CNA Basic Nursing Skills 20

Question 1

The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first

Accepted Answer

All of the above

Answer

Before performing any procedure, including taking vital signs, a nurse aide must always follow a sequence of critical steps. These include washing hands to prevent infection, identifying the patient to ensure correct care, and gathering all necessary equipment. Completing all these steps ensures patient safety, accuracy, and adherence to infection control protocols.

Question 2

Meal trays have arrived. Before serving each tray the nurse aide should

Accepted Answer

check each armband, even on familiar patients.

Answer

Even with familiar patients, it is crucial to check each armband before serving a meal tray. This step is a fundamental safety protocol to ensure that the correct resident receives the correct meal, preventing potential allergic reactions, dietary errors, or medication interactions. Patient identification is paramount in all aspects of care.

Question 3

Which of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse?

Accepted Answer

B/P 190/114

Answer

A blood pressure reading of 190/114 mmHg is critically high and indicates severe hypertension, often referred to as a hypertensive crisis. This level of elevation poses an immediate risk of serious complications like stroke, heart attack, or organ damage. Therefore, it must be reported to the charge nurse immediately for urgent medical assessment and intervention.

Question 4

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is

Accepted Answer

notify the IV nurse that the infusion appears to have infiltrated.

Answer

The symptoms of pain and puffiness around an IV site strongly suggest infiltration, where the IV fluid leaks into the surrounding tissue. As a CNA, managing IVs is outside your scope of practice. The correct and safest action is to immediately notify the IV nurse, who is trained and authorized to assess and intervene in such situations.

Question 5

Who orders a warm or cold application?

Accepted Answer

doctor

Answer

Warm or cold applications are considered medical treatments that can significantly impact a patient's physiological state. Therefore, they must be prescribed by a licensed physician (doctor) to ensure they are appropriate for the patient's condition and to prevent potential harm. CNAs, nurses, or directors of nursing cannot independently order these therapeutic applications.

CNA Practice Test

CNA Practice Test

CNA Basic Nursing Skills 20