Cna Certification Exam

Front 1

1. Lather for 20 sec.

2. Wash nails

3. Rinse

4. Dry with paper towels

5. Use clean paper towel to shut off water

Back 1

Handwashing

Supplies: soap and water, paper towels

Front 2

1. Opening

2. Locate pulse on thumb side of patient's wrist

3. Count beats for one full minute

4. Closing

5. Document

Back 2

Measuring and recording pulse

Supplies: watch with second hand or clock, pen, documentation sheet

Front 3

1. Opening

2. Count respirations for one full minute

3. Closing

4. Document

Back 3

Measuring and recording respiration

Supplies: watch with second hand or clock, pen, documentation sheet

Front 4

1. Opening

2. Identify if patient has non-skid footwear on

3. Place gait belt on patient

4. Ensure 4 fingers between gait belt and person

5. Assist patient up by holding back of gait belt; ask about dizziness

6. Walk patient 20 feet by holding back of gait belt with one hand on farthest side

7. Ask patient frequently about comfort, dizziness or weakness

8. Assist patient back to chair, gently lower into chair

9. Remove gait belt

10. Closing

Back 4

Ambulating resident using a gait belt*

Supplies: non-skid footwear, gait belt

Front 5

1. Opening

2. Ask what they want to wear, gather clothing

3. Place socks and pants on patient, raise head of bed

4. Undress STRONG arm first

5. Then remove shirt from weak arm

6. Maintain privacy and support weak arm

7. Dress WEAK arm first, then strong arm

8. Ensure clothing is appropriately fastening and neat

9. Closing

Back 5

Dressing the resident who has a weak arm*

Supplies: barrier for table, clean clothes of resident's choice, bath blanket

Front 6

1. Opening; Head of bed all the way up

2. Place towel on patient's chest

3. Using toothbrush with toothpaste, brush all surfaces of teeth and gums gently

4. Brush tip of tongue

5. Have resident swish and spit twice

6. Dry mouth with towel, wet towel

7. Closing

Back 6

Providing mouth care to resident who has teeth

Supplies: barrier for table, towel, toothbrush, toothpaste, emesis basin, cup of water, gloves

Front 7

1. Opening

2. Place washcloth in sink

3. Use denture brush with toothpaste, brush all surfaces of denture or partial

4. Make sure you remove all paste from grooves

5. Rinse and place in clean cup with clean water

6. Place cup on barrier on bedside table

7. Perform "MOUTH CARE WITH TEETH"

8. Closing

Back 7

Providing mouth care to resident with dentures

Supplies: barrier for table, toothpaste, toothette, denture brush, towel, emesis basin, cup of water, washcloth, 2 pair of gloves (one for rinsing dentures, one for brushing teeth)

Front 8

1. Opening; place barrier on floor

2. Allow patient to test water temp.

3. Place basin on barrier on floor

4. Put on gloves, put foot in basin to soak

5. Remove foot from water and wash, place in basin to rinse, remove to dry

6. Inspect all skin surfaces

7. Warm lotion in hands and apply (not between toes)

8. Apply socks and shoes

9. Closing

Back 8

Providing foot care to a resident

Supplies: barrier, bath basin, gloves, 2 washcloths (one to wash with soap, one to rinse with water), soap, towel, lotion, socks and shoes

Front 9

1. Opening

2. Fill basin with water; let the patient test water

3. Soak hand for 2-4 mins.; apply gloves

4. Remove hand and wash, rinse, dry

5. Using orange stick, clean under nails

6. File all rough edges with emery boad

7. Warm lotion in hands and apply

8. Closing

Back 9

Providing hand and nail care to resident

Supplies: barrier, basin, 1 towel, 2 washcloths, soap, gloves, orangewood stick, emery board, lotion

Front 10

1. Opening

2. Place towel on chest, wash patient hands

3. Offer drink before meal and every 3-4 bites

4. Feed slowly

5. Wipe face off with towel and remove towel

6. Closing

7. Document

Back 10

Feeding the resident who is in a chair

Supplies: meal tray, towelettes, clothing protector or towel

Front 11

1. Opening

2. Cover resident with bath blanket

3. Have patient move to side and roll toward center of bed

4. Roll dirty bottom sheet toward patient and tuck under patient

5. Place clean bottom sheet on mattress; roll and tuck under dirty sheet

6. Have patient move to other side of bed

7. Pull dirty sheet roll from under patient, roll into ball and remove from bed, place in dirty linen

8. Pull clean sheet from under patient, secure and smooth

9. Cover patient with top sheet, remove bath blanket

10. Secure top sheet using hospital corner

11. Replace pillowcase and perform closing

Back 11

Making an occupied bed*

Supplies: barrier for table, bath blanket, fitted "bottom" sheet, flat sheet, pillowcase

Front 12

1. Opening

2. Move patient to side of bed nearest you

3. Move farthest arm up and closest arm crosses chest

4. Bend closest knee so foot is flat on mattress

5. Roll patient onto side away from you

6. Place folded pillow behind back to support

7. Place pillow between knees and ankles

8. Place pillow under top arm

9. Adjust pillow under head

10. Make sure patient is not lying on arm or pillow

11. Closing

Back 12

Changing position to supported side lying*

Supplies: barrier for table, bath blanket, 3 additional pillowcases

Front 13

1. Opening

2. Cover patient with bath blanket, apply gloves and place clean chucks and bedpan under patient

3. Remove gloves, raise head of bed, give call light and toilet paper

4. Wait for patient to finish, lower head of bed

5. Apply gloves and remove bedpan and chucks

6. Empty and clean bedpan

7. Give patient towelette to wash hands

8. Remove bath blanket

9. Closing

Back 13

Assisting the resident with a bedpan

Supplies: bath blanket, chucks (protective pad), bedpan, toilet paper, 2 pairs of gloves, towelette

Front 14

1. Opening - allow patient to check water temp.

2. Place bath blanket over patient

3. Place towel under body surface you are washing

4. Remove gown; apply gloves. Wash face from middle out-no soap, using leaves method for each eye

5. Wash, rinse, dry behind ears, neck, front torso

6. Wash, rinse, dry nearest hand, arm, underarm

7. Dress clean areas in clean gown as you clean

8. Roll patient onto side

9. Wash, rinse, dry back

10. Warm lotion, give backrub from bottom up, remove excess lotion and tie gown

11. Clean basin and store supplies. Remove bath blanket

12. Closing

Back 14

Providing partial bed bath to resident

Supplies: barrier for table, bath blanket, bath basin, 4 washcloths, soap, 2 towels, lotion, gloves, clean gown or clothing

Front 15

1. Opening

2. Allow patient to check water temp.

3. Place bath blanket over patient, apply gloves

4. Replace dirty chucks with clean chucks

5. Wash, rinse, and dry perineum using five strokes of middle, side and side, skin folds, folding down corners of the washcloth front to back

6. Have patient roll over, wash, rinse, and dry anal area front to back

7. Replace chucks under patient and remove bath blanket

8. Closing

Back 15

Providing perineal care to an incontinent resident

Supplies: barrier for table, bath blanket, bath basin, gloves, soap, 2 protective pads (chucks), 4 washcloths, towel

Front 16

1. Opening - allow patient to check water temp.

2. Place bath blanket over patient

3. Apply gloves, place chucks under patient

4. Place towel under catheter tubing

5. Wash, rinse, dry catheter tubing

6. Perform peri-care

7. Make sure patient is not lying on catheter tubing

8. Make sure catheter bag is not touching floor

9. Remove bath blanket and replace sheet

10. Closing

Back 16

Providing catheter care to a resident

Supplies: bath blanket, protective pad, bath basin, gloves, soap, 4 washcloths, towel, barrier for table

Front 17

1. Opening

2. Place chucks on floor, open alcohol pad

3. Apply gloves; empty urine into graduate

4. Close clamp

5. Clean tube opening with alcohol pad

6. Place graduate on flat surface on a barrier and measure contents at eye level

7. Empty and clean graduate

8. Make sure bag is not touching floor and tubing not kinked

9. Document amount on flow sheet

10. Closing

Back 17

Measuring and recording the contents of urinary drainage bag

Supplies: chucks, gloves, alcohol wipes, graduate container

Front 18

1. Opening

2. Elevate head of bed (optional)

3. Pivot patient into sitting position on side of bed

4. Place footwear on patient, feet flat on floor

5. Place gait belt on patient

6. Place wheelchair at side of bed, lock wheels, footrests out

7. Using gait belt, stand patient and pivot to set them down into wheelchair, remove gait belt

8. Ask if dizzy, adjust footrests, lock wheels

9. Closing

Back 18

Transferring resident from bed to wheelchair using gait belt and pivot transfer techniques

Supplies: wheelchair, gait belt, non-skid footwear

Front 19

1. Opening

2. Flexion/extension of shoulder (up and down) - asking question

3. Add/abductions of shoulder (side to side) - snow angel

4. Rotation of shoulder (around) - rolling cookie dough

5. Closing

Back 19

Performing passive range of motion to shoulder

Supplies: None

Front 20

1. Opening

2. Flexion/extension of elbow (up and down) - make a muscle

3. Flexion/extension of wrist (up and down) - rev a motorcycle

4. Add/abduction of wrist (side to side) - Miss America wave

5. Rotation of wrist (around) - wave magic wand

6. Closing

Back 20

Performing passive range of motion to elbow and wrist

Supplies: None

Front 21

1. Opening

2. Flexion/extension of hip (up and down) - climbing stairs

3. Add/abduction of hip (side to side) - snow angel

4. Rotation of hip (around) - rolling cookie dough

5. Flexion/extension of ankle (up and down) - happy feet

6. Add/abduction of ankle (side to side) - turn sole of foot sideways

7. Rotation of ankle (around) - circles

8. Closing

Back 21

Performing passive range of motion to hip, knee, and ankle

Supplies: None

Front 22

1. Dump it

2. Rinse it

3. Dump it (water off)

4. Set it down

5. Spray it

6. Paper towel to pick it up

7. Paper towel to dry inside

8. Paper towel to dry outside

9. Paper towel for drawer

Back 22

Disinfecting basins and equipment

Front 23

Supine

Back 23

Lying on one's back, facing up

Front 24

Bradycardia

Back 24

patient heart rate is slow, >60bpm

Front 25

Average systolic blood pressure

Back 25

90-120mm

Front 26

Embolism

Back 26

a blood clot that breaks off, flows through the blood stream, and causes obstruction

Front 27

What is indicative of a stage 3 pressure sore?

Back 27

a sore that extends down into the fatty tissue of a patient

Front 28

If a patient doesn't have a BM for ____ days, they have increased risk of constipation and the RN should be notified.

Back 28

3 days

Front 29

When can elevated heart rate be expected?

Back 29

uncontrolled bleeding, normal heart rate is 60-80bpm

Front 30

Orthostatic hypertension

Back 30

when patient experiences decreased bp due to change in position; decreases by 20mmHg ortho hyper is suspected

Front 31

1 oz. = ? mL

Back 31

1 oz = 30 mL

Front 32

1 tsp = ? drops

Back 32

1 tsp = 76 drops

Front 33

NPO

Back 33

nothing by mouth, Latin nil per os

Front 34

Procedure checklist for shock

Back 34

1. Call 911

2. Check for signs of shock

3. Treat minor shock

4. Loosen clothing

5. Elevate legs or head

6. Check for mouth bleeding

7. Maintain body temperature

8. Wait with victim

Front 35

Omnibus Reconciliation Act of 1987

Back 35

OBRA sets minimum standards for nursing assistant training. OBRA 87 requires that the facility provide each patient with care that will enable the patient "to attain or maintain the highest practicable physical, mental and psychosocial well-being."

Front 36

How long should the nurse aide wait to take the patient's temp. after drinking a cold drink?

Back 36

10-20 mins

Front 37

How often should a patients intake and output records be totaled?

Back 37

Once a shift

Front 38

What is a beginning sign of a pressure sore?

Back 38

Discoloration

Front 39

Which temp. is considered most accurate?

Back 39

Rectal

Front 40

What is the first thing a nurse's aide should do if they find a patient lying on bathroom floor?

Back 40

Call for assistance from charge nurse

Front 41

Resident's bill of rights

Back 41

x

Front 42

Ostomy

Back 42

a surgically created opening from an internal organ to the surface of the body

Front 43

RACE

Back 43

rescue, alarm, confine, extinguish

Front 44

entrapment

Back 44

describes a patient who is caught, trapped, or entangled in hospital bed system

Front 45

correct way to apply a jacket restraint

Back 45

v in front

Front 46

how to treat patient in restraint

Back 46

physician's orders, check every 2h and remove for 15 mins, check for discoloration

Front 47

How is a dying person positioned?

Back 47

good body alignment

Front 48

drops per minute

Back 48

ggt/min

Front 49

without

Back 49

s with line over it