English Test

Question 1 of 25

A resident is on Contact Precautions for a *Clostridioides difficile* (C. diff) infection. Which of the following strict infection control measures must the CNA follow?

Alcohol-based hand sanitizers do not kill C. diff spores. Handwashing with soap and water is mandatory to physically wash the spores down the drain.

Question 2 of 25

You are recording a resident's fluid intake. They drank an 8-ounce glass of milk and a 4-ounce glass of juice. How many milliliters (mL) should you record on the intake and output (I&O) sheet?

One ounce is equal to 30 mL. The resident drank 12 ounces total (8 + 4). 12 oz x 30 mL = 360 mL.

Question 3 of 25

A resident with a history of orthostatic hypotension is preparing to get out of bed. What is the most appropriate action for the CNA to take?

Dangling allows the cardiovascular system time to adjust to a change in position, preventing dizziness and fainting caused by a sudden drop in blood pressure.

Question 4 of 25

According to federal regulations (OBRA), if a resident requires a physical restraint, how often must the CNA check on the resident, and how often must the restraint be temporarily released for care?

OBRA regulations require that restrained patients be observed every 15 minutes for safety/circulation, and restraints must be removed every 2 hours for repositioning, toileting, and basic care.

Question 5 of 25

While providing routine catheter care for a resident with an indwelling Foley catheter, what is the correct technique?

Cleaning should always proceed from the cleanest area (meatus) to the dirtiest (down the tubing) to prevent pushing bacteria into the urinary tract.

Question 6 of 25

A resident begins to have a tonic-clonic (grand mal) seizure while sitting in a chair. What is the CNA’s first priority?

The priority during a seizure is to prevent injury. Lower them to the floor, protect the head, move furniture, and never insert anything into the mouth.

Question 7 of 25

You are caring for a resident who has a colostomy. When observing the stoma during pouch care, which of the following findings should be reported to the nurse immediately?

A normal, healthy stoma is beefy red or deep pink, indicating good blood flow. A pale, blue, or black stoma indicates ischemia (lack of blood flow) and is a medical emergency.

Question 8 of 25

Which of the following is considered ''subjective data'' when observing and reporting on a resident's condition?

Subjective data is what the resident reports or feels (symptoms), which you cannot measure yourself. Objective data (signs like BP, swelling, or intake) can be seen, heard, felt, or measured.

Question 9 of 25

When assisting a resident with passive Range of Motion (ROM) exercises, the CNA is performing ''abduction'' on the resident's leg. What does this mean?

Abduction is moving a body part away from the midline. Adduction is moving it toward the midline (adding it back to the body).

Question 10 of 25

A resident is exhibiting Cheyne-Stokes respirations. How would the CNA describe this breathing pattern to the nurse?

Cheyne-Stokes is a distinct, irregular breathing pattern often seen near the end of life, characterized by alternating deep/rapid breathing, shallow breathing, and apnea.

Question 11 of 25

What is the proper order for removing (doffing) Personal Protective Equipment (PPE) to minimize the risk of cross-contamination?

Gloves are the most contaminated and removed first. The order is Gloves, Goggles/Face Shield, Gown, then Mask/Respirator (removed last, often outside the room).

Question 12 of 25

A resident with diabetes requires routine foot care. Which action by the CNA is strictly prohibited?

CNAs are strictly prohibited from clipping the toenails of diabetic residents due to the high risk of poor healing, infection, and amputation from accidental nicks.

Question 13 of 25

A resident with dementia exhibits ''sundowning.'' Which intervention is most appropriate for the CNA to implement?

Sundowning is confusion and agitation in the late afternoon. A calm, well-lit environment reduces shadows and overstimulation, which trigger agitation.

Question 14 of 25

The CNA is preparing to administer an enema to a resident. Which position is most appropriate for this procedure?

The left Sims' position (left side-lying with the right knee flexed) follows the natural anatomical curve of the descending colon, allowing the enema fluid to flow in easily.

Question 15 of 25

A resident who recently had a hip replacement surgery is returning to the unit. What specific positioning precaution must the CNA maintain?

After hip replacement, crossing the legs (adduction) can cause the new hip joint to dislocate. An abduction pillow keeps the legs separated.

Question 16 of 25

While walking a resident with a gait belt, the resident becomes dizzy and begins to fall. What is the safest way for the CNA to handle this emergency?

Trying to catch or pull a falling resident can injure both the CNA and the resident. Easing them down your leg to the floor provides a controlled, safe descent.

Question 17 of 25

A resident has right-sided weakness and expressive aphasia following a stroke. How should the CNA communicate with them?

Expressive aphasia means the resident knows what they want to say but cannot form the words. Picture boards and simple phrases help them communicate without frustration.

Question 18 of 25

Which of the following tasks falls outside the legal Scope of Practice for a Certified Nursing Assistant in California?

CNAs cannot take medical orders from physicians under any circumstances; this is strictly the role of a licensed nurse.

Question 19 of 25

You are collecting a ''clean-catch'' midstream urine specimen. What is the proper procedure?

A clean-catch midstream urine test requires cleaning the area to remove external bacteria, voiding a small amount to flush the urethra, and catching the middle urine.

Question 20 of 25

You observe coffee-ground-like material in a resident's emesis (vomit) and dark, tarry stools. What do these signs indicate?

Coffee-ground emesis indicates digested blood in the stomach, and black, tarry stools (melena) indicate digested blood in the lower GI tract. Both are signs of dangerous internal bleeding.

Question 21 of 25

A resident has an Advance Directive (Living Will) stating they do not want to be resuscitated (DNR). The resident suddenly goes into cardiac arrest. What is your legal and ethical responsibility?

A DNR is a legal medical order that must be honored. Starting CPR on a resident with a DNR is considered battery and a violation of their legal rights.

Question 22 of 25

A Long-Term Care Ombudsman visits the facility. What is the primary role of the Ombudsman?

The Ombudsman is an independent advocate assigned by the state to protect the rights, health, and safety of residents in long-term care facilities.

Question 23 of 25

When taking a resident's oxygen saturation using a pulse oximeter, which of the following can cause a falsely low reading?

Pulse oximeters read oxygen saturation through the nail bed via light. Dark nail polish or poor circulation (cold hands) blocks the sensor and gives inaccurate low readings.

Question 24 of 25

The CNA notices that a resident’s oxygen nasal cannula is dislodged, and the flow meter is set to 4 liters per minute instead of the prescribed 2 liters. What should the CNA do?

CNAs can replace a dislodged cannula but cannot legally adjust oxygen flow rates, as oxygen is a prescription medication. The nurse must adjust the flow meter.

Question 25 of 25

A resident has Parkinson’s disease. Which of the following physical signs is the CNA most likely to observe?

Parkinson’s is a progressive neurological disease characterized by a shuffling gait, pill-rolling tremors, rigid muscles, and a loss of facial expressions (mask-like face).

Test Complete!