CNA Practice Exam Factors & Measures for Patient Safety

1. CNA Practice Exam #1

2. Factors that increase a residents risk of injury include: • Decreased vision • Inability to move independently • Medication use • Decreased awareness of surroundings • All of the above P35 What injury are elderly patients at highest risk for? • Poisoning • head injury • sharp object penetration • depression • falls P35

3. Safety measures to protect patients from being poisoned include: • Never leaving products out in the open where they can be ingested • Give patients a smaller dose in order to be safe • Have labels on all containers • only give patients the medications they ask for • A and C are correct P38 Most common side effects of patient's medications include: • Rapid heart rates of over 100 beats per minute • Reduced respiratory rate • Affect balance and coordination • cause drowsiness and reduce awareness • Both C and D

4. Common sensory impairments that can stop effective communication between you and your patient include: • Aphasia • inability to walk • poisoning • lack of sleep • both A and C P11 What are the main requirements for successful communication? • A message, a sender, a receiver • A stimulus, the control center, the effector • pronunciation, articulation, intelligence • proper hand movements, proper language, avoiding eye contact P10

5. Settings a CNA can work include: • Hospitals • Hospices • Home Care • A and B • All of the above Lesson 1 Who is in charge of formulating a work assignment? • The head of the clinic • patient's family • the head CNA • The registered Nurse on duty P5

6. The types of services that long term care facilities provide patients include? • Emergency care • Diagnosing and treating illnesses • Home care • skilled care • C and D P5 What is the definition of Aphasia? • The inability to understand and interpret words • the ability to remember recent events • The loss of long term memory • The inability to articulate words or speak P112

7. If our patient has bradycardia, what does that mean? • the patient is breathing slowly • the patient is unconscious • the patient's heart rate is slow, below 60 bpm • the patient's heart rate is fast, above 60 bpm P199 What does afebrile mean? • a sudden onset of fever • low fever • high fever • no fever

8. The definition of scope of practice is? • Skills which the health care worker is legally able to perform • skills which the health care worker has seen performed, and believes he or she is competent enough to perform them • all skills taught in class • any skills that the nursing homes or elderly care facilities request you to perform P7 What is rigor mortis? • The patient is having problems moving his or her limbs due to rigidity • high amounts of calcium in the diet causes bones to become more rigid and to splinter • after death the patient's body becomes rigid due to large amounts of calcium in the body • spasm of the muscles caused by lack of potassium P211

9. What is the normal range of systolic blood pressure for adults? • 60-90 • 80-120 • 90-120 • 100-140 P49 Supine position is? • lying on his side • lying on his back • lying on his stomach • sitting upright P53

10. What is an embolism? • a bubble of air that blocks blood flow in arteries • a blood clot that breaks off, flows through the bloodstream, and causes obstruction • when an artery begins to clot due to damage and causes obstruction • when a patient's blood vessel bursts inside of the head P39 The term atrophy refers to? • a body organ becoming larger due to under use • a body organ becoming smaller because of too much use • a body organ becoming larger because of overuse • a body organ becoming smaller because of under use P198

11. Pulse oximetry measures? • the amount of co2 in the blood • the amount of oxygen in a patient's lungs • the amount of binded oxygen per hemoglobin • the amount of co2 in the patient's lungs Objective data is any information that is fact. This means that the information is unbiased and multiple people should be able to interpret the information in the same way. All of the following are an example of objective data except for: • The patient weighs 160 pounds • the patient has been hospitalized for 3 days • The patient's temperature is 100.3F • the patient's pain level is 3 out of 10 • the patient has a bedsore P8

12. Apatient's chart is a legal document. If something is mistakenly written on the chart, the correct action is to: • draw a single line through the incorrect information with blue or black ink. Write “error”, explain the reason for the error, and write your initials. • use correction ink so the page looks neat and then write in the correction information with blue or black ink. Also write your initials • Get a new chart and re-write all the correct information in any ink color as long as it is consistent • p156 Charting is an accurate record of the patient's medical care while in hospital (including therapies given, treatments performed, and the patient's progress). Information typically foundin the chart includes all of the following except: • vital signs • names of visitors • intakes and outputs • assessments P156

13. When calculating total fluid intake during a 24 hour period, all of the following should be included except for: • Any liquids per os • Any IV fluids • Any eye or skin ointments that are absorbed • Pudding per os • Any tube feeding If a patient does not have a bowel movement for more than ______, the patient is considered at an increased risk for developing constipation and the nurse should be notified. • 1 day • 1.5 days • 2 days • 2.5 days • 3 days P141

14. The normal heart rate/pulse rate for an adult human is 60-80 bpm. An elevated heart rate can be expected with: • uncontrolled bleeding • a decreased body temperature • good physical condition (aka: a patient that is cardiovascularly fit) • increased vagal tone