CNA Fundamentals — Proficiency Exam

15 questions · pass with 50%

1. A resident's daughter tells you her mother's blood pressure pill makes her dizzy and asks you to skip it tomorrow. What do you do?
Skip the pill as the family requestedExplain that families cannot change orders and continue as normalTell the charge nurse exactly what the daughter said and let the nurse handle itWrite a note in the chart saying the medication is to be held
2. You notice a resident's urine is dark and cloudy and she is more confused than yesterday. What is the correct way to communicate this?
Tell the nurse the resident has a urinary tract infectionDescribe the urine appearance, the odour, and the new confusion as facts to the nurseWait to see whether she improves before mentioning itAsk the resident whether she thinks she has an infection
3. Which of the following is normally within a CNA's scope of practice?
Applying a prescribed antibiotic cream to a rashChanging the dressing on an open pressure injuryMeasuring and recording a resident's oral temperature and radial pulseRemoving an indwelling urinary catheter that is no longer needed
4. The charge nurse asks you to do a transfer with a mechanical lift you have never been trained to operate. What is the professional response?
Attempt it carefully since a nurse assigned it to youTell the nurse you have not been trained on that lift and ask for training or another assignmentAsk another aide to do it without telling the nurseDo a manual transfer instead to avoid using the lift
5. Why is it a problem to chart your whole assignment from memory at the end of the shift?
It is faster but the entries do not count toward staffing hoursAccuracy drops and the record becomes unreliable for the team and in a legal reviewFacility policy usually requires charting in alphabetical orderThe nurse cannot sign off entries made after lunch
6. A resident has Clostridioides difficile diarrhoea. You have just finished perineal care. What hand hygiene do you use?
Alcohol-based hand rub, which is faster and kills more organismsSoap and water, because alcohol does not remove C. difficile sporesAlcohol rub followed by a glove changeEither one, as long as you do it before leaving the room
7. Which is the correct order for removing PPE after caring for a resident on contact precautions?
Mask, gown, gloves, gogglesGown, gloves, goggles, maskGloves, goggles, gown, then mask after leaving the roomGoggles, mask, gloves, gown
8. You are stripping the bed of a resident with an incontinence episode. What is the correct handling of the soiled linen?
Shake it out over the floor to remove solids, then bag itRoll it with the soiled side inward and bag it in the room at the point of useCarry it to the hallway hamper in your arms and return for the clean linenPlace it on the overbed table while you make the clean bed
9. A door sign says airborne precautions. What is required before you enter?
A surgical mask and glovesA gown and gloves with the door left open for ventilationA fit-tested N95 respirator or higher, with the door kept closedStandard precautions only, since airborne organisms do not survive indoors
10. Which observation should you report to the nurse as a possible sign of infection?
A resident who slept later than usual and asked for extra coffeeA resident whose oral temperature is 100.6 degrees Fahrenheit and who is newly confusedA resident who declined the dessert at lunchA resident who asked to have the window closed
11. A resident just finished a mug of hot tea. You need an oral temperature. What do you do?
Take it now and note the tea in your chartingWait about 15 minutes before taking the oral temperatureTake an axillary temperature and record it as oralAdd one degree to whatever the thermometer reads
12. You are taking a blood pressure and only a small adult cuff is on the machine, though the resident has a large arm. What is the effect if you use it?
The reading will be falsely lowThe reading will be falsely highThe reading will be accurate as long as you inflate higherThe pulse will be affected but not the pressure
13. Which pulse finding means you must count for a full 60 seconds?
A pulse of exactly 72 beats per minuteA resident who has just woken upAn irregular rhythm with beats you cannot count evenlyAny pulse taken at the radial site
14. A resident's oxygen saturation reads 84 percent, but her hands are cold and the oximeter pulse rate does not match the pulse you feel. What is your action?
Record 84 percent and continue your roundAssume the machine is faulty and record the previous shift's valueWarm the hand, reposition the probe, recheck, and report the result to the nurse nowRemove the probe and recheck at the end of the shift
15. A resident drank two 8-ounce cups of coffee and a 4-ounce carton of juice. What total intake do you record?
360 mL480 mL600 mL720 mL

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