Certified Nursing Assistant Physical Care

1.Helen is resting in her recliner after a quiet transfer. An oral thermometer reads 101.8 F. She feels warm and is speaking in full sentences. What should you do?

2.Marco sits on the edge of the bed. His radial pulse feels uneven. You feel 20 beats in 15 seconds and then lose the pattern. What should you do?

3.Priya is awake and chatting after you count her pulse. You keep your fingers on her wrist and see her chest rise 8 times in 30 seconds. She is not short of breath. What should you record?

4.Samuel holds his breath and stares at your hand whenever you say you are counting respirations. How should you count them next time?

5.Aisha has a dialysis graft in her left arm. You need a blood pressure, and her right arm has no lines or restrictions. What should you do?

6.George had a mastectomy on the right. The care plan says not to use that arm for blood pressure. His left arm has no IV or injury. Where do you place the cuff?

7.Linh just finished a mug of hot coffee. The nurse has asked for an oral temperature. She is awake and has no oxygen mask. What should you do?

8.Ruth is unresponsive and breathing after a seizure has stopped. A coworker starts to slide an oral thermometer between her teeth. What should you do?

9.Omar is awake and wearing an oxygen mask. The nurse wants a temperature. A coworker reaches to remove the mask for an oral thermometer. What should you do?

10.You see a new aide counting Dorothy's pulse with a thumb pressed to her wrist. Dorothy is awake and calm. What should you tell the aide?

11.Kenji is awake and talking, but you cannot feel a radial pulse in his right wrist. His left wrist is free of injury. What should you do?

12.Rosa is resting in bed. You count 28 breaths in one quiet minute. She says she feels a little winded. What should you do?

13.Frank is hard to wake at the start of your night round. You count 8 shallow breaths in a full minute. What should you do?

14.Mei has been sitting quietly. On her bare left arm, which has no restrictions, you measure 168/96. She says she has a new mild headache. What should you do?

15.Arthur stands up from the toilet, says the room is spinning, and looks pale. Once he is safely seated you measure 88/56. What should you do?

16.Nadine's sweater sleeve is thick. A coworker wraps the cuff on top of the sweater and gets 142/88. Her arm has no medical restriction. What should you do?

17.Luis sits down after a fast walk in the hall. You are ready to take his blood pressure right away. He is not dizzy or short of breath. What should you do?

18.Esther winces and grabs her hip as you begin a turn. She rates the pain at 8 out of 10. She is awake and her breathing is easy. What should you do?

19.Harold is due for his morning weight. He is in a heavy robe and has not urinated. Yesterday he was weighed in a gown, after toileting, on this same scale, before breakfast. What should you do?

20.Fatima's morning weight, taken the same way as yesterday, is 4 pounds higher. Her ankles look puffier than they did yesterday. What should you do?

21.Irene cannot stand safely. The nurse asks you to obtain a height. She can lie fairly straight with help. What should you do?

22.Victor drank 4 ounces of juice and 8 ounces of milk. He also ate all of his toast. What fluid intake do you record?

23.Yolanda ate a 4-ounce cup of ice cream and drank nothing else at the snack. How should the ice cream be counted?

24.Patrick ate all of a cup that held 200 milliliters of ice chips and drank nothing else. Using the usual recording rule, what intake do you write?

25.Hana vomits 250 milliliters into a basin. She is awake, and you have turned her head to the side. What should you do next?

26.At the end of the shift, Cecil's catheter bag holds a small amount of dark amber urine. The tubing is straight and the bag hangs below the bladder. What should you do?

27.A coworker sets Grace's urine drainage bag on the floor so the tubing will not pull. The bag was previously hanging on the bed frame. What should you do?

28.Andre says his bladder feels full. The catheter tubing is pinched under his thigh, and no urine is moving toward the bag. What should you do first?

29.You empty Beatrice's drainage bag into a graduate. The spout is clean and the bag is back on the bed frame. How do you measure?

30.Sylvia is a woman without a catheter. You are washing the perineal area during her bath. Which stroke is correct?

31.Walter is uncircumcised and needs perineal care. You have retracted the foreskin and washed from the tip downward. What else must you do?

32.Carmen's condom catheter, applied earlier by another aide, has no space at the tip and is rolled tight. The penis looks dusky. You were trained in this care. What should you do?

33.Leo says the bath water feels cool. Both of his feet are still in the basin. How do you warm the water?

34.Ingrid has crusted drainage at the inner corners of both eyes. You are washing her face. How do you clean the eyes?

35.Hassan is ready for denture care. A coworker lifts a kettle of boiling water to pour over the dentures. What should you do?

36.Pearl's upper denture is folded inside a paper napkin on a tray that dietary is about to discard. What should you do?

37.Edith is unresponsive and breathing. The care plan includes mouth care. You have swabs and a small amount of water. How do you proceed?

38.Raymond's care plan says to use an electric razor because his medicine makes bleeding harder to stop. He asks for a blade shave because it feels closer. What should you do?

39.June has diabetes. Her toenails are long, and she asks you to cut them during foot care. What should you do?

40.Anton has diabetes. The care plan says to keep the spaces between his toes dry. He asks you to rub lotion there after the bath. What should you do?

41.Marisol is unsteady and is sitting on a shower chair with the water running. A call light rings in another room. What should you do?

42.Clyde is wet while seated at a group activity. He looks embarrassed and asks you quietly for help. What should you do?

43.Amina becomes short of breath while you are washing her legs. She was comfortable when the bath started. Her oxygen cannula is already in place at the set flow. What should you do?

44.Bernard has nerve damage and cannot feel heat in his feet. He says, "Make the bath water very hot," but he cannot tell how hot it is. What should you do?

45.Lois is alert and says she is modest. You are giving her a bed bath in a shared room. Supplies are already at the bedside. What should you do?

46.While you empty Clive's ostomy pouch, you notice the stoma is dark purple. Yesterday it was pink and moist. He says the skin around it burns. What should you do?

47.Thelma wears a hearing aid and is going to the shower. The aid is still in her ear as you reach the bathroom door. What should you do?

48.Edgar says the lunch menu is a blur. His glasses are in the top drawer of the bedside stand, and the lenses are smudged. What should you do?

49.Naomi had a stroke. Her left arm is weak and her right arm is strong. She has chosen a cardigan. How do you help her put it on?

50.Hugh is taking off a pullover. His right side is strong and his left side is weak. Which arm comes out first?

51.Patrice says, "No bath today. I am tired and cold." Her skin is clean, she is not soiled, and there is no emergency. What should you do?

52.Calvin has diabetes. During foot care you find a new blister on the side of his heel. The blister is intact. What should you do?

53.Wiley is still in bed. The care plan says to apply his knee-high elastic stockings before he gets up. You have been shown how. What should you do?

54.Malcolm's right cheek is weak. After lunch you see food packed in that cheek. He coughs once and then speaks a clear sentence. What should you do?

55.Gloria has her own teeth. The care plan includes gentle brushing. Today her gums bleed a little when you use a soft brush. What should you do?

56.Felix lies on his back through the morning. Both heels press into the mattress. The care plan has no special boot. What should you do?

57.Winnie has a red area on her sacrum. You press it gently and the redness stays. She says it is tender. What should you do?

58.Oscar is being turned onto his left side for a rest period. He has no special spine order. Which pillow placement is sound?

59.Dalila is short of breath and was lying flat when you found her. You have already called the nurse. She asks to sit up. There is no order that forbids raising the bed. What should you do while you wait?

60.Bert is ready for lunch. He can sit up, and nothing in the plan keeps him reclined. The tray is regular food with thin liquids. How should he eat?

61.Sung-ho has spinal precautions. The nurse asks you and two trained coworkers to turn him for linen care. How do you move him?

62.Nell has slid toward the foot of the bed. Another aide starts to pull her up by hooking both hands under her armpits. What should you do?

63.Ira cannot move his ankles. The care plan lists a foot-positioning device so the feet stay neutral while he is in bed. It is not ordered as a restraint. What should you do?

64.The nurse directed a brief turn onto Camille's abdomen. As soon as she is there she says, "I cannot breathe like this." What should you do?

65.Dexter needs to move up in bed. He can tolerate a lower head of the bed for a short move. You have a coworker and a draw sheet. What reduces shearing of his skin?

66.The nurse asks you to help Alma into Sims position before a procedure the nurse will perform. You are not asked to insert anything. What do you do?

67.Rufus has passive range of motion for the right knee in the care plan. As you support the leg, he says, "Stop, that hurts," and the knee resists. What should you do?

68.Leila can void on the toilet. The nurse asks you to collect a routine urine specimen and has reviewed the steps with you. Urine is in a clean collection hat. What should you do?

69.Norman is lying on his back. The plan includes hip abduction. He has no pain at the start of the movement. Which action matches the plan?

70.Petra's plan lists posterior hip precautions: do not bend that hip past a right angle, do not cross the legs, and do not turn the toes inward. She sits in a low chair and leans forward to tie her shoes. What should you do?

71.Ellis sits on the edge of the bed to dangle. Within seconds he says he is dizzy and his face looks pale. His feet are on the floor. What should you do?

72.Colette is moving from bed to a wheelchair. Her right side is strong and her left side is weak. The brakes work. What setup is correct?

73.Milo is walking with a gait belt when his knees buckle. You cannot keep him standing. A clear space is beside you. What should you do?

74.Adele uses a walker. Her right leg is weak and her left leg is strong. She is wearing nonskid shoes. How should she move forward?

75.Homer uses a cane. His left leg is weak and his right leg is strong. Which pattern matches the way he was taught?

76.You must take Janine down a steep ramp in a wheelchair. She cannot walk the ramp. How do you keep the chair under control?

77.Silas is transferred with a mechanical lift. You were trained, and the plan names the lift and the sling size. A second aide is with you. What else is required?

78.Vera has a fresh abdominal incision and a dressing the nurse just checked. The plan says not to place a gait belt over that incision. She needs to get to a chair. What should you do?

79.Tomas wants to walk to the bathroom in sock feet because his shoes feel tight. The tile is smooth and dry. His feet look more swollen than yesterday. What should you do?

80.Claudine's left side is weak. You are about to walk with her using a gait belt over her clothing. Where do you stand, and how do you hold the belt?

81.Emery's care is done. He is in bed, the wheels are unlocked, the bed is still at your waist, and the call light is across the room. He can use the light. What do you do before you leave?

82.Ruthie eats so fast that she coughs and her eyes water. She can still speak after each cough. Her diet is regular food and thin liquids. What should you do?

83.Lester's plan says nectar-thick liquids. Dietary sent nectar-thick juice. He asks you to stir in water because it feels too heavy. What should you do?

84.Amira is NPO before a test. Her daughter brings hot coffee and asks you to allow one sip. Amira reaches for the cup. What should you do?

85.Gordon cannot see his plate. He already knows the clock-face method and wants to feed himself. How do you help?

86.Faye's meal plan is a diabetic tray. She points to a frosted cupcake on another resident's tray and asks you to bring it to her. What should you do?

87.Cyril has a fluid limit written on the care plan. You start the shift with a full water pitcher at his bedside. He is thirsty and can swallow safely. What should you do?

88.Nia's plan says to encourage fluids. She likes apple juice, and her swallowing plan allows thin liquids. She has had only a few sips all morning. What should you do?

89.Horace had a stroke. The plan says to place food in the left side of the mouth, which is the stronger side. He is upright in bed at about 75 degrees. What else should you do?

90.Estelle's tube-feeding pump is alarming. She has slid until she is almost flat. You have not been assigned to operate the pump. She is awake and not coughing. What should you do?

91.Rubin is eating lunch when he suddenly cannot speak, cough, or breathe. He clutches his throat and looks panicked. What should you do?

92.Callie coughs hard after a bite of bread. She can still talk and says, "I'm okay, it's stuck a little." Her cough is strong. What should you do?

93.You helped Amos with toileting and have removed your gloves. Your hands look clean. He is not on a special isolation order. What do you do before touching his toothbrush?

94.Urine splashes onto your bare hands while you empty Delia's urinal. A sink is right there. What should you do?

95.Freda is on contact precautions for C. diff. You helped her to the commode and are ready to leave the room. What should you do?

96.A clean sheet for Lionel slips off the bed and lands on the floor. No one has stepped on it yet. What should you do with that sheet?

97.Another aide snaps a clean top sheet high in the air over Sora's empty bed to smooth the wrinkles. What should you say?

98.Hazel's nosebleed has stopped, and she is sitting safely with a coworker. A small puddle of blood is on the bathroom tile. What is the right cleanup?

99.Otto is on contact precautions. The door sign lists a gown and gloves. He is wet and asking for a brief change. What should you do?

100.Mina's door sign says airborne precautions and requires a fit-tested respirator. You have never been fit-tested. She calls for a drink of water, and her plan allows water. What should you do?

101.Chester is on droplet precautions. You need to carry in his meal tray. The sign lists a surgical mask. He is awake and hungry. What should you wear and do?

102.A coworker says gloves mean hand hygiene can be skipped during Pilar's routine morning care. Pilar has no isolation sign. What should you do?

103.Gus needs a brief change in the dayroom. The correct waste container is in the soiled utility room down the hall. What do you do with the used brief?

104.Renata has no isolation sign. You are about to empty her urinal, and urine can splash. What protection do you use?

105.Your facility does not allow artificial nails for direct care. A coworker with long artificial nails is about to start Lila's bath. What should you do?

106.While you change Ernest's sheet, a used needle slides out of the linen. It has no cap. What should you do?

107.Boyd is sitting up when his nose starts to bleed. He is awake and can follow directions. Blood is dripping from the front of his nose. What should you do?

108.Imani is sitting in a chair when her body begins to jerk. She starts to slide. The space around the chair is crowded with a footstool. What should you do?