my quiz

The normal range for an adult’s oral temperature is between 97.6°F and 99.6°F. If the temperature falls outside this range, it may indicate a health issue like fever (if it’s higher) or hypothermia (if it’s lower). Monitoring body temperature is crucial for detecting signs of illness early.

The diastolic pressure is the bottom number in a blood pressure reading. It shows the pressure in the arteries when the heart is resting between beats. A normal diastolic pressure is usually between 60 and 80 mmHg. High diastolic readings may indicate heart problems.

Vital signs should be recorded as directed in the care plan, which may depend on the resident’s health status and facility protocols. It’s important to monitor vital signs regularly to detect any changes in the resident’s condition.

To get accurate weight readings, it’s important to weigh them at the same time each day using the same scale. This ensures consistency and helps track any changes in the resident’s weight over time.

Explanation: A normal pulse rate for a healthy adult is between 60 and 100 beats per minute. This rate can vary depending on factors such as age, fitness level, and activity level. If the pulse is too fast or too slow, it could indicate a health problem.

The most accurate way to count a resident’s respirations is to observe the chest movement without telling them. This is because if the resident knows you are counting, they may alter their breathing pattern.

Axillary temperatures are taken under the armpit. They are usually a bit lower than oral temperatures and are used when taking an oral reading is not possible.

A blood pressure reading of 180/100 is considered dangerously high and needs immediate attention. It must be reported to the nurse to prevent serious complications like a heart attack or stroke.

A temperature of 101.8°F could indicate an infection, which needs immediate reporting to ensure the resident receives proper medical care. Prompt action can help prevent further complications.

The apical pulse is taken by placing a stethoscope on the left side of the chest over the heart. This method is used to check the heart rate, especially in cases where the radial pulse is difficult to detect.

During a partial bed bath, the CNA should focus on cleaning the face, hands, underarms, and perineal area. Bacteria tend to build up the most in these areas, so keeping them clean is essential to the residents’ hygiene.

Frequent checks and changes are crucial for preventing skin breakdown. Moisture from incontinence can lead to skin irritation or pressure sores, so keeping the skin dry and clean is important for skin health.

Fowler’s position, where the resident is propped up at a 45–60 degree angle, is the best position for eating in bed. It aids in digestion and reduces the risk of aspiration (food or liquid entering the airway).

Encouraging residents to choose and assist in dressing promotes their independence, dignity, and confidence. Allowing them to participate helps maintain their sense of control.

Oral care for unconscious residents should involve a sponge swab to clean the mouth, and the resident’s head should be turned to the side to prevent choking or aspiration.

The most important reason for providing mouth care is to prevent infections and ensure the resident remains comfortable. This is especially important for residents who may have difficulty performing oral care independently.

Perineal care should be done daily and after episodes of incontinence. This helps prevent infections and skin irritation, ensuring the resident feels clean and comfortable.

Always dress the weak (affected) arm first. This reduces strain on the arm and makes dressing easier for the resident, as the weak arm is more vulnerable to injury.

A walker is considered assistive equipment because it helps residents walk more safely and independently. It provides support, especially for those with mobility issues.

Foot care involves checking for signs of redness, sores, or infection, particularly in diabetic residents. Keeping the feet clean and inspecting them regularly helps prevent serious complications.

Gloves are worn to prevent the spread of infection through bodily fluids or contact with contaminated items.

Hand hygiene must be done before and after resident contact, after using gloves, or any exposure to bodily fluids.

Standard precautions are used with all residents, and gloves must be worn during contact with blood or body fluids.

Isolation precautions require the strict use of PPE and adherence to posted instructions to prevent cross-contamination.

Masks and hand hygiene reduce the spread of respiratory droplets that can carry infections like the flu or COVID-19.

Reusable medical equipment like a BP cuff must be disinfected to prevent spreading infection between residents.

Gloves and disinfectants should be used immediately to clean up bodily fluid spills and avoid contamination.

Gowns must be rolled away from the body to avoid touching the contaminated surface.

When handling soiled linens, it’s essential to keep them away from your body to prevent the spread of germs or bacteria. Always place them directly into the designated dirty linen container to make sure they don’t come into contact with other surfaces or clean clothes. This helps prevent cross-contamination and ensures everyone’s safety.

With C. diff infections, using soap and water is a must because hand sanitisers can’t kill or remove the tough spores. Washing your hands properly helps stop the spread and keeps others safe.

Locking the wheelchair wheels prevents it from moving during transfer, ensuring the resident’s safety.

Side rails should only be used if ordered in the care plan; misuse can lead to injury or legal issues.

CNAs should protect the resident’s head and guide them gently to the floor to avoid injury.

The RACE protocol is a step-by-step guide used during a fire emergency in care settings. It stands for Rescue, Alarm, Contain, and Extinguish/Evacuate. It helps staff respond quickly and safely to protect residents and themselves.

Using the ID band and asking for the resident’s name ensures you provide care to the correct person.

If any equipment is broken or unsafe to use, it should be marked (tagged out) and reported immediately. This helps stop anyone from using it by mistake and getting hurt.

Abdominal thrusts should be started immediately for someone who cannot cough or talk due to choking.

To help prevent falls, important items like water, call bells, or personal belongings should be kept within easy reach. This way, residents won’t try to get up on their own and risk falling.

The first step in the RACE fire safety plan is Rescue, which means quickly moving anyone in immediate danger to a safe location before taking any other action. Safety always comes first in an emergency.

Any form of resident abuse must be reported right away. As a CNA, you are both legally and ethically responsible for protecting residents and reporting abuse without delay.

Speaking clearly and facing the resident helps with lip reading and ensures effective communication.

Every resident has the right to privacy and confidentiality, and they can refuse care based on personal choice.

Offering emotional support, like sitting with a resident and actively listening, can help ease their anxiety and make them feel safe, heard, and comforted.

Closing the door and ensuring privacy when providing care respects the resident’s right to confidentiality.

Personal information should only be shared with those directly involved in the resident’s care, by confidentiality rules.

Prompt reporting ensures that the nurse can promptly address changes in the resident’s condition.

Recording the date and time is crucial for accurate and legally compliant documentation.

Objective facts ensure that the documentation is accurate and professional.

Simple language and clear questions are essential for improving communication with residents who have cognitive impairments.

Respect and dignity should always be maintained when interacting with residents, ensuring they feel valued.

Certified Nursing Assistants (CNAs) assist residents with daily care tasks such as bathing, dressing, and grooming. However, they are not authorised to make medical decisions or diagnose health conditions—those responsibilities are reserved for licensed medical professionals.

Refusal of care should be respected, and the situation must be reported so it can be addressed appropriately by the care team.

Clear, factual, and unbiased documentation is essential for maintaining the integrity of the resident’s care record.

Accurate records ensure that care is consistent and legally defensible.

In court, the CNA should provide factual information based on their professional documentation, avoiding speculation or opinions.

Changes in appetite could indicate a health problem, so it’s essential to report it for further evaluation.

It’s important to explain the procedure clearly and ensure the resident understands and consents before proceeding.

Documenting and informing the nurse ensures that the healthcare team respects and follows the resident’s wishes.

Legal documentation must be clear, accurate, and timely, and should reflect only the care provided.

Immediate documentation and reporting to the nurse ensure that proper care and investigation occur.

Locking the wheelchair and using proper body mechanics ensures a safe and effective transfer.

Always be truthful with residents. If you’re unsure about something, please let them know that the nurse will provide them with the correct information. This builds trust and ensures they get accurate answers.

Confidentiality means sharing resident information only with those directly involved in their care.

Striking through the error and initialling it ensures that the record remains accurate and transparent.

Reporting the error and following proper procedures ensures that the record is corrected in accordance with legal standards.

Sitting upright helps the lungs expand, improving breathing when the resident is in respiratory distress.

Using alternative communication methods helps ensure that residents can still express their needs and participate in care.

Respecting a resident’s cultural preferences, such as food choices, religious practices, or customs, helps create a caring and respectful environment. It shows the resident that their identity is valued, promoting trust and comfort in their care. This approach contributes to a positive relationship between the caregiver and the resident.

Clear communication and ensuring comfort during transfers help reduce anxiety and ensure safety.

Supporting the weaker side helps the resident maintain balance and reduces the risk of falling.

Resident information should be shared only with those directly involved in their care and treatment.

Professional communication involves using respectful language and maintaining a calm tone to foster trust and clarity.

Sitting or lying down reduces the risk of falling and immediately relieves dizziness.

Abuse must be reported immediately to protect the resident and ensure appropriate action is taken.

Lifting devices and asking for assistance prevent residents and CNAs from injuries.

Proper body alignment helps prevent pressure ulcers and promotes comfort and overall well-being.

Assisting while respecting the resident’s pace encourages independence and ensures they receive adequate nutrition.

Privacy and dignity are essential, and maintaining comfort, such as checking water temperature, is important.

A safe environment and appropriate footwear are key in fall prevention.

Respecting hygiene preferences and ensuring the comfort of the resident is crucial to their well-being.

Handwashing with soap and water is the most effective way to prevent the transmission of infections in healthcare settings.

Cleaning from cleanest to dirtiest ensures that contaminants are not spread to already sanitised areas.

Standard precautions are used to protect both the resident and CNA from the spread of infectious agents.

Gloves should be worn when there is a risk of contact with blood or bodily fluids, as a precaution against infection.

Turning gloves inside out and disposing of them properly ensures that contaminants are not spread to your skin or the environment.

Prompt cleaning of blood or bodily fluid spills prevents the spread of infection and ensures a safe environment.

Promptly reporting any adverse reactions, such as a rash, ensures proper medical intervention and safety.

Regular cleaning and disinfection, especially of frequently touched surfaces, is crucial to preventing the transmission of infections.

PPE helps to protect both the CNA and resident from exposure to harmful pathogens.

Reporting symptoms and following infection control procedures ensures the resident’s safety and limits the spread of infection.

HIPAA protects the confidentiality of residents’ health information to prevent unauthorised access and sharing.

Immediate reporting to a supervisor or nurse ensures that proper investigation and protection measures are taken.

Respecting a resident’s decision to refuse treatment is essential to upholding their autonomy and rights.

A legal guardian or power of attorney can make healthcare decisions on behalf of residents who are unable to do so themselves.

Confidentiality must be maintained, and information should only be shared with authorised individuals.

Refusing to respect a resident’s refusal of medication violates their right to autonomy.

Active listening and documenting the complaint allow for appropriate action to be taken to address the concern.

Reporting inappropriate behaviour ensures that the resident’s dignity and rights are protected.

Confidentiality is key to protecting a resident’s privacy and should only be breached with explicit consent.

Documenting and respecting the resident’s wishes ensures that their autonomy and rights are upheld in their care.