CNA Practice Test 2021

A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying
that she can’t find her baby. The nurse aide should

ask the resident where she last had the doll.
ask the activity department if they have any other dolls.
offer comfort to the resident and help her look for her baby.
let the other staff know the resident is very confused and should be watched closely.

A nurse aide is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The
nurse aide has never done this before. The best response by the nurse aide is to

change the indwelling catheter at the same time.
ask another nurse aide to change the urinary drainage bag.
change the bag asking for help only if the nurse aide has problems.
ask a nurse to watch the nurse aide change the bag since it is the first time.

Before feeding a resident, which of the following is the best reason to wash the resident’s hands?

The resident may still touch his/her mouth or food.
It reduces the risk of spreading airborne diseases.
It improves resident morale and appetite.
The resident needs to keep meal routines.

Which of the following is a job task performed by the nurse aide?

Participating in resident care planning conferences
Taking a telephone order from a physician
Giving medications to assigned residents
Changing sterile wound dressings

Which of the following statements is true about range of motion (ROM) exercises?

Done just once a day
Help prevent strokes and paralysis
Require at least ten repetitions of each exercise
Are often performed during ADLs such as bathing or dressing

While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a
hairbrush. The nurse aide should

put the hairbrush away and out of sight.
give the resident the hairbrush to hold.
try to dress the resident more quickly.
restrain the resident’s hand.

A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide’s
next action should be to

ask the resident to take deep breaths.
take the resident’s vital signs.
raise the head of the bed.
elevate the resident’s feet.

A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident
should focus on

helping the resident through the stages of grief.
providing for the resident’s comfort.
keeping the resident’s care routine, such as for bathing.
giving the resident a lot of quiet time and privacy.

While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse
aide should

wait a few minutes to see if the alarm stops.
report the alarm to the charge nurse immediately.
make the resident being bathed safe and go check the door right away.
stop the bedbath and go check on the location of all assigned residents.

Gloves should be worn for which of the following procedures?

Emptying a urinary drainage bag
Brushing a resident’s hair
Ambulating a resident
Feeding a resident

When walking a resident, a gait or transfer belt is often

worn around the nurse aide’s waist for back support.
used to keep the resident positioned properly in the wheelchair.
used to help stand the resident, and then removed before walking.
put around the resident’s waist to provide a way to hold onto the resident.

Which of the following statements is true about residents who are restrained?

They are at greater risk for developing pressure sores.
They are at lower risk of developing pneumonia.
Their posture and alignment are improved.
They are not at risk for falling.

A resident has diabetes. Which of the following is a common sign of a low blood sugar?

Fever
Shakiness
Thirst
Vomiting

When providing foot care to a resident it is important for the nurse aide to

remove calluses and corns.
check the feet for skin breakdown.
keep the water cool to prevent burns.
apply lotion, including between the toes.

When feeding a resident, frequent coughing can be a sign the resident is

choking
getting full.
needs to drink more fluids.
having difficulty swallowing.

When a person is admitted to the nursing home, the nurse aide should expect that the resident will

have problems related to incontinence.
require a lot of assistance with personal care.
experience a sense of loss related to the life change.
adjust more quickly if admitted directly from the hospital.

A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The
nurse aide should

tease the resident by complimenting the resident’s sense of style.
ask if the resident realizes that the shoes do not match.
remind the resident that the nurse aide can dress the resident.
ask if the resident lost some of his shoes.

A resident’s wife recently died. The resident is now staying in his room all the time and eating very little.
The best response by the nurse aide is to

remind the resident to be thankful for the years he shared with his wife.
tell the resident that he needs to get out of his room at least once a day.
understand the resident is grieving and give him chances to talk.
avoid mentioning his wife when caring for him.

When a resident refuses a bedbath, the nurse aide should

offer the resident a bribe.
wait awhile and then ask the resident again.
remind the resident that people who smell don’t have friends.
tell the resident that nursing home policy requires daily bathing.

When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to

show the resident that the nurse aide is in control.
call for help to make sure there are witnesses.
explain that if the resident is not calm a restraint may be applied.
step back to protect self from harm while speaking in a calm manner.

During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best
response by the nurse aide is to

remain calm and ask what is upsetting the resident.
begin removing all the other residents from the dining room.
scold the resident and ask the resident to leave the dining room immediately.
remove the resident’s plate, fork, knife, and cup so there is nothing else to throw.

Which of the following questions asked to the resident is most likely to encourage conversation?

Are you feeling tired today?
Do you want to wear this outfit?
What are your favorite foods?
Is this water warm enough?

When trying to communicate with a resident who speaks a different language than the nurse aide, the
nurse aide should

use pictures and gestures.
face the resident and speak softly when talking.
repeat words often if the resident does not understand.
assume when the resident nods his/her head that the message is understood.

While walking down the hall, a nurse aide looks into a resident’s room and sees another nurse aide hitting
a resident. The nurse aide is expected to

contact the state agency that inspects the nursing facility.
enter the room immediately to provide for the resident’s safety.
wait to confront the nurse aide when he/she leaves the resident’s room.
check the resident for any signs of injury after the nurse aide leaves the room.

Before touching a resident who is crying to offer comfort, the nurse aide should consider

the resident’s recent vital signs.
the resident’s cultural background.
whether the resident has been sad recently.
whether the resident has family that visits routinely.

When a resident is expressing anger, the nurse aide should

correct the resident’s misperceptions.
ask the resident to speak in a kinder tone.
listen closely to the resident’s concerns.
remind the resident that everyone gets angry.

When giving a backrub, the nurse aide should

apply lotion to the back directly from the bottle.
keep the resident covered as much as possible.
leave extra lotion on the skin when completing the procedure.
expect the resident to lie on his/her stomach.

A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is
confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to

help the resident back to his room and into bed.
ask the resident about his job and if he is hungry.
tell him that residents are not allowed in the nurses’ station.
remind him that he is retired from his job and in a nursing home.

Which of the following is true about caring for a resident who wears a hearing aid?

Apply hairspray after the hearing aid is in place.
Remove the hearing aid before showering.
Clean the earmold and battery case with water daily, drying completely.
Replace batteries weekly.

Residents with Parkinson’s disease often require assistance with walking because they

become confused and forget how to take steps without help.
have poor attention skills and do not notice safety problems.
have visual problems that require special glasses.
have a shuffling walk and tremors.

A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of
the following actions helps to prevent constipation?

Adequate fluid intake
Regular mealtimes
High protein diet
Low fiber diet

A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no
urine in the drainage bag. The nurse aide should first

ask the resident to try urinating.
offer the resident fluid to drink.
check for kinks in the tubing.
obtain a new urinary drainage bag.

A resident who is incontinent of urine has an increased risk of developing

dementia
urinary tract infections.
pressure sores.
dehydration

When cleansing the genital area during perineal care, the nurse aide should

cleanse the penis with a circular motion starting from the base and moving toward the tip.
replace the foreskin when pushed back to cleanse an uncircumcised penis.
cleanse the rectal area first, before cleansing the genital area.
use the same area on the washcloth for each washing and rinsing stroke for a female resident.

Which of the following is considered a normal age‐related change?

Dementia
Contractures
Bladder holding less urine
Wheezing when breathing

A resident is on a bladder retraining program. The nurse aide can expect the resident to

have a fluid intake restriction to prevent sudden urges to urinate.
wear an incontinent brief in case of an accident.
have an indwelling urinary catheter.
have a schedule for toileting.

A resident who has stress incontinence

will have an indwelling urinary catheter.
should wear an incontinent brief at night.
may leak urine when laughing or coughing.
needs toileting every 1‐2 hours throughout the day.

The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the
nurse aide that there is a mistake, the nurse aide should

understand that denial is a normal reaction.
remind the resident the doctor would not lie.
suggest the resident ask for more tests.
ask if the resident is afraid of dying.

A slipknot is used when securing a restraint so that

the restraint cannot be removed by the resident.
the restraint can be removed quickly when needed.
body alignment is maintained while wearing the restraint.
it can be easily observed whether the restraint is applied correctly.

When using personal protective equipment (PPE) the nurse aide correctly follows Standard Precautions
when wearing

double gloves when providing perineal care to a resident.
a mask and gown while feeding a resident that coughs.
gloves to remove a resident’s bedpan.
gloves while ambulating a resident.

To help prevent resident falls, the nurse aide should

always raise siderails when any resident is in his/her bed.
leave residents’ beds at the lowest level when care is complete.
encourage residents to wear larger‐sized, loose‐fitting clothing.
remind residents who use call lights that they need to wait patiently for staff.

As the nurse aide begins his/her assignment, which of the following should the nurse aide do first?

Collect linen supplies for the shift
Check all the nurse aide’s assigned residents
Assist a resident that has called for assistance to get off the toilet
Start bathing a resident that has physical therapy in one hour

Which of the following would affect a nurse aide’s status on the state’s nurse aide registry and also cause
the nurse aide to be ineligible to work in a nursing home?

Having been terminated from another facility for repeated tardiness
Missing a mandatory infection control inservice training program
Failing to show for work without calling to report the absence
Having a finding for resident neglect

To help prevent the spread of germs between patients, nurse aides should

wear gloves when touching residents.
hold supplies and linens away from their uniforms.
wash hands for at least two minutes after each resident contact.
warn residents that holding hands spreads germs.

When a sink has hand‐control faucets, the nurse aide should use

a paper towel to turn the water on.
a paper towel to turn the water off.
an elbow, if possible, to turn the faucet controls on and off.
bare hands to turn the faucet controls both on and off.

When moving a resident up in bed who is able to move with assistance, the nurse aide should

position self with knees straight and bent at waist.
use a gait or transfer belt to assist with the repositioning.
pull the resident up holding onto one side of the drawsheet at a time.
bend the resident’s knees and ask the resident to push with his/her feet.

The resident’s weight is obtained routinely as a way to check the resident’s

growth and development.
adjustment to the facility.
nutrition and health.
activity level.

Which of the following is a right that is included in the Resident’s Bill of Rights?

To have staff available that speak different languages on each shift
To have payment plan options that are based on financial need
To have religious services offered at the facility daily
To make decisions and participate in own care

Which of the following, if observed as a sudden change in the resident, is considered a possible warning
sign of a stroke?

Dementia
Contractures
Slurred speech
Irregular heartbeat

Considering the resident’s activity, which of the following sets of vital signs should be reported to the
charge nurse immediately?

Resting: 98.6°‐98‐32
After eating: 97.0°‐64‐24
After walking exercise: 98.2°‐98‐28
While watching television: 98.8°‐72‐14

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