Illinois CNA State exam

Illinois CNA State exam What part of the hand washing procedure gets rid of germs/pathogens? - ANS Friction When feeding a resident, who chooses what he or she is fed next? - ANS The resident What is it called when you see someone else commit an unsafe action, or harm or put a resident in danger and you do not report it? - ANS Aiding and abetting What should a CNA do if they smell alcohol on the breath of a coworker? - ANS Tell the nurse There are 4 resident call lights on, which one is the biggest emergency that the nurse needs to be told about? - ANS a. Resident is thirsty b. Resident needs to urinate c. Resident has been sitting in the wheelchair a long time and wants to go back to bed Answer: d. Resident who has shortness of breath A resident has respirations of 32bpm. What is the medical term for this? - ANS Tachypnea A resident is complaining of a headache, sissiness and his skin is cold and clammy. They are probably experiencing what condition? - ANS Hypoglycemia - "Warm and dry - Blood sugar High" "Cold and clammy-Eat some candy" What is the main focus for the resident in RESTORATIVE CARE? - ANS The resident's abilities and strengths How do you transport someone in a geriatric chair? - ANS Push it like a wheelchair After a resident is discharged, what is the procedure called that the CNA does when cleaning a room? Wen cleaning a whirlpool bath, what do you do? - ANS Disinfection NOT Sterilization A CNA finds a frayed cord on the call light. What should she do? - ANS Call maintenance. Don't try an fix it. Don't use until it is fixed. Maintenance is in charge of electrical equipment and problems. A CNA checks a resident's blood pressure and gets a reading of 160/94. What should she do next? - ANS Recheck the BP and report it to the nurse. A resident gets a call while they are at an activity, what should you do? - ANS Take a message and have the resident call back later. You have a resident in isolation. What should you do before taking a collected specimen out of the room? - ANS Double bag the specimen A resident has asked to use the urinal so you give it to him. What should you tell him to do when he is finished using the urinal? - ANS Put on the call light. Not put the urinal on the bedside table In what type of urine specimen does the perineal area need to be cleaned before collecting the sample to reduce the number of microbes? - ANS Midstream/clean catch What type of urine specimen is used for routine urinalysis and requires no special procedures for collection? - ANS Random urine specimen Why is the first voided urine discarded when starting a 24hour urine collection? - ANS The 24 hour urine test has to be started with an empty bladder What is one of the essential procedures when collecting a 24 hour urine test? - ANS Keep the urine refrigerated on ice during the entire time A CNA goes into a room after it is cleaned by housekeeping and finds disinfectant left in the room. What should the CNA do? - ANS Remove from the room and call housekeeping Where do you position the pillow when you are removing a resident up in the bed? (When you are pulling someone up towards the head of the bed). - ANS Put the pillow at the head of the bed by the headboard so the resident doesn't hit his head When changing the linen in the resident's bed and there is still on the pad, what should you do? - ANS Wear gloves and roll the linen with the stool on it AWAY from you. You are assisting your nurse with resident who is showing signs and symptoms of shock. The nurse is controlling the bleeding and maintaining an open airway. The resident is lying down. What can you do to assist the nurse? - ANS Elevate the feet 6-12 inches. This helps the blood flow back to the vital organs and the heart and helps to raise the blood pressure. *If the face is pale, raise the tail/feet.-if the face is red, raise the head* What is the most common mental health disorder in the elderly? - ANS Depression A doctor comes into the room to see a resident when you are in the room. He attempts to give you orders for the resident. What should you do? - ANS Tell the doctor you are going to get a nurse for him to give order to. You are instructed to apply an ice/cold pack to a resident's arm. What should you do before putting it on the resident's arm? - ANS Wrap it in a cloth or towel You are instructed to soak the resident's feet to relax the feet and decrease joint stiffness. What type of soak is this? - ANS Hot soak - A body part is put in water In a tornado watch or warning, what safety measure does the staff take for the residents? - ANS Move the residents away from the windows A resident is having an ice pack applied to their arm due to a problem with inflammation. What complication could occur that would indicate the ice pack has been on the arm too long? - ANS Cyanosis (The skin area could be pale and white (bluish). There could also be pain, numbness and shivering) The resident has a fever and the nurse is giving the resident ibuprofen to help bring the fever down. What can a CNA do that will also help the resident? - ANS Encourage Fluids If a resident is unable to ambulate to the toilet, what is used to allow him to have a normal sitting position for elimination? - ANS A bedside commode When are side rails considered restraints? - ANS When the resident can't lower them on his own The resident has a security device that is to be secured to his clothes. How should it safely be applied? - ANS It needs to be secured with a quick release clip The CNA is asked to assist a resident with his ostomy care. The colostomy bag has stool in it and needs to be tempted. How does the CNA help dispose of the stool? - ANS Have the resident sit on the toilet, open the end of the Ostomy pouch and empty it into the toilet. The CNA is instructed to have the resident sit up and have him dangle his legs. He has a weak side. What side should you get up on? - ANS On the strong side. When applying antiemboletic stocking on a resident, what position should the resident be in? - ANS Supine Where does the CNA stand when applying anti emboletoic stocking? - ANS Towards the end of the bed at the side after raising the bed to waist level to help use good body mechanics. Feet 18-24 inches apart. Where does the opening on the antiemboletic stockings go? - ANS Follow the manufacturer's instructions. Most go on top of the foot below the toes, but can go under the toes. The opening is used to check for circulation. If a resident is weighed in pounds (lbs), how do you convert the weight to kilograms (kg)? - ANS Multiply the weight in pounds by 2.2 - 1lb = 2.2kg A CNA's responsibilities and care with burn patients is to: - ANS Apply a cold, wet cloth to the burn site. Do not apply any type of medication or dressings with ointments. What information is found on a patient's wristband/identification band? - ANS Person's NAME. ROOM and BED NUMBER, BIRTHDATE, AGE, DOCTOR and any other Identifying info - NOT DIAGNOSIS When a resident is being discharge, which of the following would be a CNA's responsibility? - ANS a. give the resident his medication b. get his valuables out of the safe c. inform the resident what he should do when he gets home. Answer: d. *Assist the resident is packing his belongings When you are restocking supplies in a resident's room, Where do the new supplies go? - ANS Behind the existing supplies. Use the ones that are opened first. The older ones may have an earlier expiration date. When doing ROM on a resident, what is it called when you are doing the exercise for the resident? - ANS Passive Range Of Motion A resident has died (expired). What position should the body be placed in? - ANS The resident should be placed in good body alignment in the supine position. When doing CPR, how many breaths are given with either 1 or 2 person rescue breathing? - ANS 2 breaths What does the acronym RACE stand for? - ANS Rescue (Move the resident out of danger to a safe place) Alarm (Pull the nearest fire alarm) Confine (Close the doors and windows) Extinguish (Use a fire extinguisher) What is bland diet and why is a resident placed on this type of food? - ANS Bland diets are foods that are non-irritating. They are served at moderate temperatures, no strong spices or condiments. Residents with ulcers, gallbladder disorders, intestinal disorders and after abdominal surgery. What is a diabetic meal plan? - ANS The same amount of carbohydrates, fat and protein are eaten at the same time each day. Diabetics need to eat meals at regular times each day. It needs to be reported to the nurse what the resident did and did not eat. When applying a hot pack to an area on a body, what occurs with the circulation? - ANS Blood vessels dilate and the blood flow increases to the area. Why the gloves put on when doing perineal care? - ANS To protect yourself from potential infectious materials-body fluids, secretions and blood. What does a CNA need to know about the body temperature of an elderly person? - ANS An elderly person can have a normal temperature of 97.6º degrees. A resident is on isolation precautions. He is eating meals in his room. Before removing the food tray from the room, what do you need to do? - ANS The tray is put in a leak proof biohazard bag. It should be double bagged if the outside of the bag is wet, soiled or may be contaminated. You are taking a resident's BP and the resident is alert and oriented. He requests to know what his BP is. What should you do? - ANS The resident has the right to know any information, but always report any request for information to the nurse. Which of the following is the correct way to apply a transfer belt? - ANS a. Below the breast with the buckle in the back b. Below the breast, lower on the ribs Answer c. *Apply at the waist with the buckle off to the side A CNA is getting a confused resident up in the morning. Which of the following is correct with assisting the resident with dressing? - ANS Allow the resident 2 choices of tops and 2 choices of bottoms How do you assist a resident to sit up in bed? - ANS Raise the bed to a sitting position A resident you are assisting has concussion. You are toiling him. He asks you to leave him along while he is in the bathroom. What should you do? - ANS Never leave a resident who is confused alone for safety reasons You have dirty laundry to remove from a resident's room. Which of the following is most correct? - ANS a. Shake it to get the extra crumbs off b. Fold the linen inwards towards our body c. Carry it to the dirty utility room and then put it in a bag. Answer: d. *Put it in a bag in the room and then carry it to the soiled utility room A resident is always confused and calls you by her daughter's name. Which of the following actions should you take? - ANS a. Kindly correct her each time and tell her your name b. Tell her you are not her daughter and then call her daughter so she can talk to her. Answer: c. *Ask her to tell you about her daughter The CNA needs to chart a resident's intake and output on a - ANS Flow or graphic sheet When a resident is admitted, which of the following is part of a CNA's responsibilities? - ANS a. Reading the resident the Residents Bill of Rights b. Have a resident sign the admission forms. Answer is: c. *Take the admission vital signs Where does a used ostomy pouch get disposed? - ANS In the biohazard bag You need to assist a resident with some ADLs, but they want to go to an activity. What should you do? - ANS Work around the activity that the resident wants to attend You notice there is blood on the floor. What is the most appropriate action to take? - ANS a. Call maintenance. Answer is b. *Clean it up using the blood cleanser used by the facility c. Use soap and water to clean it d. Test the blood before doing anything You find extra clean linen on one side of a resident's room that has not been used. There are 2 residents in the same room. What is the correct thing to do with it? - ANS a. Return it to the linen room since it hasn't been used b. Since it's the same room, you can use the lined for either resident c. Check with the nurse to see what you should do. Answer is: d *Remove it from the room and place it in the soiled utility room When you enter a resident's room it feels cold. The resident is complaining and the thermostat reads 62 when it is set at 68 degrees. What is the best action to take? - ANS Notify the supervisor that the thermostat may What is a reality orientation action that you can use? - ANS Tell the resident the date and the time. The CNA is attempting to communicate with a resident in the late stage of AD. Which of the following would the most effective communication tool? - ANS a. Have the resident draw a picture of his past life b. Don't attempt to communicate as he is unable to process anything that is happening c. Encourage the resident to talk about his past live on the farm Answer is d.*Show the resident pictures of farm life What is important in 24 hour urine test? - ANS Discard the first urine How do you address a resident? - ANS Use Mr. and Mrs last name Universal precautions = Standard Precautions - ANS actions taken to prevent the spread of disease by treating all blood and other body fluids as if they contained pathogens Standard precautions - ANS A strict form of infection control that is based on the assumption that all blood and other body fluids are infectious. Diabetes questions. Which is correct? - ANS a. *Restrict sugar and carbs b. Restrict protein c. Restrict fats Answer is Restrict sugar and carbs Know how to calculate fractions of 1/2 and 1/4 - ANS Resident want to write a letter in Spanish. Who should help? - ANS When renting a new resident to a facility, what should you do? - ANS Show them how to use the call light What should you do if the family brings in clothing to a facility? - ANS Label the clothes Know what is on a wrist band. - ANS Diagnosis is NOT in the wrist band Know how to read a thermometer - ANS How do you keep a resident on time using reality orientation? - ANS a. Know the person's routine b. *Give the person a calendar c. Pull the person out of an activity d. Be flexible. Answer is b. Give the person a calendar What items do you tag from an isolation room? - ANS a. Items going into the room b. *Items leaving the room c. Furniture d. Items that re staying in the room The answer is b. Items leaving the room ROM - Flexion and extension of elbow - ANS How long should you leave someone alone when he is on a commode? - ANS Never leave someone on a commode alone Always use a gait belt when transferring someone from a bed to a commode. - ANS A resident refused his last 2 baths. What do you do? - ANS A. Offer alternative times b. See if someone can talk the person into it Discard an ostomy bag in the facility provided bag - ANS If a doctor is trying to give orders to a CNA - ANS call the nurse or supervisor Know what to do for AM Care - ANS Prepare person for breakfast or morning tests Assist with elimination, Clean incontinent person, Change wet soiled linens and garments, Assist with face, hand washing and oral hygiene, Assist with dressing and haircare, Position resident for breakfast - (dining room, bedside chair or in Bed) Make bed and straighten rooms/units, Assist ROM-exercises & ambulation What do you use to stop joint movement? - ANS A Brace If you find an unlabeled container with poison in it, what should you do with it? - ANS a. throw it away b. put it under the sink c.*label it The answer is C. Label it What is the proper positioning in a wheelchair> - ANS a. Sit on the edge b. Feer flat on the floor c. *Feet on the foot pedals d. Pillow behind the back The answer is C. Feet on the foot pedals How do you prevent skin from becoming reddened? - ANS keep the skin clean and dry When do you label a specimen container from an isolation room? - ANS Before the container is taken out of the room The resident complaints of arm pain. The nurse asks you to administer a hot soak to the arm. Why? - ANS To increase circulation to the area A nurse assistant in a long term facility is preparing to provide indwelling catheter care to a male patient. Prior to beginning the procedure, the NA must - ANS don disposable gloves When collecting a stool specimen from a resident, the nurse assistant must take stool from - ANS two different location in the bowel movement Sarah, a NA working in along term care facility is asked to assist the charge nurse with port mortem care for Mr. Bright. The first information she needs from the charge nurse is - ANS If the family wishes to vies the body When preparing to give a back massage, what should the nurse assistant do before applying on the medical lotion to the resident's skin? - ANS Inspect the area of skin to be massage for signs of skin breakdown