CNA Practice Test (#1) – General Knowledge

It is not within the scope of practice of nursing assistants to administer medications; therefore they may not do so. Only RNs, LPNs, and other licensees may administer a patient’s medication.

Bathing a patient without their permission is considered to be battery. When a patient is isolated from others as a form of punishment that would be an example of involuntary seclusion.

When there is abuse or even suspected abuse in a nursing facility, it must be reported immediately to the nursing assistant’s supervisor. A nursing assistant’s scope of practice does not cover the level of intervention that the abuse of a patient requires. You may be preventing or delaying a patient from receiving the necessary help if you wait or if you only report bruising.

MRSA stands for Methicillin-Resistant Staphylococcus Aureus.  It is extremely resistant to most antibiotic treatments.

Frequent hand washing is the most effective method to prevent infection. The other options are supportive methods.

Allowing your patient to participate in his or her care will raise their self-esteem and allow autonomy. Note that it is not correct practice to clean the perineal area before the face, or to use cool water rather than comfortably warm water.

It is the nursing assistant’s duty to report any red pressure spots on the patient to the supervising nurse. The nursing assistant may not administer any prescription ointments to the patient. A second staff member is not required for perineal care.  The use of talcum powder is not recommended.

A nursing assistant must check the shaving instructions in the patient’s care plan in order to be aware of any clotting issues as well as the necessity of using an electric razor as opposed to a traditional razor.

The watery leakage of stool around a blockage is the most specific sign of a bowel obstruction, also known as fecal impaction.

Dyspnea is a term that is used when a patient has difficulty breathing.

Maintaining a routine is absolutely imperative for a patient with Alzheimer’s. And a decrease in appetite and hallucinations are often common. It is important to frequently re-orient the patient.

Lowering the bed to the lowest level is very important for the patient’s safety. Mitering the corners of sheets is recommended, as well as raising the bed’s side rails. Never place soiled linens on the floor to avoid spreading germs.

For the patient’s safety, any pulse rate outside the range of 60 to 100 should be reported immediately to the nurse.

Sweating, as well as confusion and tremors, are all symptoms of hypoglycemia

The key to helping hard-of-hearing patients understand what you’re saying, is speaking slowly and clearly.

High Fowlers is a name for the position where the patient is sitting straight up in bed; in other words, the bed itself has to be at a 90-degree angle to support their upright position.

As correct contact precautions, the nursing assistant must wear a gown and gloves.

Especially in older patients, infection tends to cause sudden onset confusion. Tented skin as well as pale skin may be normal for an older patient.  Aphasia could indicate the onset of a stroke.

If you notice that your patient’s pulse is irregular, you should re-count it for sixty seconds and then record it in the patient’s file.  The rest of the options are not proper procedure in attaining a patient’s radial pulse.

Providing privacy to your patients is one of the most important actions for any procedure that you conduct.  Lukewarm water will not keep the patient warm enough, using a towel to cover your patient will not provide them with enough privacy and the patient’s feet are always washed last.

Warm and moist places are perfect places for funguses to grow.  Putting lotion between your patient’s toes definitely increases the likelihood of a fungus developing.  All the other options are parts of the procedure that you should follow for your patient’s nail care.

Your patient’s dentures must always be placed in a container, which is labeled correctly.  The rest of the options could lead to the dentures being damaged or lost.

Your patient should not feel pain when using a splint as long as it fits and is applied correctly.  If they do feel pain, this should be reported to the nurse immediately.  The other symptoms may mean that the splint needs adjustment or extra padding.

Masks will protect both the patient and staff and have to be worn for droplet or respiratory precautions.

In order to be able to examine the patient’s skin underneath the condom catheter, it must be removed at least once a day.  Never pull the catheter onto the penis, always roll it on.  Too much lubrication can lead to the catheter becoming dislodged.  Also, a drainage bag should never be attached to any movable part of the patient’s wheelchair or bed.

After an enema, your patient shouldn’t have severe cramping.  Mild cramping could occur, but not severe cramping.  The rest of the options are expected responses after a patient receives an enema.

If the catheter is secured to the patient’s leg, this could prevent any kind of trauma to the patient, should the catheter accidentally be pulled.  A catheter is already secure in the patient’s bladder with a balloon, so it cannot easily be dislodged.

The licensed practical nurse is the staff member who will carry out the patient’s medical plan under the supervision of the registered nurse.  The physician is the one who prescribes the medical plan, the nursing assistant aids in the delivery of the patient’s care and the physical therapist carries out the orders, which the physician prescribes.