptible to skin breakdown.
True False

A resident who is dehydrated is more prone to development of a decubitus ulcer.
True False

When giving a resident a bed bath, the resident should be covered and only the part of the body being bathed should be exposed. This is because...
A. we need to provide privacy
B. we need to keep the resident warm
C. all of the above
D. none of the above

Name 2 possible causes of skin breakdowns

It is acceptable to take an oral temperature 5 minutes after a resident drinks hot coffee.

You should tell a resident you are counting their respirations
True False

The heart rate taken by stethoscope is called apical
True False

One of the things you check for when taking a pulse is rate. This means how many beats per minute.
True False

The name of the pulse at the wrist is brachial

Use your thumb to take a pulse
True False

An elevated temperature can indicate an infection or inflammation.
True False

If a resident has a history of seizures, do not take an oral temperature with a class thermometer.
True False

It is not necessary to stay with the resident while taking their rectal temperature.
True False

Apply a sheath over the thermometer
True False

Temperature taken in the ear is called...
A. oral
B. tympanic
C. axillary

The pulse at the neck is called...
A. Radial
B. pedal
C. Brachial
D. carotid

A BP of 88/50 is considered...
A. hypotension
B. hypertension
C. hypoxia

The resident's BP os 128/84. The 128 is called
A. asystolic blood pressure
B. systolic blood pressure
C. diastolic blood pressure

Diastolic is pressure in the blood vessel when the heart...
A. relaxes
B. neither
C. contracts

THe color code for a rectal thermometer is...
A. yellow
B. red
C. blue

Normal respiration rate is
A. 5-10 per 60 sec.
B. 60-80 per 60 sec.
C. 14-20 per 60 sec.

Normal rectal temperature is...
A. 97.4
B. 99.6
C. 98.0
D. 106.6

A resident with dysphagia is at added risk of...
A. paralysis
B. stroke
C. aspiration
D. swallowing

Which foods are more difficult to swallow for a resident with dysphagia?
A. meat loaf, creamed corn
B. apricot nectar, milk shake
C. Water, mashed potatoes, toast

After a dysphagia resident has eaten, do not put them in a flat reclining position for at least...
A. 5 min.
B. 10 min.
C. 30 min.
D. 2 hours

Which of the following statements is false?
A. dietary recommendations vary according to our weight, age, gender.
B. Refined grains such as white flour and white rice are better for you than whole grains such has brown rice, cracked wheat, and whole wheat flour.
C. It is better to eat foods in their natural form instead of processed foods.
D. Trans fats and saturated fats can increase the risk of heart disease.

Foods that are high in sodium are..
A. hot dogs
B. ham
C. canned foods
D. all of the above

You should report to the nurse if the resident has not completed at least 60% of their meal.
True False

Sources of protein are milk, meat, cheese, chicken and eggs.
True False

A rehabilitation specialist who is very helpful in dealing with residents who have dysphagia is the speech pathologist
True False

The rehabilitation specialist who is helpful in obtaining adaptive eating devices is the occupational therapist.
True False

If a resident has an IV it is okay to take the blood pressure on the arm where the IV is.
True False

IT is ok to offer a resident with a nasogastric tube, fluids or food by mouth.
True False

The nursing assistant administers Ng or G tube feedings
True False

The resident with a feeding tube should not lie flat in bed.
True False

Name 3 abnormalities you should observe for at the IV feeding insertion site (where the needle goes into the body).

To force fluids means to force a resident to drink whether they want to or not.
True False

A graduate is used to measure fluids in cc's.
True False

Fluids are important because they help regulate body temperature.
True False

Ice cream, jello, sherbet and pudding are considered fluids.
True False

It is acceptable to rely on your memory and write down the intake and output numbers at the end of your shift rather then writing it down immediately after a meal.
True False

Urinary drainage bags should be emptied at the end of each shift.
True False

List 3 symptoms of dehydration

Give 3 reasons why residents may not drink adequately.

Mrs. Jones has fluid retention in her hands and legs, with a 3 lbs weight gain this last week. This is called...
A. fat
B. hemiporesis
C. edema
D. dehydration

2500 cc is equal to...
A. 2 1/2 quarts
B. 1 gallon
C. 1 quart
D. 1 1/2 quart

All residents, once incontinent, will be incontinent for the rest of their lives.
True False

To help a female resident empty their bladder completely, it is important to have them sitting upright.
True False

Fracture bed pans are smaller bedpans for residents who cannot move or bend much.
True False

A resident with diarrhea may easily become dehydrated.
True False

Every person must have a bowel movement everyday.
True False

Black, tarry stool could mean the resident is bleeding internally.
True False

Incontinence is an inevitable part of aging for everyone.
True False

Residents with Alzheimer disease may also become incontinent
True False

If a resident is incontinent, you should limit their fluid intake.
True False

Providing privacy ay toileting time is not important.
True False

When doing pericare it is important to wipe...
A. from front to back
B. from back to front
C. either of the above

A resident with an indwelling urinary catheter should have the following minimum daily intake
A. 1000 cc
B. 2500 cc
C. 2000 cc
D. 1600 cc

My main function is to absorb nutrients.
A. small intestine
B. stomach
C. large intestine
D. liver

Which are NOT digestive changes associated with aging?
A. less peristalsis in the esophagus
B. less gastric acid secreted
C. food is absorbed more slowly
D. large intestine absorbs fluids

The urinary catheter drainage bag should be...
A. above the level of the catheter and bladder
B. below the level of the catheter and bladder
C. it does not matter

The resident is able to do his or her own ROM. This is called...
A. passive ROM
B. active ROM

Which of the following statements abotu ROM are NOT true?
A. When doing ROM, stop at the point of resistance or pain.
B. Do ROM 2-3 times a day.
C. Watch for indication of pain in the resident.
D. It is acceptable for the nursing assistant to do ROM to the neck of the resident

Bending an arm or leg is called...
A. flexion
B. circumduction
C. extension

What can be done to prevent a hand contracture?

What can be done to prevent foot drop?

What rehabilitation specialists help with bathing and hygiene skills?

What rehabilitation specialists help with feeding skills?

What rehabilitation specialists help with feeding skills?

Alzheimer is one of the leading cases of death in the US.
True False

When a resident has a hallucination or delusions, argue with them and point out that they are wrong.
True False

If a person is experiencing a catastrophic reaction, restrain them.
True False

An environment that is quiet, calm and reassuring is helpful to the agitated resident
True False

Delusions are false beliefs
True False

Small strokes are causes of irreversible dementia.
True False

Cognitive impairment means a decrease in intellectual functioning such as reasoning, thinking and memory.
True False

Do not offer any choices to the dementia resident
True False

Loud television can help calm the restless, agitated resident.
True False

An Alzheimer disease resident may not recognize their family members rt know how old they themselves are.
True False

Sundowning means...
A. The resident is agitated when they awaken ay night
B. The resident has exaggerated dementia symptoms in late afternoon and early evening.
C. The resident has delusion symptoms on dark, cloudy days.

Alzheimer disease may result in which of the following problems?
A. diarrhea
B. incontinence
C. loss of ability to ambulate
D. none of the above
E. B and C

Which of the following are NOT symptoms or behaviors of advanced Alzheimer's disease?
A. pain in toes
B. sleep disturbances
C. inability to communicate with others
D. tearfulness

Which of the following are reversible causes of dementia?
A. Alzheimer disease
B. depression
C. infections
D. B and C
E. none of the above

All the residents go through the stages of grieving in the same manner and at the same rate.
True False

All residents will reach the acceptance stage of the grieving process.
True False

As people near death, their circulation to extremities may decrease. They may feel cold, especially in their hands and feet.
True False

The nursing assistant is the person who obtains a sterile urine specimen.
True False

Sputum is the substance that is coughed up from the lungs.
True False

It is acceptable to touch the inside of the specimen cups and lids.
True False

Any resident who cannot stand independently cannot be weighed.
True False

Another name for prescribed elastic hose is TED hose
True False

If a resident is 64 in. in height, this is the same as...
A. 6 ft
B. 5 ft 2 in.
C. 5 ft 7 in.
D. 5 ft 4 in.

The purpose of a mid stream method of obtaining a urine specimen is to...
A. obtain just a small amount of urine
B. provide another opportunity got you to wear gloves
C. obtain as clean a specimen as possible
D. obtain a sterile specimen

Dyspnea means...
A. swelling
B. weight loss
C. difficulty swallowing
D. difficulty in breathing

Warning signs of diabetes are...
A. excessive thirst
B. frequently feeling hungry
C. A and B
D. none of the above

COPD refers to...
A bronchitis
B. emphysema
C. A and B
D. none of the above

Another name for a stroke is...
A. brain attack
B. cerebrovascular accident
C. A and B
D. none of the above

List 3 possible complications of diabetes