Download 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.
b.
c.
d.
Use a cotton tipped applicator to clean around the toenails
Wash the feet with warm, soapy water, rinse and dry well
Cut the toenails to keep them from catching on the patient’s socks
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.
b.
c.
d.
In the morning when the patient first awakes
Within an hour after the patient has eaten
Mid-afternoon when the patient has rested
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.
b.
c.
d.
Chest
Wrist
Groin
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.
b.
c.
d.
Vanilla ice cream
Skim milk
Lemon popsicle
Strained orange juice
Revised 05/04
Certified Nursing Assistant Test
Page 2
7. The purpose of keeping a record of intake and output is to:
a.
b.
c.
d.
Find out the amount of time between drinking fluids and urinating
See if the patient is urinating enough
Evaluate the patient’s intestinal function
Identify the type of fluid that is most easily digested
8. The purpose of inserting a rectal tube into the patient is to:
a.
b.
c.
d.
Stimulate peristalsis
Collect a stool specimen
Remove intestinal gas
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.
b.
c.
d.
Walk the patient in the hallway using a walker and assistive devices
Administer the patient’s tube feeding
Give the patient oral care and observe the condition of the skin over bony areas
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.
b.
c.
d.
Knee hyperextension
Pressure sores
Hip contracture
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.
b.
c.
d.
Wait an hour and retake it, then report your findings to the charge nurse
Ask another CNA to double check the pulse with you
Try to count the pulse for one minute and report the problem to the charge nurse
Do nothing as this is normal for elderly patients
Certified Nursing Assistant Test
Page 3
13. When caring for a patient who has a Foley catheter, the CNA should do all of the
following EXCEPT:
a.
b.
c.
d.
Keep the drainage bag below the level of the patient’s bladder
Empty the drainage bag only when it is full
Tape the catheter tubing to the patient’s thigh so that it has some slack in it
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.
b.
c.
d.
Rub the patient’s back and provide comfort measures t decrease the pain
Finish the bath and report the incident to the charge nurse
Notify the charge nurse immediately
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.
b.
c.
d.
Record the temperature and not report it to the charge nurse as it is normal
Record the temperature and report it to the charge nurse immediately
Record the temperature and do nothing else
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.
b.
c.
d.
Place a large dressing over the buttocks as a cushion
Keeping the buttocks clean and dry
Limiting movement of the buttocks
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.
b.
c.
d.
The patient is able to move their fingers and toes on command
The patient is cold but his toes are warm and pink
The patient is sleeping but his fingers are pale
The patient has a dry mouth when talking to you
Certified Nursing Assistant Test
Page 4
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.
b.
c.
d.
The drainage tube is kinked
The patient’s fluid intake is too low
The patient’s position needs to be changed
The drainage bag is working correctly
20. Your patient has pedal edema. This can be best described as:
a.
b.
c.
d.
Physical therapy on a stationary bicycle
Swelling in the face
Swelling of all four extremities
Swelling in the lower extremities
21. When using oxygen, which of the following is NOT permitted for use in the
immediate area:
a.
b.
c.
d.
Humidifier
Electric razor
Radio
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.
b.
c.
d.
You must leave them alone
You must not talk to the patient, the family will think you are crazy
Their eyes need to be taped shut to prevent drying
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.
b.
c.
d.
Every 4 hours
Whenever you are in the room
Every 2 hours
Both B and C
25. What is the most common area that you should monitor for decubitus ulcers to
appear:
a.
b.
c.
d.
Heels
Coccyx
Elbows
Hips