CNA Basic Nursing Skills 7 — Questions and Answers

Question 1: The purpose for padding side rails on the client’s bed is to

protect the client from injury (Correct answer)
keep the client warm
use them as a restraint
have a place to connect the call signal

Correct answer: protect the client from injury

Padding side rails on a client's bed is a safety measure specifically implemented to prevent injuries. The padding acts as a cushion, protecting the client from bumping against the hard rails, especially if they are restless, prone to seizures, or at risk of falling out of bed. It is a crucial part of creating a safe environment for patients.

Question 2: What is the term for a device used to take the place of a missing body part?

Pronation
Prosthesis (Correct answer)
External rotation
Abduction

Correct answer: Prosthesis

A prosthesis is an artificial device designed to replace a missing body part, such as a limb, joint, or organ. Its purpose is to restore some of the function or appearance of the lost body part. Examples include prosthetic legs, arms, or even artificial heart valves.

Question 3: Which of the following is a correct measurement of urinary output?

1 quart
40 oz
2 cups
300 cc (Correct answer)

Correct answer: 300 cc

Urinary output is typically measured in milliliters (mL) or cubic centimeters (cc), which are equivalent units (1 mL = 1 cc). While 1 quart, 40 oz, and 2 cups are valid measurements of volume, 300 cc is the only option presented in the standard unit for medical fluid measurement. It represents a specific and common quantity for recording urinary output.

Question 4: To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client’s

upper thigh (Correct answer)
hip
bed frame
bed sheet

Correct answer: upper thigh

Taping a male client's catheter tube to the upper thigh is a standard procedure to prevent accidental dislodgement or pulling of the catheter. This placement helps to secure the tube, reduce tension on the urethra, and minimize the risk of injury or discomfort when the client moves or is turned. It ensures the catheter remains in place safely.

Question 5: Clean bed linen placed in a client’s room but NOT used should be

taken to the nurse in charge
returned to the linen closet
put in the dirty linen container (Correct answer)
used for a client in the next room

Correct answer: put in the dirty linen container

Any clean bed linen brought into a client's room, even if unused, is considered contaminated once it has entered the patient environment. To prevent the spread of microorganisms and maintain infection control standards, it must be treated as dirty linen and placed in the designated dirty linen container. It should never be returned to the clean linen closet or used for another client.

Question 6: Insulin, a hormone, regulates

The strength of the skeletal muscles
The rhythm of the heart
The amount of salt retained in the blood
The amount of sugar in the blood (Correct answer)

Correct answer: The amount of sugar in the blood

Insulin is a vital hormone produced by the pancreas that plays a central role in regulating blood glucose (sugar) levels. It helps cells absorb glucose from the bloodstream for energy or storage, thereby lowering blood sugar. A deficiency or resistance to insulin leads to conditions like diabetes.

Question 7: The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet?

Nothing
Cloth-soled slippers
Rubber-soled slippers or shoes (Correct answer)
Socks or stockings only

Correct answer: Rubber-soled slippers or shoes

When helping a client walk, it is crucial to ensure their footwear provides good traction and stability to prevent falls. Rubber-soled slippers or shoes offer the best grip on various floor surfaces, reducing the risk of slipping. Cloth-soled slippers or socks alone do not provide adequate friction and can be dangerous.

Question 8: When operating a manual bed, the nurse aide should remember to

elevate the client’s head at all times.
fold cranks under bed. (Correct answer)
lock the wheels when the cranks are folded.
keep the bed in the neutral position.

Correct answer: fold cranks under bed.

When operating a manual bed, it is essential to fold the cranks under the bed after adjusting the bed's position. This prevents people from tripping over them, ensures they are out of the way for client and staff safety, and keeps the immediate area clear. Leaving cranks extended can create a hazard.

Question 9: The nurse aide is responsible for all of the following fire prevention measures EXCEPT

participating in fire drills.
taking cigarettes and matches away from all clients and visitors. (Correct answer)
reporting all damaged wiring and/or sockets in clients’ rooms.
being aware of the locations of fire extinguishers.

Correct answer: taking cigarettes and matches away from all clients and visitors.

While fire prevention is a critical responsibility for nurse aides, taking cigarettes and matches away from all clients and visitors is not typically within their scope of practice or authority. This action would infringe on personal property and autonomy, and smoking policies are usually managed through designated areas or specific facility rules. Nurse aides are responsible for reporting hazards and participating in drills, but not confiscating personal items.

Question 10: What is the condition when patients are unable to control their bladder?

Urinary retention
Urinary tract infection
Urinary inflammation
Urinary incontinence (Correct answer)

Correct answer: Urinary incontinence

Urinary incontinence is the medical term for the involuntary leakage of urine, meaning a person is unable to control their bladder. This condition can range from occasional leaks to a complete inability to hold any urine. It is distinct from urinary retention (inability to empty the bladder), infection, or inflammation.

Question 11: Of the symptoms below, which one is most associated with Rheumatoid Arthritis?

Inflamed, black and blue patches around joints
Inflamed but painless joints
Joints are warm, red, painful and swollen (Correct answer)
Stiffness and discomfort in the joints.

Correct answer: Joints are warm, red, painful and swollen

Rheumatoid Arthritis (RA) is a chronic inflammatory autoimmune disease that primarily affects the joints. Characteristic symptoms include inflammation, which manifests as warmth, redness, pain, and swelling in the affected joints. This inflammation can lead to joint damage and deformity over time, making the correct answer the most accurate description of its symptoms.

Question 12: When a new ambulatory patient is admitted, the nurse aide should always

ask if they are hungry
instruct on how to use the call light. (Correct answer)
measure intake and output.
give a tour of the facility.

Correct answer: instruct on how to use the call light.

Upon admission, instructing a new ambulatory patient on how to use the call light is a top priority for nurse aides. This crucial step ensures the patient can immediately summon help for any needs or emergencies, promoting their safety and independence within the facility. It empowers them to communicate effectively with staff.

Question 13: Food moves more slowly through the digestive tract of older people. What is a common consequence?

Bowel incontinence
Enteric conditions
Diarrhea
Constipation (Correct answer)

Correct answer: Constipation

As people age, the muscles of the digestive tract often weaken and slow down, leading to reduced peristalsis. This slower movement allows more water to be absorbed from the stool, making it harder and more difficult to pass. Consequently, constipation is a very common gastrointestinal issue among older individuals.

Question 14: When admitting a new client, which of the following should a nurse aide observe and record?

Wrinkles
Bruises (Correct answer)
Moles
Freckles

Correct answer: Bruises

When admitting a new client, observing and recording bruises is essential for a nurse aide. Bruises can indicate recent injury, potential abuse, or underlying medical conditions that affect clotting. Documenting their presence, size, and location establishes a baseline and helps monitor for any changes or new injuries during the client's stay.

Question 15: What does the abbreviation BID stand for?

Three times a day
Two times a day (Correct answer)
Before dinner
Four times a day

Correct answer: Two times a day

BID is a common medical abbreviation derived from the Latin phrase 'bis in die,' which translates to 'twice a day.' Healthcare professionals use this abbreviation to clearly indicate the frequency of medication administration or treatments, ensuring consistent and correct patient care.

Question 16: What type of isolation precautions are necessary for a patient with a gastrointestinal infection?

Drainage Precautions
Enteric Precautions (Correct answer)
Respiratory Precautions
Secretion Precautions

Correct answer: Enteric Precautions

Gastrointestinal infections are typically spread through the fecal-oral route, meaning pathogens are present in stool. Enteric precautions, also known as contact precautions, are specifically implemented to prevent the transmission of these infections. They involve strict hand hygiene and the use of gloves and gowns when interacting with the patient or their environment.

CNA Basic Nursing Skills 7

The purpose for padding side rails on the client’s bed is to