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Certified Nursing Assistant State Exam
Review
Questions and Answers (Verified Revised Full
Exam)
- A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can't find her baby.The nurse aide should (A) ask the resident where she last had the doll. (B) ask the activity department if they have any other dolls. (C) offer comfort to the resident and help her look for her baby. (D) let the other staff know the resident is very confused and should be watched closely Ans>> C
- A nurse aide is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aide has never done this before. The best response by the nurse aide is to
(A) change the indwelling catheter at the same time. (B) ask another nurse aide to change the urinary drainage bag. (C) change the bag asking for help only if the nurse aide has problems.
- Which of the following statements is true about range of motion (ROM) exercises? (A) Done just once a day (B) Help prevent strokes and paralysis (C) Require at least ten repetitions of each exercise (D) Are often performed during ADLs such as bathing or dressing: D
- While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should (A) put the hairbrush away and out of sight. (B) give the resident the hairbrush to hold.
(C) try to dress the resident more quickly. (D) restrain the resident's hand Ans>> B
- A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to (A) ask the resident to take deep breaths. (B) take the resident's vital signs. (C) raise the head of the bed. (D) elevate the resident's feet Ans>> C
- A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on (A) helping the resident through the stages of grief. (B) providing for the resident's comfort. (C) keeping the resident's care routine, such as for bathing. (D) giving the resident a lot of quiet time and privacy Ans>> B
- While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should (A) wait a few minutes to see if the alarm stops.
(C) make the resident being bathed safe and go check the door right away. (D) stop the bedbath and go check on the location of all assigned residents Ans>> C
- Gloves should be worn for which of the following procedures? (A) Emptying a urinary drainage bag (B) Brushing a resident's hair (C) Ambulating a resident (D) Feeding a resident Ans>>: A
- When walking a resident, a gait or transfer belt is often (A) worn around the nurse aide's waist for back support. (B) used to keep the resident positioned properly in the wheelchair. (C) used to help stand the resident, and then removed before walking. (D) put around the resident's waist to provide a way to hold onto the resident.- : D
- Which of the following statements is true about residents who are re- strained? (A) They are at greater risk for developing pressure sores. (B) They are at lower risk of developing pneumonia.
(C) Their posture and alignment are improved. (D) They are not at risk for falling Ans>> A
- A resident has diabetes. Which of the following is a common sign of a low blood sugar? (A) Fever (B) Shakiness (C) Thirst (D) Vomitin g Ans>>: B
- When providing foot care to a resident it is important for the nurse aide to (A) remove calluses and corns. (B) check the feet for skin breakdown. (C) keep the water cool to prevent burns. (D) apply lotion, including between the toes Ans>> B
- When feeding a resident, frequent coughing can be a sign the resident is (A) choking. (B) getting full. (C) needs to drink more fluids. (D) having difficulty swallowing Ans>> D
10 / 27 (B) require a lot of assistance with personal care. (C) experience a sense of loss related to the life change. (D) adjust more quickly if admitted directly from the hospital Ans>> C
- A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should (A) tease the resident by complimenting the resident's sense of style. (B) ask if the resident realizes that the shoes do not match. (C) remind the resident that the nurse aide can dress the resident. (D) ask if the resident lost some of his shoes Ans>> B
- A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to (A) remind the resident to be thankful for the years he shared with his wife. (B) tell the resident that he needs to get out of his room at least once a day. (C) understand the resident is grieving and give him chances to talk. (D) avoid mentioning his wife when caring for him Ans>> C
- When a resident refuses a bedbath, the nurse aide should (A) offer the resident a bribe. (B) wait awhile and then ask the resident again.
11 / 27 (C) remind the resident that people who smell don't have friends. (D) tell the resident that nursing home policy requires daily bathing Ans>> B
- When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to (A) show the resident that the nurse aide is in control. (B) call for help to make sure there are witnesses. (C) explain that if the resident is not calm a restraint may be applied. (D) step back to protect self from harm while speaking in a calm manner Ans>> D
- During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to (A) remain calm and ask what is upsetting the resident. (B) begin removing all the other residents from the dining room. (C) scold the resident and ask the resident to leave the dining room immedi- ately. (D) remove the resident's plate, fork, knife, and cup so there is nothing else to throw Ans>> A
- Which of the following questions asked to the resident is most likely to encourage conversation? (A) Are you feeling tired today? (B) Do you want to wear this outfit? (C) What are your favorite foods?
13 / 27 than the nurse aide, the nurse aide should (A) use pictures and gestures. (B) face the resident and speak softly when talking. (C) repeat words often if the resident does not understand. (D) assume when the resident nods his/her head that the message is under- stood Ans>> A
- While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to (A) contact the state agency that inspects the nursing facility. (B) enter the room immediately to provide for the resident's safety. (C) wait to confront the nurse aide when he/she leaves the resident's room. (D) check the resident for any signs of injury after the nurse aide leaves the room Ans>> B
- Before touching a resident who is crying to offer comfort, the nurse aide should consider (A) the resident's recent vital signs. (B) the resident's cultural background. (C) whether the resident has been sad recently. (D) whether the resident has family that visits routinely Ans>> B
- When a resident is expressing anger, the nurse aide should (A) correct the resident's misperceptions. (B) ask the resident to speak in a kinder tone. (C) listen closely to the resident's concerns. (D) remind the resident that everyone gets angry Ans>> C
- When giving a backrub, the nurse aide should (A) apply lotion to the back directly from the bottle. (B) keep the resident covered as much as possible. (C) leave extra lotion on the skin when completing the procedure. (D) expect the resident to lie on his/her stomach Ans>> B
- A nurse aide finds a resident looking in the refrigerator at the nurses'
a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to (A) help the resident back to his room and into bed. (B) ask the resident about his job and if he is hungry. (C) tell him that residents are not allowed in the nurses' station. (D) remind him that he is retired from his job and in a nursing home Ans>> B
- Which of the following is true about caring for a resident who wears a hearing aid? (A) Apply hairspray after the hearing aid is in place. (B) Remove the hearing aid before showering. (C) Clean the earmold and battery case with water daily, drying completely. (D) Replace batteries weekly Ans>> B
- Residents with Parkinson's disease often require assistance with walking because they (A) become confused and forget how to take steps without help. (B) have poor attention skills and do not notice safety problems.
(C) have visual problems that require special glasses. (D) have a shuffling walk and tremors Ans>> D
- A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation? (A) Adequate fluid intake (B) Regular mealtimes (C) High protein diet (D) Low fiber diet Ans>>: A
- A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first (A) ask the resident to try urinating. (B) offer the resident fluid to drink. (C) check for kinks in the tubing. (D) obtain a new urinary drainage bag Ans>> C
- A resident who is incontinent of urine has an increased risk of developing (A) dementia. (B) urinary tract infections.
- When cleansing the genital area during perineal care, the nurse aide should (A) cleanse the penis with a circular motion starting from the base and moving toward the tip. (B) replace the foreskin when pushed back to cleanse an uncircumcised penis. (C) cleanse the rectal area first, before cleansing the genital area. (D) use the same area on the washcloth for each washing and rinsing stroke for a female resident Ans>> B
- Which of the following is considered a normal age-related change? (A) Dementia (B) Contractures (C) Bladder holding less urine (D) Wheezing when breathing: C
- A resident is on a bladder retraining program. The nurse aide can expect the resident to (A) have a fluid intake restriction to prevent sudden urges to urinate. (B) wear an incontinent brief in case of an accident.
(C) have an indwelling urinary catheter. (D) have a schedule for toileting Ans>> D
- A resident who has stress incontinence (A) will have an indwelling urinary catheter. (B) should wear an incontinent brief at night. (C) may leak urine when laughing or coughing. (D) needs toileting every 1 - 2 hours throughout the day Ans>> C
- The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should (A) understand that denial is a normal reaction. (B) remind the resident the doctor would not lie. (C) suggest the resident ask for more tests. (D) ask if the resident is afraid of dying Ans>> A
- A slipknot is used when securing a restraint so that (A) the restraint cannot be removed by the resident. (B) the restraint can be removed quickly when needed. (C) body alignment is maintained while wearing the restraint. (D) it can be easily observed whether the restraint is applied correctly Ans>> B
