Nursing assistant (CNA) knowledge worksheet with answers

What is a catastrophic reaction in a resident with dementia?

1. AA severe allergic reaction to a new food
2. BA sudden, extreme overreaction to too much stress
3. CA sudden drop in blood pressure after standing up quickly
4. DA calm, quiet period after lunch

What is neglect?

1. AWaiting a few minutes before answering a call light during a busy shift
2. BGiving a resident too much help with care
3. CRespecting a resident's choice to refuse care
4. DFailing to give the care or services that a resident needs

Which of these is recorded as fluid output?

1. AFluid given through an IV line
2. BTube feeding
3. CCoffee at breakfast
4. DVomit (emesis)

A dying resident's mouth is dry. Which comfort measure is appropriate?

1. ALeaving the mouth alone to avoid disturbing her
2. BFrequent mouth care and moistening the lips
3. CCleaning the mouth only once a day
4. DLarge glasses of water every hour

How is a clean-catch (midstream) urine specimen collected?

1. ACollect the very first urine of the day straight into the sterile container
2. BClean the area, start urinating, then catch the middle of the stream
3. CPour urine from the catheter drainage bag into the container
4. DCollect urine from a bedpan that has toilet paper in it

How can a stool specimen be kept from being contaminated?

1. AHave the resident urinate first and keep toilet paper out of it
2. BMix the stool with water before putting it in the container
3. CLeave the specimen uncovered in the bathroom until the end of the shift
4. DCollect the specimen from the toilet water after flushing

A visitor asks the nursing assistant which residents on the unit have HIV, so that she can avoid them. What should the nursing assistant do?

1. ASay that health information is private, and HIV is not spread by casual contact
2. BGive her the names, because she is only trying to protect her own health
3. CTell her she may read the residents' charts at the nurses' station if she is careful
4. DPoint out the rooms of those residents without saying any of their names

A frail resident starts shivering during a bed bath. What should the nursing assistant do?

1. ATake off the bath blanket so the bath can be finished faster
2. BOpen the window to let in fresh air so she does not feel faint
3. CKeep her covered, uncover only the part being washed and finish promptly
4. DStop the bath and leave her uncovered and still wet until she has warmed up