CNA practice test 1

1. A facility is hiring a nurse aide who has recently completed a state-approved competency evaluation but is not yet listed in the state registry. What is the facility required to do regarding this individual's status?

1. Follow up to ensure that the individual actually becomes registered.
2. Allow the individual to work indefinitely without further verification.
3. Require the individual to retake the competency evaluation immediately.
4. Transfer the individual to a different facility with a faster registry process.

2. A resident is receiving enteral feeding via a gastrostomy tube. According to the regulations, what specific complications must the nurse aide help prevent?

1. Aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers
2. Bedsores, joint contractures, muscle atrophy, and skin breakdown
3. Hypertension, hyperglycemia, hyperlipidemia, and obesity
4. Anxiety, depression, social isolation, and loneliness

3. When installing a bed rail, how should a nurse aide determine the appropriate dimensions for the bed?

1. By ensuring the bed's dimensions are appropriate for the resident's size and weight.
2. By selecting the largest bed available in the facility.
3. By matching the bed size to the standard room dimensions.
4. By choosing the bed that fits the most number of residents.

4. If a state withdraws approval from a nurse aide training program, what happens to students who have already started the course?

1. They must be allowed to complete the course
2. They must immediately transfer to another facility
3. They must repeat all previous hours
4. Their certification is automatically revoked

5. A resident's spouse lives in the same facility, and both spouses consent to sharing a room. What is the correct procedure for the nurse aide regarding their housing arrangement?

1. Facilitate the arrangement so the spouses can share a room, as both have consented.
2. Separate the spouses to ensure each has their own private room for better sleep hygiene.
3. Require the spouses to live in separate wings of the facility to minimize noise disturbances.
4. Deny the request because sharing rooms is only permitted for unrelated roommates.

6. According to CDC guidance, when should a nurse aide prefer alcohol-based hand sanitizer (ABHS) over soap and water?

1. When hands are visibly soiled
2. When caring for a patient with suspected C. difficile infection
3. When hands are not visibly soiled
4. When the sanitizer bottle is empty and needs refilling

7. A patient is suspected of being infected with pathogens transmitted by respiratory droplets. What is the primary source control measure the nurse aide should ensure for this patient?

1. Place the patient in a negative pressure room
2. Put a mask on the patient
3. Have the patient wear a face shield only
4. Keep the door to the room closed at all times

8. A resident asks the nurse aide which specific types of issues they can include in a complaint filed with the State Survey Agency. Which list accurately reflects the examples provided in the regulation?

1. Resident abuse, neglect, exploitation, misappropriation of resident property, non-compliance with advance directives, and requests for information regarding returning to the community
2. Staff scheduling conflicts, meal preferences, room temperature adjustments, and laundry service delays
3. Insurance billing errors, pharmacy prescription delays, and physician consultation wait times
4. Visitation hours, holiday decorations, and common area cleanliness standards

9. According to CDC guidance, which specific pathogens are primarily associated with occupational transmission via needlesticks and other sharps injuries?

1. Hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV)
2. Influenza, Rhinovirus, and Norovirus
3. Staphylococcus aureus, Streptococcus pneumoniae, and Clostridioides difficile
4. Measles, Mumps, and Rubella

10. How must vacuum lines be protected in a research laboratory setting according to the standard?

1. With liquid disinfectant traps and HEPA filters or equivalent.
2. With standard paper filters replaced weekly.
3. With open vents to ensure proper airflow.
4. With cotton plugs to catch large particles.

11. Following an exposure incident, the employer identifies the source individual. Under what condition is testing the source individual's blood for HBV and HIV infectivity NOT required?

1. When the source individual is already known to be infected with HBV or HIV.
2. When the exposed employee refuses consent for their own blood testing.
3. When the exposure occurred via intact skin rather than mucous membranes.
4. When the source individual is a minor child.

12. When a nurse aide is assisting a resident with transfers, ambulation, eating, and dressing, which specific method is required by the training curriculum?

1. Using assistive devices
2. Restricting movement to prevent falls
3. Performing all tasks for the resident to save time
4. Ignoring the resident's ability to participate

13. Which entity is authorized to place findings of abuse, neglect, or misappropriation of property on the state nurse aide registry?

1. Only the State survey and certification agency.
2. The employing nursing facility or home health agency.
3. The individual nurse aide who received the finding.
4. Any non-State entity contracted to operate the registry.

14. An individual fails the nurse aide competency evaluation on their first attempt. According to federal regulations, what must the individual be advised regarding future attempts?

1. They have exactly two opportunities remaining to pass.
2. They have at least three opportunities to take the evaluation.
3. They must wait one year before retaking the evaluation.
4. They are permanently ineligible for the registry after one failure.

15. A nurse aide is assigned to handle infectious agents for the first time. According to the standard, how should the employer structure the aide's initial work activities?

1. The aide must demonstrate proficiency in handling infectious agents before participating in those specific work activities.
2. The aide should begin handling infectious agents immediately to gain experience, with supervision provided as needed.
3. The aide is required to have prior experience in handling human pathogens before being assigned any duties.
4. The aide may handle infectious agents immediately if they have completed a general orientation session.

16. What is the required standard of care for a resident who enters the facility without limited range of motion?

1. The facility must ensure the resident does not experience reduction in range of motion unless the clinical condition demonstrates it is unavoidable.
2. The facility must immediately restrict movement to prevent falls.
3. The facility should allow natural aging to reduce range of motion without intervention.
4. The facility must encourage bed rest to conserve energy.

17. A nurse aide is asked to provide a copy of their training records to a union representative. According to the standard, who is authorized to receive these specific records upon request?

1. Only the Assistant Secretary of Labor.
2. The employee, employee representatives, the Director, and the Assistant Secretary.
3. Only the employee themselves, with no other parties allowed.
4. Any person within the workplace without needing written consent.

18. When is hepatitis B vaccination required to be made available to a new employee with occupational exposure?

1. Within 10 working days of initial assignment.
2. Immediately upon the first shift worked.
3. Only after the employee has completed one year of employment.
4. Before the employee receives any required training.

19. How must a facility inform a resident of their rights and the rules governing conduct during their stay?

1. Both orally and in writing in a language that the resident understands.
2. Only in writing, to ensure there is a permanent record.
3. Only orally, to avoid confusing the resident with paperwork.
4. Through a posted sign in the hallway that the resident must read.

20. A nurse aide is checking the alcohol content of a new bottle of hand sanitizer before placing it in the supply closet. What is the maximum alcohol content by volume permitted for the dispenser according to the NFPA Life Safety Code?

1. 95%
2. 80%
3. 70%
4. 60%

21. What is the recommended minimum duration for rubbing hands together vigorously when washing with soap and water?

1. At least 5 seconds
2. At least 15 seconds
3. Exactly 60 seconds
4. Until the water runs clear

22. How long must a facility retain its posted daily nurse staffing data?

1. For a minimum of 18 months, or longer if required by State law.
2. For exactly 12 months regardless of State law.
3. Until the next annual renewal by the Secretary.
4. For 6 months, unless the facility is in a rural area.

23. According to CDC core infection prevention practices, when must healthcare personnel receive job-specific infection prevention education and training?

1. Only during initial orientation and never again
2. Before performing duties and at least annually as a refresher
3. Only when a new pathogen is identified by the CDC
4. Every five years during the facility's accreditation cycle

24. A nurse aide drops a glass beaker containing blood into a bin. How should the aide clean up the broken glass?

1. Pick it up carefully with bare hands to avoid breaking more glass.
2. Use mechanical means such as a brush and dust pan, tongs, or forceps.
3. Leave it in the bin and wipe around it with a paper towel.
4. Use a sponge to absorb the blood and lift the glass with fingers.

25. Which of the following is a correct practice regarding the reuse of disposable gloves according to infection prevention guidelines?

1. Do not wash gloves for the purpose of reuse.
2. Wash gloves with soap and water if they are not visibly dirty.
3. Reuse gloves for multiple patients if they are clean.
4. Store used gloves in a sealed bag for later use.