Exam Review

Question 1

What is residents rights?

Answer 1

The right to quality of life, focusing on resident-centered care that enhances each person’s dignity and self-esteem (personal pride)

Question 2

What is communication?

Answer 2

Speaking, listening, feedback, and actions

Question 3

What are the 6 different body positions?

Answer 3

-Lateral (lying on side)
-Supine (lying on back)
-Sim’s (shoulders nearly prone, hips in side-lying position)
-Prone (lying on stomach)
-Fowler (sitting 45-60 degrees)
-Semi fowler (sitting 30-45 degrees)

Question 4

What are the most effective ways to help with infection control?

Answer 4

-Washing hands
-PPE
-Disinfecting

Question 5

What is the unit measurement for weight?

Answer 5

-lb (pounds)
-kg (kilograms)
-oz (ounce)

16oz=1lb
1lb=.45kg

Question 6

What is the unit measurement for fluids?

Answer 6

-cc (cubic centimeter)
-mL (milliliter)
-oz (ounce)

1cc=1mL
30cc=1oz

Question 7

What is the unit measurement for food intake?

Answer 7

percentage

Question 8

What activities are part of basic care?

Answer 8

-Bathing
-Perineal care
-Bed baths
-Shower bath
-Dressing
-Foot/nail care
-Shaving
-Oral care
-Hair care

Question 9

What are the vital signs that you must take?

Answer 9

-Temperature
-Pulse
-Respiration
-Blood Pressure

Question 10

What is Dysphagia?

Answer 10

Difficulty in swallowing

Question 11

Define RACE

Answer 11

R- RESCUE resident
A- sound the ALARM
C- CONTAIN fire
E- EXTINGUISH fire

Question 12

Define BEFAST

Answer 12

B- balance
E- eyes
F- face
A- arms
S- speech
T- time

Question 13

What is the job of the CNA

Answer 13

-To observe and report
-Promote health
-Prevent harm
-Preventing/controlling infection

Question 14

What is the first thing a CNA do if they find a resident on the floor during rounds?

Answer 14

Call the charge nurse for assistance

Question 15

What is neglect/examples of neglect?

Answer 15

-Failure to give assigned care, or giving improper care that causes harm

-failing to provide appropriate care
-failing to feed/provide fluids to resident
-fall risk patient falls and results in injury/death
-restraints without Dr. order
-not repositioning patient, resulting in sores

Question 16

What is the first thing you do when a resident asks you for food at night?

Answer 16

Check the patients diet card

Question 17

Convert 1oz to mL

Answer 17

1oz=29.5737mL

Question 18

Where is it most accurate to take temperature?

Answer 18

In the rectum

Question 19

What areas can you take a residents temperature? What are the average temperatures in those areas?

Answer 19

-Oral (mouth): 98.6 F
-Rectal (anus): 99.6 F
-Tympanic (ear): 99.6 F
-Axillary (armpit): 97.6 F

Question 20

What is the average normal temperature

Answer 20

98.6 degrees F

Question 21

When do you prepare best for disaster?

Answer 21

Before is happens

Question 22

When is it most important to wear gloves?

Answer 22

When you are exposed to:
-bleeding/open wounds
-bodily fluids
-soiled linen
-nose, eyes, mouth, genital area

Question 23

How do you promote a patients independence?

Answer 23

Encourage/allow patients to do tasks they are capable of doing on their own

Question 24

What is the role of the ombudsman?

Answer 24

To investigate complaints and acts as an advocate for residents and their families to resolve conflicts

Question 25

When transferring a resident, what is important that a CNA should do?

Answer 25

The CNA should stand with their legs apart for more support

Question 26

What should you do if you are unable to reposition a patient?

Answer 26

Ask the nurse for help

Question 27

How should you speak to a confused resident?

Answer 27

-Slow -Clear -Use simple words/short sentences

Question 28

What is adduction?

Answer 28

Moving a body part TOWARD the body

Question 29

What is abduction?

Answer 29

Moving a body part AWAY from the body

Question 30

What is Flexion?

Answer 30

Bending a limb or joint

Question 31

What is extension?

Answer 31

Straightening a body part

Question 32

What is prosthesis?

Answer 32

An artificial substitute for a missing body part

Question 33

What is the first thing you should do when there is a fire in a patients room?

Answer 33

Remove the patient

Question 34

What is the importance of padding a patients siderails

Answer 34

To prevent injury

Question 35

What are the 5 different stages of dying and describe them

Answer 35

-DENIAL: state of shock and does not accept what is happening -ANGER: no longer deny what is happening and becomes angry -BARGAINING: tries to make deals to postpone death -DEPRESSION: when person become withdrawn, not wanting to eat/interact/be upset ACCEPTANCE: resigned to the fact that death is inevitable

Question 36

How should you dress a client with a weak side? Why?

Answer 36

-Dress the client with the weak side first to lessen movements on that side. The stronger side is able to move/maneuver more. -Undress client using the clients stronger side first

Question 37

Where should you tape a catheter to prevent a patient from pulling it?

Answer 37

On the patients thight

Question 38

What is HIPAA?

Answer 38

-Health Insurance and Portability and Accountability Act -Health information privacy, governmental rules and regulations -Confidentiality

Question 39

When is it appropriate to share a patients information?

Answer 39

Never, unless it is to the nurse regarding the patients condition/safety

Question 40

What should you do if you have mail from a resident?

Answer 40

Don't open it. Give it straight to the resident.

Question 41

What is rehab?

Answer 41

The process to help an individual with an underlying condition to get back to baseline

Question 42

When is the best time to check a patients weight?

Answer 42

In the morning

Question 43

What is the right way to answer a patient who wants to know the time?

Answer 43

Tell them the time

Question 44

When should you report a patients skin condition?

Answer 44

-redness/pinkness -brusing -cuts/wounds -sores

Question 45

What are the beginning signs of pressure sores?

Answer 45

-Skin surface that is red, pink, bruised, or mottled. -Discoloration does not fade within 15 mins after pressure is released

Question 46

Where should the CNA stand when ambulating a patient who just had a stroke?

Answer 46

On the weak side of the patient

Question 47

What are some barriers in communication?

Answer 47

-Emotion -Visual impairment -Hearing impairment -Cognitive impairment -Aphasia (partial/total loss of ability to communicate verbally/written)

Question 48

What should you do with unused linen that was brought into a patients room?

Answer 48

Do not put it back on the clean linen cart. Put in soiled linen cart instead.

Question 49

What should you do when taking a patients oral temperature who just drank something hot/cold?

Answer 49

You should wait at least 20 minutes to take the patients oral temperature

Question 50

What is the last sense to go when a resident is dying?

Answer 50

Hearing

Question 51

What safety device do you use when ambulating a resident?

Answer 51

Transfer/Gait belt

Question 52

What should you do for denture care?

Answer 52

Clean and store dentures in a clean and labeled container filled with liquid

Question 53

When should you use restraints?

Answer 53

Never. Unless it is under the doctors orders

Question 54

When should you use an isolation gown? (Be sure to know how to put it on and remove it)

Answer 54

When you are in direct contact with infection material or bodily fluids -Remove gloves first, then pull gown away from neck and shoulders. hold gown away from you turning it inwards keeping it inside out and roll it.

Question 55

What is the Heimlich maneuver? When/how should you perform it?

Answer 55

The abdominal thrust/ emergency aid procedure to prevent suffocation. This is usually used when someones airway is obstructed and needs to be dislodged by forcing it upwards out the throat

Question 56

What is the unit measurement of intake and output?

Answer 56

Cubic centimeters (cc)

Question 57

What is dehydration

Answer 57

When the body loses more fluid than it takes in and is unable to perform normal functions

Question 58

What is the order of recording vital signs?

Answer 58

-Temperature -Pulse -Respiration -Blood Pressure