This is the second of our free CNA practice tests, and it feature 60 more challenging Certified Nursing Assistant practice questions. These CNA test questions are great for your test prep. Topics covered include safety, infection control, personal care, mental health, communication, role of the nurse aide, and basic nursing skills. Answers and explanations are included for each question. Try our free CNA practice exam now!
Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should:
encourage coughing and deep breathing and limit fluid intake.
provide only passive range of motion, and decrease stimulation.
have the client lie as still as possible, and give adequate massage.
turn the client every 2 hours, and encourage coughing and deep breathing.
Justine (CNA) was instructed by the staff nurse to elevate the client’s casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she does which of the following?
Places the casted limb above the level of the heart.
Places the casted limb close to the body.
Places the casted limb below the level of the heart.
Places the casted limb at the level of the heart.
A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant?
A safety knot in the restraint straps.
Restraint straps that are safely secured to the side rails.
Jacket restraint straps that do not tighten when force is applied against them.
Jacket restraint secured so that two fingers can slide easily between the restraint and the client’s skin.
The nurse inserts a Foley catheter to relieve a client's urinary retention. Which of the following is an inappropriate action in caring for clients with an indwelling catheter?
Emptying the drainage bag every 6-8 hours.
Attaching the drainage bag to the lowest part of the siderails near the client’s feet.
Keeping the drainage bag below bladder level.
Positioning the tubing without dependent loops.
Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition?
Colas and sodas
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is:
Between 105°F and 120°F
Between 95°F and 110°F
Between 80°F and 93°F
Between 65°F and 80°F
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:
30 minutes after meals and at bedtime
30 minutes before meals and at bedtime
The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation?
Tactfully refuse the delegated task because you are limited in changing dressings on your own.
After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage.
In cleansing the wound, start from the surrounding skin towards the wound in longitudinal strokes.
In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.
Which is correct about ostomy care?
It is done under sterile technique.
It needs doctor’s order for changing of ostomy pouches.
Able clients can perform this procedure by themselves once they have been taught by the nurse.
The client can still defecate normally.
A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she:
applies the stockings while the client is on bed.
applies the stockings while the client is sitting on the chair.
applies the stockings while the client is sitting on the bed and dangles her feet.
applies the stockings while the client is standing.
The nursing assistant is aware that the purpose of the elastic stockings is to:
prevent blood clots.
hold dressings in place.
reduce swelling after injury.
prevent pressure sores.
A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can:
turn the oxygen on and off.
start the oxygen.
decide what device to use.
keep the connecting tubing secure and free of kinks.
After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg:
every 15 minutes.
every 2 hours.
Which of the following statements is correct pertaining to binders application?
A breast binder can be applied for breastfeeding mothers to relieve discomfort.
Straight abdominal binders are applied when the client is sitting on a chair.
The double T-binder is specifically used for male clients.
When securing a straight abdominal binder, help the client in a side-lying position to close it at the back using safety pins.
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose?
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:
Breathing comfortably only when sitting.
Restlessness, dizziness, and disorientation.
Cyanosis and increased pulse rate.
Increased temperature and decreased respiratory rate.
An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can done by:
placing the head of bed in 90° angle.
sitting up and leaning over a table with a pillow.
hyper-extending the neck while on high back rest.
placing the client on a high back rest using a pillow.
Which action is incorrect when flossing the client’s teeth?
Hold the floss between the middle fingers of each hand.
Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth.
Move the floss gently up and down between the teeth.
Use a new piece of floss for each tooth.
To obtain a 24-hour urine specimen, the nurse assistant should:
Collect each voiding in separate containers for the next 24 hours.
Discard the first voided specimen and then collect the total volume of each voiding in 24 hours.
For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided.
Keep a record of the time and amount of each voiding for 24 hours.
A client was fitted with a hearing aid. She understands the proper use and wear of this device correctly when she says that the device is turned on and adjusted to a:
One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:
are unable to speak.
have no difficulty in understanding spoken or written language.
are not able to express themselves meaningfully through speech.
speak very loudly at all times.
The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output?
Inform the nurse that the client has voided or defecated.
Do not document at all since it cannot be measured.
Record on the output side of the I&O sheet each time the bed is wet.
Review the client’s intake and record the same amount on the output side of the I&O sheet.
Which of the following are examples of fluid output that need to be recorded on the I&O sheet?
Urine and blood loss.
Urine, blood loss, and excessive perspiration.
Urine, emesis, blood loss, and excessive perspiration.
A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client?
Eating his lunch.
Use of cotton bedclothes.
Shaving using an electric razor.
Talking with visitors.
Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?
Tied shoes to promote stability.
Velcro clothing, slip-on shoes, and rubber grippers.
Buttoned clothing, slip-on shoes, and rubber grippers.
Which of the following is not included in the care of clients with a pacemaker?
The client is not allowed to be around electrical appliances.
The client can operate a microwave.
The client should avoid magnetic wands in airports.
Cellular phone use should be monitored closely.
Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?
Ask the client what her previous meal contained.
Ask the nurse to observe the stool.
Dispose of the stool and report the color to the nurse.
Ask a co-worker if this is normal for this client.
Which is NOT a rule for collecting specimens?
Follow the rules of medical asepsis.
Use the correct container.
Label the container accurately.
Collect the specimen when you have time.
A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear?
A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate?
Cover the hole with tape.
Report to the nurse immediately.
Disconnect the drainage bag from the catheter and replace it with a new bag.
Place a towel under the bag to prevent spillage of urine on the floor, which could cause the client to slip and fall.
Which of the following methods should be used to collect a specimen for urine culture?
Have the client void in a clean container.
Clean the foreskin of the penis of uncircumcised men before specimen collection.
Have the client void into a urinal, and then pour the urine into the specimen container.
Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.
The nursing assistant is correctly providing penile hygiene to an unconscious clients if she:
uses warm water without soap.
dries all areas of the penis thoroughly.
washes from the base of the shaft to the tip.
avoids retracting the foreskin if not circumcised.
A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment?
Dispose of the equipment after each use.
Wear gloves while handling the equipment.
Use only the equipment with other clients in airborne isolation.
Leave the equipment in the room for use only with that client.
To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?
Wrap the bandage around the arm loosely.
Apply the bandage while stretching it slightly.
Apply heavy pressure with each turn of the bandage.
Start applying the bandage at the upper arm and work toward the lower arm.
The following information is recorded on an intake and output record: milk 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can Ensure oral nutritional supplement, 240 ml; 50 ml water after twice daily medications. Medications as given by the nurse at 9:00 AM and 9:00 PM. What is the client’s total intake for the 7:00 AM to 3:00 PM shift?
While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won’t lie on the tubing. Which of the following rationales explains the nursing assistant’s action?
To inhibit drainage.
To allow drainage to occur.
To allow the urine to collect in the tubing.
To have the client check the tubing for urine.
A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client's safety?
Don't allow him to leave his room.
Remove all sharp and cutting objects.
Give him the opportunity to ventilate his feelings.
Stay with him at all times.
A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato soup!" Which of the following actions by the nurse assistant would be correct?
Focusing on the emotional reaction.
Clarifying the meaning of his statement.
Giving him step-by-step directions.
Doing the procedure for him.
When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should:
call a priest.
counsel the client.
report immediately to the nurse.
refer the matter to the police.
A divorced 33-year-old former drug addict, is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships?
Have get-well cards sent anonymously.
Provide paper and pen for letter writing to his sons.
Spend time with him after work hours.
Leave him alone to allow for meditation.
Clients and families have the right to receive care that is:
determined necessary by the health team.
culturally acceptable to them.
dictated as appropriate by medical research.
technologically advanced and inexpensive.
When caring for a dying client, the nurse aide should perform which of the following activities?
Encourage the client to reach optimal death.
Assist the client to perform activities of daily living.
Assist client towards a peaceful death.
Motivate client to gain independence.
When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?
As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care?
Beans and tortillas.
Cheese and olive oils.
Vegetables and rice.
Red meat and potatoes.
Which of the following techniques would you use when interviewing a 94-year-old patient?
Using a low-pitched voice.
Enunciating each word slowly.
Varying voice intonations.
Reinforcing the words with pictures.
A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation?
“I’m sorry, I don’t know.”
“I’m sure it’s nothing to worry about. You look fine to me.”
“I don’t have any information as of the moment, but I’ll find out for you.”
“You need to ask your doctor about that, not me.”
A client in the long term facility tells the nursing assistant “I am too depressed to talk to you. Leave me alone.” Which of the following response by the nursing assistant is most therapeutic?
"I’ll be back in an hour."
"Why are you so depressed?"
"I’ll sit with you for a moment."
"Call me when you feel like talking to me."
A client says to you “I am worthless person, I should be dead.” What is the best response that you, the nursing assistant, can make?
“Don’t say you are worthless, you are not a worthless person.”
“We are going to help you with your feelings.”
“What makes you feel you’re worthless?”
“What you say is not true.”
A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client’s needs while preventing sensory overload?
Allow all the client’s family members to stay with the client.
Have conversation at the bedside directed to the client.
Keep the television or radio on for the client continuously.
Keep the overhead light on at all times.
Legally, clients’ charts are:
Owned by the government since it is a legal document.
Owned by the doctor in charge and should be kept from the administrator for whatever reason.
Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge.
Owned by the client and should be given by the nurse to the client as requested.
The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident’s missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of which of the following?
Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again?
Enroll in a refresher course.
Undergo a retraining and a new competency evaluation.
Competency evaluation only.
No other requirements are required. Just present letter of intent to the Board to go back to work.
It’s a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Teramycin ointment and gives you instructions to apply it to a patient's eyes. How would you respond to this?
Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure.
As assistant to the nurse, follow the nurse’s request and apply the ointment to the patient's eyes.
Ask the nurse to be with you during the application of the ointment.
Politely refuse the nurse’s request and explain your job limitations as a nursing assistant.
During a nursing assistant's orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except:
Use terms with many meanings.
Be brief and concise.
Present information logically and in sequence.
Give facts and be specific.
A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer?
Ask the caller what telephone number he is trying to reach.
Ask the caller to “Please hold, an operator will get to you shortly”, then go back to unfinished tasks.
Refer the call to the nurse on duty. The nurse will transfer the call herself.
D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.
A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to:
Immediately walk out of the client’s room and answer the phone call.
Cover the client, place the call light within reach, and answer the phone call.
Finish the bed bath before answering the phone call.
Leave the client’s door open so the client can be monitored and the nurse aide can answer the phone call.
The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client’s condition throughout her stay at the hospital. The nursing assistant therefore reads the:
Nursing discharge summary
On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client’s medical record?
“It is most likely that the client attempted to climb over the side rails and fell.”
“Upon entering the room, the client was found lying on the floor.”
“The client had been restless all evening and was trying to get out of bed.”
“The presence of a bed alarm could have prevented the fall.”
Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse’s station?
Log out and sign off all computer screens before leaving a terminal.
Share passwords for computer access with colleagues who have forgotten their own passwords.
Periodically change computer access passwords.
Prevent an unidentified healthcare worker from viewing computer records.
A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant should:
speak loudly and slowly.
stand close to the client and speak slowly.
use an interpreter to speak to the client.
speak to the client and family together to increase the chances that the topic will be understood.