CNA and HCA theory questions

1: A nursing assistant can show that he is listening carefully to a resident by:
A: ~ Looking away when a resident talks
B: ~ Changing the subject often
C: ~ Rolling her eyes when the resident says something she doesn’t agree with
D: ~ Responding to the resident when it’s appropriate
The answer is D. EXPLANATION: The other items would be disrespectful when listening to a client. The last option shows the best way to demonstrate you are listening to a client.
2: What is the primary goal of hospice care?
A: ~ Rehabilitation
B: ~ Restoration of abilities after injury or illness
C: ~ Giving comfort to those who have terminal illnesses
D: ~ Medical research
The answer is C. EXPLANATION: Hospice care provides support for those going through the dying process from a terminal illness. The other items are not goals of hospice care.
3: What is the definition of shock?
A: ~ Loss of sensation
B: ~ Shut down of the cardiovascular system.
C: ~ Heart attack.
D: ~ Point of view.
The answer is B. EXPLANATION: When someone experiences shock, their cardiovascular system stops working. Call 911 if someone is experiencing shock.
4: To BEST communicate with a client who is totally deaf, the nurse aide should:
A: ~ Smile frequently and speak loudly
B: ~ Smile often and talk rapidly.
C: ~ Avoid eye contact.
D: ~ Write out information.
The answer is D. EXPLANATION: For someone that is absolutely deaf, writing out information is the best way to communicate with them. We still want to provide eye contact. Speaking loudly or rapidly will not help someone who is deaf understand you.
5: If a person is hearing impaired:
A: ~ Get the person’s attention before talking
B: ~ Scold the person for not wearing a hearing aid
C: ~ Shout
D: ~ Avoid talking to the person
The answer is A. EXPLANATION: When talking to a person that has a hearing impairment, make sure you alert them with a visual cue like waving to them before speaking.
6: Call lights should be placed:
A: ~ Near the door of the resident’s room
B: ~ In a common area of the floor
C: ~ Within reach of the resident
D: ~ In any location that is convenient
The answer is C. EXPLANATION: We must always place call lights within reach of the client. The other locations are inappropriate and can cause a safety hazard for the clients if their needs aren't met as soon as possible. Clients cannot alert that they need you without call lights.
7: The pulse measures:
A: ~ Respiration
B: ~ Blood pressure
C: ~ Heart rate
D: ~ Activity
The answer is C. EXPLANATION: The pulse measures the heart rate of the client. It does not measure any of these other options.
8: A client wants to be alone with her husband. The nurse aide’s BEST response is to:
A: ~ Ask the client for an explanation.
B: ~ Provide privacy for the client
C: ~ Tell the client the nurse aide will check on her in five minutes.
D: ~ Leave the door to the client’s room open for safety.
The answer is B. EXPLANATION: It is best to provide privacy when clients want to be alone with their spouses. The other options are inappropriate responses to this situation.
9: If a client is angry or upset, you should:
A: ~ Try to learn the reason for the behavior
B: ~ Stay out of the client’s room
C: ~ Pay no attention to the client
D: ~ Tell the client that you will come back later
The answer is A. EXPLANATION: As care staff, talking to the client about their behavior can help the client get the assistance they need. If they are angry about something like not having their water cup you can go get the water cup. That will alleviate these negative feelings. Care staff can get help from the nurses if they feel uncomfortable properly assisting the client in these situations. The other three options do not help the client.
10: Which of the following statements about observing mentally ill residents is true?
A: ~ A nursing assistant does not need to report a comment about suicide if it is a joke.
B: ~ A nursing assistant needs to report changes in personality.
C: ~ Withdrawal does not need to be reported.
D: ~ A nursing assistant does not need to report an imagined physical symptom.
The answer is B. EXPLANATION: Whenever a nursing assistant observes a change, they need to report it immediately. We have to report any suicide comments even if you think the person is joking. Withdrawal or physical symptoms must be reported.