CNA Practice Test – Role of the Nursing Assistant

It is important for the nursing assistant to check with the nurse to make sure that these levels are all normal for the particular patient. Because the patient is not in any kind of pain or distress it is not necessary to call in a code. Going to the nurse manager breaks the nursing chain of command. Whenever findings are new for the nursing assistant it is important for the individual to check and clarify with the current nurse and to not just take the patient at their word.

Looking into health records of anyone that the nursing assistant is not directly providing care for (especially for non-medical reasons) is in direct violation of HIPAA. If a nursing assistant does look into the medical information the individual may be at risk of disciplinary action. Plus, attempting to look into the information through another health care team member is also a violation. The patient, regardless of who it is, has the right to privacy.

Providing excellent eye contact helps connect the patient with the nursing assistant and shows the nursing assistant is interested in helping and receiving the patient’s message. All other listed options are nonverbal barriers that make therapeutic communication more difficult.

WT is the most commonly used abbreviation for “weight.” KG and LB are measurements of weight.

Both II and III ARE excellent points of emphasis when lifting residents. Asking for help whenever someone needs it will help both the nursing assistant and the resident avoid injury. Attempting to balance on one foot is never recommended.

Delirium is sudden (acute) and is, in most cases, treatable. On the other hand, Dementia has a very slow onset and is not reversible. Both decrease alertness and the cause of each is often identifiable.

A nursing assistant must offer proof of at least 12 hours of CE credits. Retaking the exam and performing community service is not required. Additionally, there is no waiver or special document created by an employer to exempt a nursing assistant from the continued education.

2-4LPM is the correct answer.

All patients have the right to make their own, informed, healthcare decisions. This is known as self-determination. The others all refer to other rights the patient has.

The documentation is written and as such, it is referred to as written. Nonverbal is unspoken communication, verbal is spoken and non-sequential is not a form of communication.

Whenever there is a skin irregularity the nursing assistant needs to report the changes right away in order to prevent a breakdown in the skin. The nursing assistant is able to apply lotion whenever necessary, but this does not change the cause of the problem. Additionally, the nursing assistant needs to document the finding as well as all interventions.

When this occurs the family member might be financially abusing their relative. Due to this, the nursing assistant must report suspicious behavior to the nurse in order for it to be investigated. It is illegal to open someone else’s mail, so this is not an option and confronting and accusing the family member of financial abuse is inappropriate. It needs to be investigated before any accusations are put forward.

Mouth sponges are available for these situations. Encouraging additional fluids may lead to the patient choking. Not doing anything is a failure to offer proper end of life care. A patient may not be alert enough to consciously close his or her mouth.

The sign is an abbreviation for “nothing by mouth.” It might indicate the patient is to have a medical procedure later that day. It is important the nursing assistant doesn’t allow the patient to eat or drink anything that day.

The nursing assistant should never perform actions they are not certified to conduct. They need to inform the nurse (who may not be aware). To help reduce the nurse’s workload they can offer to help with something else. Going over the nurse’s head to the change nurse is not necessary and ignoring the problem will lead to larger problems.

Consuming alcohol, abusing drugs or binge eating are negative coping mechanisms. The nursing assistant needs to find different ways to cope with stress or reduce the amount of time he or she is working.

The nursing assistant should prevent further mess by turning off the tube feeding and notify the nurse. The patient is not in distress so checking vitals isn’t necessary. Once the nurse has been notified and assessed the situation everything can be cleaned up.

The patient who fell may have seriously injured him or herself so this needs to be addressed right away. All other issues can wait as these are not urgent or in dire need.

The nursing assistant just violated the patient’s rights and, due to this, they now will face disciplinary action, potentially the loss of work and they might have their certification revoked. This is an unethical form of behavior and these kinds of actions need to be prevented right away in order to prevent any further kind of consequences.

The nursing assistant will run the risk of straining and seriously injuring their back. The resident might fall under the weight and it might take longer when not using the gait belt. The gait belt is there to assist with lifts. When not using the gait belt the nursing assistant runs the risk of injuring both parties.

This shows the lack of cultural awareness on the behalf of the nursing assistant. Such clothing is a Jewish hat known as a yarmulke or kippah. Making fun of such clothing demonstrates a lack of cultural awareness and is also disrespectful towards religious beliefs. Choice C is somewhat relevant if the conversations take place during inappropriate times. The other answers are not connected with her behavior.

The nursing assistant needs to help the patient to the bathroom first. Following this, the nursing assistant needs to then inform the nurse on staff about the rise in the patient’s temperature. Option A is incorrect, as the patient needs assistance walking to the bathroom. If they attempt to do this on their own they are at greater risk of slipping and injuring himself or herself.  Option B is incorrect because the nursing assistant needs to inform the nurse on staff about the change in temperature. Option D is incorrect because providing medication is outside of the nursing assistant’s scope of practice.