Pressure Injury Prevention: When a patient is in a chair, how often should you offload/reposition the patient?
Every 4 hours
Every 30 minutes
Every 1-2 hours
This is not necessary, since they are sitting in a chair
Your nurse asks you to change the ostomy appliance on Mr. Smith. What is the appropriate response?
Absolutely not, I can't do that!
Are you kidding me; who do you think I am?
Ignore the nurse's request.
Unfortunately, as a CNA, I am not allowed to do that.
As a CNA, I am permitted to decrease or increase my patient's supplemental oxygen (i.e. Nasal cannula liters).
True
False
Your patient is a high fall risk, slightly confused, and has been attempting to get out of bed. In order to keep the patient safe, you put all 4 side rails up. Is this action correct?
Yes, the patient has gone crazy
Yes, this is the safest method to prevent falls/patient harm
No, this is considered a restraint
No, as a CNA you can never put up all 4 side rails
Your patient's IV pump starts to alarm while you are in the room. You know that it is beeping because the patient has their arm bent (where the IV is located). What action should you take?
Press the "restart" button on the IV pump and notify the RN
Silence the IV pump and notify the RN
Ignore the IV beeping
Notify the RN; you are not allowed to manipulate the IV pump
You are in your patient's room and you overhear the provider tell the patient that a foley will need to be re-inserted because of urinary retention. The provider asks you to place a foley in the patient. Your best response is:
Sorry mister, wrong person to ask!
I am not allowed to place foley catheters.
Once an order is placed,the RN will delegate this task to me
Ignore the provider's request and notify the RN.
As a CNA, you are covered to change dressings on peripheral IVs, remove peripheral IVs, and prime IV tubing with plain fluid (i.e. Normal Saline)?
False
True
CAUTI Prevention: Catheter and Peri-care should be performed daily, after stool incontinence, and as needed.
True
False
What are the tasks included in "safety checks" for patients in restraints?
Skin integrity only
Skin integrity and neuro checks
Skin integrity and patient care (4 P's)
Toileting only
Pressure Injury Prevention: How often do you turn patients when they are in specialty beds (Kin-Air)?
Every 2 hours
Never- they cannot develop pressure ulcers in this bed type
Whenever the patient requests to be turned
The bed helps to turn them
Your patient’s temperature is 99.8 after being in the 97s all day. When would the careful CNA recheck the patient's temperature?
One hour later
When the RN tells you to
At the next scheduled VS check
Not at all because she wants to sleep
What active roles can you, as a CNA, perform during a Code Blue?
Administer medications
Once others come into the room, you can leave out
Compressions, Airway, AED
Start an IV on the patient
Colorblind teammates can perform point of care tests.
False
True
How often are safety checks required to be documented for patients in restraints?
Every 8 hours
Every 4 hours
At least once a shift
Every 2 hours
How long must you wait to confirm a negative pregnancy point of care test?
5 minutes
3 minutes
10 minutes
1 minute
Your co-worker is complaining of being lightheaded and reported that he has not eaten anything all day. Which action can you take to assist your co-worker?
Check your co-worker's blood pressure and blood sugar
Check your co-worker's blood sugar, then call Code 44
Tell your co-worker to "hang tough", they'll be ok
Either call a Code 44 or escort your co-worker to the ED
Your post-op patient had his Foley removed today – he tells you that he voided a large amount in the toilet. Your response:
Instruct to save all urine for measurement &provide a urinal
Instruct him not to worry about saving urine
Glucometer QC bottles expire how long after opening?
60 days
They don't expire
90 days
120 days
Glucometer test strips expire how long after opening?
4 months
They don't expire
3 months
6 months
Routinely, how often should I&O's be documented?
Every 8 hours
Every 4 hours
Every 2 hours
Whatever the RN reports to me
Your patient has redness on his sacral area that does not blanch (turn lighter with gentle pressure). You should:
Don't worry- the skin is intact
Alert the RN
Advise the patient that they have a pressure injury
Call the provider
You walk into your patient's room and find them unresponsive. What are your next steps?
Run out of the room to get assistance
Call 6-9111
Do nothing; this is not your job
Check the patient's pulse/breathing for 5-10 seconds
If the wrong size cuff is used, the baseline cuff BP reading could read falsely low or high resulting in inappropriate treatment of hyper/hypotension.
True
False
If your patient is a high fall risk and risk for injury, which actions MUST be taken?
All these interventions should be implemented
Accompany patient with ambulation
Remain with patient while toileting
Bed/Chair alarms