CERTIFIED NURSING ASSISTANT TEST



CERTIFIED NURSING ASSISTANT TEST

1. When providing foot care to the diabetic patient, the CNA would do all of the following EXCEPT:

a. Use a cotton tipped applicator to clean around the toenails

b. Wash the feet with warm, soapy water, rinse and dry well

c. Cut the toenails to keep them from catching on the patient’s socks

d. Soak the feet in warm water for five minutes

2. You have been asked to collect a sputum sample, when is the best time to do this:

a. In the morning when the patient first awakes

b. Within an hour after the patient has eaten

c. Mid-afternoon when the patient has rested

d. In the evening just before the patient goes to sleep

3. Your patient has a sign over their bed which reads NPO. What does this mean:

a. The patient cannot have anything to eat or drink after midnight

b. The patient cannot have anything to eat or drink without checking with the charge nurse

c. The patient cannot have anything to eat or drink at anytime

d. The patient can have a normal diet

4. You have been asked to take a radial pulse on a patient. Where can the pulse be located:

a. Chest

b. Wrist

c. Groin

d. Ankle

5. The patient that you are caring for has just returned to the unit after having abdominal surgery. What observation should be reported immediately to the charge nurse:

a. The patient’s IV solution is dripping regularly into the IV line

b. The patient complains of pain after awaking from general anesthesia

c. The patient’s systolic blood pressure falls 5mmHg below the preoperative systolic blood pressure

d. The patient’s skin is pink and slightly warm to the touch

6. Which of the following can be included on a clear liquid diet:

a. Vanilla ice cream

b. Skim milk

c. Lemon popsicle

d. Strained orange juice

7. The purpose of keeping a record of intake and output is to:

a. Find out the amount of time between drinking fluids and urinating

b. See if the patient is urinating enough

c. Evaluate the patient’s intestinal function

d. Identify the type of fluid that is most easily digested

8. The purpose of inserting a rectal tube into the patient is to:

a. Stimulate peristalsis

b. Collect a stool specimen

c. Remove intestinal gas

d. Help flush out the intestines

9. Your patient has had a stroke and is paralyzed and has difficulty speaking. When providing daily morning care, you would:

a. Walk the patient in the hallway using a walker and assistive devices

b. Administer the patient’s tube feeding

c. Give the patient oral care and observe the condition of the skin over bony areas

d. Give the patient their morning medications

10. When caring for a paralyzed patient, the CNA has to take special precautions when putting on the top sheet and blanket to help prevent:

a. Knee hyperextension

b. Pressure sores

c. Hip contracture

d. Foot drop

11. You are assisting in the care of a diabetic patient and the family visiting have brought a piece of cake to the patient who is eating it. You should:

a. Take the cake away from the patient immediately

b. Explain to the family that the patient should not have foods unless ordered by the doctor

c. Ignore the fact that the patient is eating the cake so as not to upset the patient and family

d. Inform the charge nurse so she can instruct the patient and family

12. You are taking an elderly patient’s radial pulse and you notice that it is speeding up and slowing down, and not regular as it was the previous time you took it. You should:

a. Wait an hour and retake it, then report your findings to the charge nurse

b. Ask another CNA to double check the pulse with you

c. Try to count the pulse for one minute and report the problem to the charge nurse

d. Do nothing as this is normal for elderly patients

e.

f.

13. When caring for a patient who has a Foley catheter, the CNA should do all of the following EXCEPT:

a. Keep the drainage bag below the level of the patient’s bladder

b. Empty the drainage bag only when it is full

c. Tape the catheter tubing to the patient’s thigh so that it has some slack in it

d. Clean the area around the catheter twice a day

14. You are handing out lunch trays to the patients on the floor and one patient is ordered to have a dysphagia IV diet. When handing this tray to the patient you should:

a. Give the tray to the patient because the dietary staff know the proper diet

b. Give the tray to the patient after checking for pureed foods and thickened liquids

c. Give the tray to the patient because the patient knows what type of diet they should have

d. Give the tray to the patient because the nurse has already checked the tray

15. Your patient begins to complain of chest pain while you are providing their morning bath. You should:

a. Rub the patient’s back and provide comfort measures t decrease the pain

b. Finish the bath and report the incident to the charge nurse

c. Notify the charge nurse immediately

d. Notify the charge nurse during the end of shift report

16. Your patient has a rectal temperature of 100.8 degrees Fahrenheit. You should:

a. Record the temperature and not report it to the charge nurse as it is normal

b. Record the temperature and report it to the charge nurse immediately

c. Record the temperature and do nothing else

d. Record the temperature and be sure that the patient is uncovered to prevent further increase in the temperature

17. What is the best measure to most likely prevent a pressure sore from developing on the patient’s buttocks:

a. Place a large dressing over the buttocks as a cushion

b. Keeping the buttocks clean and dry

c. Limiting movement of the buttocks

d. Placing a pillow under the outer edge of the pillow

18. You are caring for a patient who has just returned from surgery with a cast on his arm to repair a broken arm. When checking the patient you should report which of the following to the charge nurse:

a. The patient is able to move their fingers and toes on command

b. The patient is cold but his toes are warm and pink

c. The patient is sleeping but his fingers are pale

d. The patient has a dry mouth when talking to you

e.

19. Your patient has a Foley catheter which has urine dripping continuously into the drainage bag, but not in a steady stream. This may mean that:

a. The drainage tube is kinked

b. The patient’s fluid intake is too low

c. The patient’s position needs to be changed

d. The drainage bag is working correctly

20. Your patient has pedal edema. This can be best described as:

a. Physical therapy on a stationary bicycle

b. Swelling in the face

c. Swelling of all four extremities

d. Swelling in the lower extremities

21. When using oxygen, which of the following is NOT permitted for use in the immediate area:

a. Humidifier

b. Electric razor

c. Radio

d. Suction machine

22. You are caring for a patient and find a tablet (medication) in the linen when making the bed. You should:

a. Take the medication to the charge nurse and tell her where you found it

b. Throw it away

c. Give it to the patient to take

d. Flush it down the toilet so that no one else gets it

23. When caring for a patient who is comatose, it is important to remember that:

a. You must leave them alone

b. You must not talk to the patient, the family will think you are crazy

c. Their eyes need to be taped shut to prevent drying

d. They may hear what you are saying even though they cannot talk back

24. How often should you check wrist restraints on a patient:

a. Every 4 hours

b. Whenever you are in the room

c. Every 2 hours

d. Both B and C

25. What is the most common area that you should monitor for decubitus ulcers to appear:

a. Heels

b. Coccyx

c. Elbows

d. Hips

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