hey everybody it is Nurse unit with Florida training academy and I have so missed you tonight we're going to be doing a practice quiz to help you pass the CNA examination and as we do in each of our videos we'll give you about 10 seconds to receive your notifications and we'll get started shortly congratulations to everybody who's in the chat who's already telling us that they have passed their exam so congratulations everybody all right so let us get started number one how can you assist a resident who has difficulty standing in the shower is it a have them sit on a shower stool B hold them upright during the entire shower C use a handheld shower head to to avoid standing or D give them a sponge bath instead and yes we're starting off easy tonight we're going to ease our way into it and of course if you need more practice questions go to sling.com click on resources and then go to study guides and more and you should see a free CNA um exam packet which you have the nnaap exam also the Prometric exam and one of my personal exams so let's see what the responses are and yes Gretchen and Denita and sey and Diana you have it correct hi Stephanie you have it correct that was easy it is a a shower stool provides stability and reduces the risk of Falls making the showering process safer and more comfortable for your resident and now don't you forget that in your hospitals because we're not sure exactly where you're going to be working so home care of course you need to follow the care plan hospitals usually have to specifically have a doctor's order in order for your patient to shower and then if they have IV lines or tubings you just be speaking with your nurse so that she can help you wrap those um tools um tubes up because we can't afford for those items to get wet when they're in the shower but some patients are allowed to shower whether they're in home care a nursing home or a hospital question number two a patient with a nasogastric or NG tube should be positioned in which of the following ways to prevent aspiration is it a flat on their back B fow's position C supine position or D Trendelenburg position and then I want to pause because Rael congratulations and then I think it was Denita there are so many of you all responding Denita also passed her test so congratulations and Gretchen is still waiting on a test so all right everybody let's see what the answer is some somebody with a nasal gastric tube they have a tube going from their nose down into their stomach how do you want them positioned and if you chose B you have it you are right so the Fus position helps to prevent aspiration by keeping the head elevated it reduces the risk of the gastric contents from coming back up and entering the airway so usually if somebody has a nasal gast tube if you do lay them flat you don't lay them flat for long they're usually up at about 30° so they're they're kind of sitting up but not too high because we don't want to add extra pressure to their tailbone all right question number three what is the most important reason for using proper body mechanics when moving patients is it a to avoid injury to the patient B to reduce time and effort C to comply with facility regulations or to prevent muscle strain and injury to the health care worker ding ding ding ding ding yes Denita and Naomi and Sephora and 242 Mama 70 and shelda you have it right it is D we want to prevent muscle strain and injury to you so make sure you're using proper body mechanics lift with your legs not with your back and don't be afraid to ask for help from another CNA or a nurse question four when measuring a patient's blood pressure which of the following actions should be avoided to ensure an accurate reading is it a positioning the arm at Heart level B using a cuff that fits properly C having a patient sit quietly for five minutes before the measurement or D taking the measurement over clothing and again that question asked which should be avoided so that means there are three correct and one wrong answer which is the incorrect answer which should be avoided and yes you all have it for this practice test it is D but let me tell you about our patients with frail skin our elderly patients sometimes you put that blood pressure cuff on their arm and it gets so tight at least these wel red marks in that case you may want to put a washcloth or maybe keep the sleeve of their gown down and you can put the cuff on top of their gown or that washcloth but if you don't have that person with frail or fragile skin taking the measurement over the washcloth can lead to inaccurate readings as it can interfere with the Cuffs ability to accurately measure the blood pressure but if I have an elderly lady who's screaming because I'm taking her blood pressure that means that the blood pressure is going to be accurate regardless because now she's in pain so in the real world we use a washcloth but for your test never use a cloth or any clothing if you're trying to take a blood pressure because it can alter the reading question number five which of the following is a sign of hypoglycemia in a diabetic patient is it diaphoresis Brady cardia hyperactivity or polyurea I missed you all oh my God 2025 came in like a beast I haven't been able to get back on here to see you all but I'm so proud of you and let's see what answers you have for question number five I see you all all over the board I have A's D's B's and now I have C's all right so let's talk about it hypo glycemia that means hypo is low if you po you low on money so hypo is low glycemia refers to the sugar in the bloodstream so this person has low blood sugar they're a diabetic what's going to happen it is not B C or D so everybody Jean Suzanne you are correct laatu I hope I pronounced that correctly it is a it is diaphoresis and so diaphoresis is another way of saying that your patient is sweaty due to a medical condition not due to exercising so diaphoresis or excessive sweating is a common sign of hypoglycemia along with symptoms like shakiness and confusion our next question everybody question number six when helping a resident with limited hand strength to brush their hair what is an effective tool to use and for this one it could be brush or comb is it a a regular hairbrush b a wide Toth comb with a buil up handle C an electric hairbrush I don't think I've ever seen such a beast or d a small travel siiz comb your patient has arthritis they have a limited hand strength but you want to encourage them to do as much as they can what would be the best utensil or instrument for them to use and everybody has it right it is going to be a wide tooth cone with a builtup handle so that's going to allow for better grip and it's easier for residents with limited hand strength to use question number seven a patient complains of being lightheaded what should the cna's first action be is it a administer nitroglycerin B reassure their patient and stay with them C call for help immed immediately or DET take the residents or patients vital signs they're lightheaded you know you need to do something what's the first thing you should do icds icc's you all are torn between the two it's like even it's neck and neck you're racing everybody remember a CNA assist so you need to call the nurse who can call the doctor to get some ORD so if your patient is dizzy you're going to be doing C they are lightheaded um if you take their Vital Signs and they're dizzy because they're bleeding out their blood pressure is low because they don't have any blood it's all on the floor no you need to be calling the nurse so the response is C call for help immediately that is the priority to ensure the patient receives prompt medical attention for a potentially life-threatening condition and after you call the nurse that's when you can start doing the vital and taking the blood pressure Etc and of course the scenario I use the person was bleeding you can apply pressure also but you need to be calling that nurse so we can get our other team members in the room question number eight which of the following is the primary purpose of using anti-embolism stockings in other words head holes those thick white stockings why do we put them on a patient is it a to provide warmth B to support weak muscles C to reduce swelling in the legs or D to promote Venus return and prevent blood clots oh this is tricky oh what do you think Miss Bonita says D Fiona says D seong says um C Prophet Louisiana I think I said it right C I see a lot of C's and right now the D's have it so if you shows D It's not that c is wrong it's just that D is the best response so whenever we put those Ted holes on a patient the anti-embolism stockings when we say promote Venus return when they stand up the blood drops down blood is in their legs Venus return means because the stockings are so tight it's going to help circulate that blood to keep it into the system to keep it circulating that helps also prent blood cloths and so that's why we want those patients in their te holes whenever they stand up otherwise well before they stand up otherwise once they are standing those legs starts to swell because all that blood is just pulling in their legs and so put those Ted holes on before you get them up and before they start ambulating about the facility and now as I said before in the very beginning if you want free we free resources you can go to our website which is fling.com click on the resources Tab and then you're going to see study guides practice test flashcards videos and more and look she's pointing at it the free printable Prometric and nnaap CNA sample test if you click on that um you will be able to download free practice test so that you can practice with pen and paper and not just with our videos all right so let's go to our next question question number nine when assisant a resident with ambulation after surgery which of the following is the most important safety measure is it a providing a patient with pain medication beforehand B ensuring the patient wears socks C using a gate belt for support or D encouraging the patient to move quickly to build strength when assisting the patient with ambulation after surgery which of the f is the most important safety measure how do we prevent a fall how do we prevent this patient from hurting themselves after a surgery that's how I want you to think of this question and then Abigail I don't have too many CMA question and answer tests I do apologize but for everybody who put C in the chat you are absolutely correct we're going to use a gate belt so using a gate belt it helps to support the nurse helps to support the patient and it provides a secure way to hold on to the patient remember if you're holding on to the gate belt and they and they start to get dizzy you can pull them back against you and slide them to the floor that's not a fall that's an assist and so and you can also be screaming for help but that gate belt allows you to control their core weight the weight in their abdominal area and they are less likely to fall if you use a gate belt when you're ambulating or walking them question number 10 which of the following task is appropriate for a Nur assistant to perform when caring for a patient with a urinary catheter is it a insert in the catheter B measuring and recording urine output C irrigating the catheter or D removing the catheter and I see you Shan and jh1 17 and Miss Bonita and Sephora and Stephanie and hermain you all have it correct and charm it is B and so that is on a lot of the state CNA examination when you have to actually measure and empty the contents from a urinary drainage bag and remember what goes out should match what's coming in so if you have your patient they're drinking a whole bunch of fluids and the quantity of urine doesn't match what they have going in that means they're retaining fluid they're going to retain extra water weight and if they have congestive heart failure that is a bad bad thing so just think of it if a patient's drinking a whole bunch you want to see that much quantity of urine least equal amounts in their bag okay so measuring and recording urine output is a task that falls within the scope of a nursing assistant's duties ensuring accurate monitoring of the patient's urinary status and whenever you're looking at urine you're looking at the color the clarity don't forget the smell and also the quantity all of that is important because if it's um discolored if it's cloudy or if it has a smell that can be a sign of an infection all right so our next one question number 11 a nursing assistant finds a patient lying on the floor what should be the first action is it a assess the patient for breathing anap pulse B help the patient back to bed C scull the resident d report the incident to the nurse or e A and D I'm over here doing my nurse dance hold let me show you my happy dance that's the only dance I know great job team great job it is e it is a and d all right so patience on the floor you do not give them up by yourself patience on the floor you tap and you shout hey hey are you okay are you okay you're checking on them if they're moving they're okay you hit that Cod button or if you're not in the hospital you're calling 911 you're get in the nurse in room somehow but let's say you tap and you shout and they don't respond um need be feeling for that pulse while you're screaming out for the nurse nurse nurse help help and you may need to start in CPR while you're waiting for the nurse to get there so that is the difference um if they're responding they they have a pulse you don't have to start CPR but if they're post listener not breathing while you're waiting for that nurse to get into the room you need to start your high quality chest compressions question number 12 which of the following Foods is the best source of dietary fiber is it chicken breast white rice an apple with skin or ice cream and everybody's going to get this right there's no way you're going to get this wrong just as I figure you all are very very smart great caregivers and so we know that fruit especially fruit with skin it is filled with fiber so the answer is C an apple with skin is a high-fiber food it promotes digestive health and regularity which is essential for patients overall nutrition and well-being and if you all are enjoying the fact that I'm reading the questions to you remember when you take your CNA examination you can ask for an oral examination they will give you a audio earpiece a headpiece so um so to speak and whenever you press play it will read the questions to you it will read the answers to you and sometimes that's all you need to pass this test it's just a little bit of help with the vocabulary so don't be afraid to ask for an oral test when it's time to take your written CNA test okay all right so question number 13 which of the following symptoms might indicate that a patient is experiencing a urinary tract infection or a UTI and this one's kind of tricky is it a high fever B hematuria C constipation or D decreased thirst what would indicate a UTI fever hematuria constipation or decreased thirst and we're torn between A's and B's and so the correct response is going to be B they more than likely unless it's like now a kidney infection if it's just lower in the urinary tract they're usually not going to have a high fever they could have a low grade fever but what is hematuria that's when blood when the urinary tract is irritated the urine can start changing colors so hematuria or blood in the urine is a common sign of urinary tract infection along with other symptoms like painful urination and increased frequency the amount of blood can be microscopic meaning that you can't see it with your eyes and that's why we send a specimen to lab or it can be gross meaning that it is a quantity of blood in which you can start seeing the changes in the color of the urine so that is what hematuria is question number 14 a patient with Alzheimer's disease is becoming increasingly agitated which intervention should the nursing assistant Implement first do we want to restrain the patient administer medication leave the patient alone or use a calm and reassuring approach how do you want to um you know approach this patient who is agitated who has Alzheimer's disease they have confusion what are you going to do and they want to know why you are in their house you're actually in the hospital but right now they think you have broken in so what are you going to do all right and I see a lot of correct responses everybody got it right it is D using a calm and reassuring approach helps to deescalate the situation and can often soothe an educated patient without the need for restraints or medication question number 15 a patient has an order for an NP o status which of the following action should the nursing assistant take is it a remove the water pitcher from the room B provide the patient with clear fluids only C offer ice chips every hour or D encourage the patient to eat small frequent meals so what does NPO mean because everyone's getting it right you know your medical abbreviation yay Chanel good luck on your exam we're GNA be praying for you you got this so everybody N means nothing by mouth so we need you to remove that water picture remove the water picture from the room to ensure that the patient aderes to the N Nothing by mouth order which is critical before certain test or surgeries look as much as we love our patients we know that if we leave a picture of water in their room with water inside of it I could tell them their n because they have surgery tomorrow the doctor could have told them five times and you told them six more times if you leave that picture in the room they're going to drink it so if you do leave the picture make sure it's empty and that's going to help make sure that they had hear to their noo orders do you understand why a patient has to be no before surgery why we can't just give them water because they may vomit during surgery and with the anesthesia sometimes it can make them sick well at least if they get nause ated and they don't have anything on their stomach nothing's going to come up they're not going to aspirate but if you allow a patient to have water before their surgery we have to cancel that surgery because it's safe is for the patient usually they can't have anything to eat or drink after midnight so thank you for helping us take care of our patients and not having to reschedule surgeries all right question number 16 when performing paranal care hold up looks like someone pass test I must have missed it I think it's Mugabe so congratulations all right 16 when performing paranal care for a female patient the nursing assistant should wipe in which direction is it front to back back to front side to side or in a circular motion well one of those is just nasty and two are extremely inappropriate so the correct response is of course from clean to dirtiest so it is from front to back you wipe from the cleanest area which would be like the vaginal area towards the rectum area so wiping from front to back reduces the risk of spreading bacteria from the anal area to the urethra and a crazy thing I like to say is if you wipe inappropriately you're putting poop in the coup now it works it's a way for me to remember it so make sure you always wipe in the right direction because we don't need feal matter entering anyone's urinary tract all right so let's see what our next question is everybody our next question question number 17 the nursing assistant is helping a patient with passive range of motion and we have another person oh another person who just passed their test and of course we got an evil person who's saying mean things I'll block them if they keep that up but I'm just here for refresher I passed my exam on the 21st on my first attempt and naticia you are are welcome so question number 17 all right put that person in timeout the nursing system is helping a patient with passive range of motion which of the following is a key principle to follow is it a perform exercises quickly to avoid fatigue B Force each joint to its maximum range C support the joint being exercised or de perform exercises only once a day and in the future I will make a few of you all moderators and then that way if someone saying something in appropriate you can kick them out all right so this is a safe learning environment we don't allow mean people on our site all right everybody you have the right answers it is C we're going to support the joint being exercise so supporting The Joint prevents injury and ensures the exercises are performed safely and efficiently and we have an entire playlist of me doing the CNA skills videos for the Prometric exam which I know those who take the nnaap exam the credentia exam they've also utilized those also but if you want to see skills we have a playlist for you on YouTube on our YouTube channel which is at Florida training question number 18 what is the purpose of a bowel training program for a patient with chronic constipation is it a to promote the use of LAX postives B to establish a regular bowel movement routine C to increase the frequency of bowel movements or D to enhance dietary fiber intake a bowel training program and yes so many correct responses it is B so about bow a regular bowel movement routine so they're probably going to be on stool softeners that's number one remember if you're laying in the bed all the time you don't have perosis your bowels are not moving so that's why we want to get patients up as often and as soon as possible then they need water they need fluid and on top of that they need fiber so when you think about a bowel training program and when you can sit them up on the toilet so by doing all of that we help to establish a regular bowel movement routine and it's going to help prevent constipation and promote healthy bowel habits question number 19 team a patient with difficulty swallowing is at risk for aspiration what should the nurseing assistant do to minimize this risk during feeding is it a offer large bikes of food B position a patient lying down C provide thin liquid or C excuse me D encourage the patient to take small bites and chew thoroughly how do we minimize aspiration risk great job like a hundred of you put D that is so right so encouraging a patient to take small bites and chewing thoroughly reduces the risk of aspiration by ensuring the food is well prepared for swallowing don't forget to sit them upright and to limit distractions they should not be eating watching TV and laughing because those distractions can actually increase their risk of aspiration and something I like to remind you is to make sure that the teeth matches the diet so if Miss Lucas doesn't have any teeth and she doesn't have her Dentures I don't care what she does at home when she's in your facility she cannot eat a hamburger you're going to have to notify me come notify me hey nurse Unice uh she doesn't have any teeth but she has a regular diet let me go talk to her let me figure out where her teeth are all right Miss Lucas where are your teeth well I don't have any if she doesn't have any I'm going to have to cut we're going to cut that burger up really small whether she likes it or not and now I have to go out and communicate with the doctor and let the doctor know that she doesn't have any teeth and more than likely she's going to be placed on a mechanical soft diet which means she can probably get a roll and she can get salisbery steak which is beef with a lot of gravy but she's never going to get that compact sandwich with a whole bunch of layers because she's not able to chew it and that puts her at risk of aspiration so make sure that the diet matches the dentation if they don't have teeth they should not be on a regular diet question number 20 which of the following is the best method for a nursing assistant to use when communicating with a patient who has hearing loss is it a speak loudly and quickly B use a communication board C write down instructions or D speak in a high pitch voice and I'll take a few answers for this one what do you think the best response is going to be all right so I see a b i see a lot of C's and that's what I was thinking it's somewhere between B and C so let's see if someone has hearing loss how can we communicate with them and I agree with all of you it is B's and C's but a communication board it's just the easier way and I'll show you what one looks like so using a communication board helps to convey the message clearly to a patient with hearing loss complimenting verbal communication and here's an example of a communication board it's like literally yes no there's a picture of appe peel a toilet and so we may use those with people who have a language barriers or if you have a dry erase board pencil and paper you can also have them write it down but either way B or C in my opinion are both the correct responses question 21 a patient is on a low sodium diet which of the following foods should be avoided is it fresh fruits plain rice canned soup or fresh vegetables which one is high in sodium this test was so easy for you all my next test is going to be hard cuz y'all got too many these answers right y'all are too good for me so yes canned souped or processed foods are high in salt and so patients who are on sodium restrictions those with hypertension cardiac issues they should not have high sodium food so question number 22 a patient with CHF or congestive heart failure and the way I want you to think of congestive heart failure is if this is the heart and this and it's failing so remember the heart pumps blood when the heart starts failing guess what it's not doing it's not pumping that blood it's just sitting there it's in it's congested and so it can back up into the lungs all that excess fluid or it can back up into the leg so now with that thought in mind a patient with congestive heart failure is experiencing edema which of the F interventions is the most appropriate is it a encouraging fluid intake B allowing them to eat a regular diet C elevating the patient's legs or D restricting physical activity and The Crowd Goes wow because you all have the right answer um yeah we need to elevate those legs so great job so elevating the legs helps to reduce edema by promoting Venus return and decreasing fluid accumulation in the lower extremities and if you remember from one of our previous videos I don't have any treats to give you you just get brownie points by being the first ones to put in the chat what are those devices called that we put on the legs or what are those stockings called do you remember the name all right and so whenever they have those aditive legs we have to help promote Venus return and we're going to put those special stockings on them before we stand them up yes Miss Bonita all right so Alexander and Bonita they put Ted hes and Naomi so very good you all I am proud of you all right question 23 and then charm is like anti-embolism stockings yes charm all right so question 23 a nursing assistant notices that a patient urine is dark and concentrated what is the most likely cause is it dehydration urinary tract infection diabetes militis or high protein intake what would cause someone's urine usually like a common reason that someone's urine is dark and concentrated and we're torn between A's and bees all right so take dark out why would someone's urine be concentrated why would it turn orange is that a UTI or is it dehydration so yes everybody who put a in the chat great job it is dehydration so dehydration often causes urine to become dark and concentrated due to reduced water intake and increased urine concentration remember with a UTI they have frequency it they can have a burning sensation they can have microscopic or gross bleeding hematuria but usually it's just not dark and concentrated so concentrated they need more fluids another fluid they can have this ice water is that you can also promote or um ask them to drink some cranberry juice too so that's another option also all right question number 24 which of the following is the most appropriate response if a patient starts to vomit while laying in a non-medical bed example home care cuz in home care we just can't sit them up CU sometimes they don't have those fancy beds so is it a do you panic B do you place a tongue depressor in the patient's mouth C do you turn the patient onto their side or did you prop the patient up with your hands or a pillow patients vomiting what is the quickest thing for you to do so proud of y'all so proud of y'all yes it is C protect their Airway so turn a patient onto their side that helps to open their Airway and it prevents aspiration you all are amazing question 25 a patient is scheduled for surgery and needs to be transported to the operating room what is the nursing assistance PR primary responsibility is it a explaining the surgical procedure to the patient B ensuring the patient remains NPO and that the chart is transported with the patient C starting an IV line or D administering pre-operative medications and Mars and gh17 and cadesa and NOA and Tabitha and Chrissy and charm and Judy and Abigail and it's a lot of y'all Ashley Nam Fiona I'm so proud of you I am so proud of you because the answer is B you're absolutely correct so uring the patient remains NP and that the charts even though we may have an electronic record usually there's some type of paper documentation that's going with this patient of surgery so make sure it's there with them that is your primary responsibility and maybe giving them their bath before their surgery um I think we use like chlorexidine some type of anti-infective um type soap so that we can make sure that they don't you know they're going to be less likely to get an infection and so those are the critical aspects for CNA as far as your duties when a patient is pre-operative and guess what team I'm so sad oh is this the end it's the end for tonight um you all life has been lifing and so but what I like to say is that we've been fighting but we've been fighting and winning so for all of my babies who have passed their CNA examinations I am so proud of you give yourself Applause and I'm going to try my hardest to be back on here on Thursday if I can come back tomorrow I will but I'm definitely coming back two times this week because I miss you all and I love you all and I wish you all the best so you're so welcome everybody and keep shining I'm so proud of you and I'll see you in the next video bye everybody