CNA Practice Test Summary

This summary provides an overview of a CNA practice test consisting of 60 questions designed to prepare candidates for the CNA certification exam. The questions cover various aspects of CNA roles, disease prevention and management, patient care, nursing procedures, and more.

Key Topics Covered

1. Cultural Sensitivity

• Notify the nurse if a patient's cultural needs conflict with hospital policy (e.g., body not left alone before burial).

2. Patient Autonomy

• Inform hospice care team if a patient's family disagrees with their healthcare decisions.

3. Chain of Infection

• Six links: causative agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host.

4. Emotional and Mental Health

• Engage residents in plans to address their emotional concerns (e.g., fear of embarrassment by crying).

5. Empathy and Team Building

• Understand and share feelings to foster a supportive work environment.

6. Elderly Care Risks

• Skin tears are a significant risk due to thinning skin.

7. Pain Management

• Use non-pharmacological interventions (avoid bright lights).

8. Managing Insomnia

• Reduce evening stimulation to aid sleep.

9. Patient Compliance

• Address complaints about medical equipment (e.g., clean neck brace).

10. Developmental Disabilities

• Recognize conditions like cerebral palsy as developmental disabilities.

11. Work Environments

• CNAs work in skilled nursing facilities, also known as nursing homes.

12. Legal Tasks

• CNAs can measure blood pressure but cannot perform sterile procedures like catheter insertion.

13. Patient Care Conferences

• Include all healthcare team members and the patient or resident.

14. Assistance in Personal Care

• Encourage patient independence and ensure complete care.

15. Observation and Reporting

• Report skin conditions immediately to prevent spread of infection.

16. Dementia and Hoarding

• Manage hoarding without confrontation.

17. Non-verbal Communication

• Recognize grimacing as a sign of pain.

18. Depression Signs

• Includes both excessive sleep and sleep loss.

19. Alzheimer's and Safety

• Use alarms to prevent wandering-related dangers.

20. Resident Anger

• Respond without taking it personally, focus on improving mood.

21. Sensory Impairments

• Retinal detachment affects vision.

22. Fire Prevention

• Requires air, heat, and something to burn.

23. Fire Response

• Follow stop, drop, and roll for clothing fires.

24. Respiratory Assistance

• Place patients in a supine position for airway access.

25. Stroke Signs

• Look for slurred speech and one-sided weakness.

26. Nosocomial Infections

• Infections acquired during healthcare facility stays.

27. Illness and Infection Spread

• Patients' illness can contribute to infection spread.

28. Diseases Similar to AIDS

• Hepatitis is similar due to transmission modes.

29. Biofilms

• Colonies of bacteria in chronic wounds.

30. Importance of Oral Care

• Prevents bad breath, malnutrition, and systemic infections.

31. Malpractice

• CNAs can be guilty if their negligence leads to patient harm.

32. Restraints and Patient Rights

• Use of restraints without orders is false imprisonment.

33. Workplace Harassment

• Teasing about sexuality is sexual harassment.

34. Abuse in Care

• Involuntary seclusion is a form of abuse.

35. Abuse Investigation

• Immediate suspension pending investigation.

36. Spill Management

• Clean immediately to prevent fall risks.

37. Observation Purpose

• Enhances quality care by healthcare teams.

38. Reporting Changes

• Report abnormal urinary output immediately.

39. Olfactory Senses

• Used to detect unusual odors, like fruity mouth odor.

40. Speech Changes

• Report sudden difficulty speaking to nurse.

41. Activity Orders

• TI D means three times a day before meals.

42. Fall Protocol

• Notify nurse immediately upon discovering a fallen resident.

43. Transfer Techniques

• Position wheelchair on resident's stronger side.

44. Bed Positioning

• Ensure head of bed is at least 30° for patients on bed rest.

45. Recording Food Intake

• Use specific percentages like 25%, 50%, or 100%.

46. Weight Management

• Possible urinary bag fullness affecting weight measurements.

47. Perineal Care

• Clean from labia to rectum to prevent infection.

48. ADLs

• Includes toileting, transferring, and ambulating.

49. Dining Assistance

• Use special utensils and provide necessary setup assistance.

50. Communication Barriers

• Bad breath is a physical barrier.

51. Maslow's Hierarchy

• Self-actualization is the least priority.

52. Prioritizing Care

• Address chest pain immediately over other concerns.

53. Physical Needs

• Help to the bathroom is a physical need according to Maslow.

54. Workload Management

• Resident care takes precedence over tasks.

55. Privacy Rights

• Ensure resident privacy during personal care.

56. Preventing Falls

• Use safety belts on stretchers.

57. Behavioral Issues

• Disruptive and dangerous behaviors are concerns.

58. Workplace Violence Risk

• Fired former staff members are potential risks.

59. Food Temperature Testing

• Test food temperature by dropping on the wrist.

60. Fall Risks with Medications

• Anti-hypertensives increase fall risk due to dizziness.

Ensure you understand these concepts and procedures, as they are essential for CNA practice and certification.