Transcription
CNACertified Nursing AssistantSecond EditionLinda Whitenton, Marty WalkerPearson800 East 96th StreetIndianapolis, Indiana 46240 USA
CNA Certified Nursing Assistant Exam Cram, Second EditionCopyright 2017 by Pearson Education, Inc.All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, ortransmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, withoutwritten permission from the publisher. No patent liability is assumed with respect to the use of theinformation contained herein. Although every precaution has been taken in the preparation of thisbook, the publisher and author assume no responsibility for errors or omissions. Nor is any liabilityassumed for damages resulting from the use of the information contained herein.ISBN-13: 978-0-7897-5886-6ISBN-10: 0-7897-5886-5Library of Congress Control Number: 2017938512Printed in the United States of AmericaFirst Printing: June 2017TrademarksAll terms mentioned in this book that are known to be trademarks or service marks have beenappropriately capitalized. Pearson IT Certification cannot attest to the accuracy of this information.Use of a term in this book should not be regarded as affecting the validity of any trademark orservice mark.Warning and DisclaimerEvery effort has been made to make this book as complete and as accurate as possible, but nowarranty or fitness is implied. The information provided is on an “as is” basis. The authors and thepublisher shall have neither liability nor responsibility to any person or entity with respect to anyloss or damages arising from the information contained in this book.Special SalesFor information about buying this title in bulk quantities, or for special sales opportunities(which may include electronic versions; custom cover designs; and content particular to yourbusiness, training goals, marketing focus, or branding interests), please contact our corporatesales department at corpsales@pearsoned.com or (800) 382-3419.For government sales inquiries, please contact governmentsales@pearsoned.com.For questions about sales outside the U.S., please contact intlcs@pearson.com.Editor-in-ChiefMark TaubProduct Line ManagerBrett BartowAcquisitions EditorMichelle NewcombDevelopment EditorChristopher ClevelandManaging EditorSandra SchroederSenior Project EditorTonya SimpsonCopy EditorBarbara HachaIndexerCheryl LenserProofreaderSasirekha DurairajanTechnical EditorSteve PicrayPublishing CoordinatorVanessa EvansCover DesignerChuti PrasertsithCompositorcodeMantra
Contents at a GlanceCHAPTER 1What You Need to Know to Prepare for the ExamCHAPTER 2The Roles and Responsibilities of the Nursing Assistant15CHAPTER 3Promotion of Health and Safety31CHAPTER 4Promotion of Function and Health of Residents45CHAPTER 5Specialized Care71CHAPTER 6Clinical Skills Performance Checklist99APPENDIX A1Practice Exam I135Answers to Practice Exam I151Practice Exam II159Answers to Practice Exam II175Practice Exam III183Answers to Practice Exam III199Nursing Assistant Test Cross-Reference207Glossary209Index219
ContentsChapter 1:What You Need to Know to Prepare for the Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Taking the Written Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Testing Readiness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Testing Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Answering the Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Taking the Clinical Skills Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Self-Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Exam Prep Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Answer Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Chapter 2:The Roles and Responsibilities of the Nursing Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Your Role and Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Job Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other Tasks and Duties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Job Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Personal Qualities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Nursing Assistant as a Member of the Health-Care Team. . . . . . . . . . . . . . . . . . . .Other Team Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Being a Team Player . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Communication and Interpersonal Skills Needed forEffective CNA Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Legal and Ethical Considerations in Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Resident Rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Exam Prep Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answer Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1616171717192020212223262729Chapter 3:Promotion of Health and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Review of Body Systems Affected by Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Communicable Diseases and Their Effect on Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
vContentsRole of the Nursing Assistant to Prevent the Spread ofCommunicable Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Medical Asepsis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mask, Eye Protection, Face Shield, Gowns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sharp Objects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Resident Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Linens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Surgical Asepsis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Resident Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Reporting Accidents or Incidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Exam Prep Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answer Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .343536373738383839404042Chapter 4:Promotion of Function and Health of Residents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45Personal Care Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Activities of Daily Living . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Shaving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nail Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Restorative Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Self-Care and Independence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mobility/Immobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Health Maintenance and Restoration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Psychosocial Care Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Emotional and Mental Health Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cultural Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Spiritual Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sexual Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Data Collection and Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Exam Prep Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answer Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47475051565657596161626364656769Chapter 5:Specialized Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Physical Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73Vision Impairment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
viCNA Certified Nursing Assistant Exam CramHearing Impairments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Speech Impairment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Respiratory Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cardiovascular Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Paralysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Digestive and Elimination Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .HIV (Human Immunodeficiency Virus) and AIDS(Acquired Immunodeficiency Syndrome) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Psychological Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Confusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Aggressive Residents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dementias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Depressed Resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Terminally Ill Resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Exam Prep Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answer Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .747576798082878788888990929496Chapter 6:Clinical Skills Performance Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99Handwashing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Measuring Body Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oral Temperature Measurement with Electronic Monitor. . . . . . . . . . . . . . . . . .Rectal Temperature Measurement with Electronic Thermometer . . . . . . . . . . .Axillary Temperature with Electronic Thermometer. . . . . . . . . . . . . . . . . . . . . . .Tympanic Membrane Temperature with Electronic Thermometer . . . . . . . . . .Measuring the Radial and Apical Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Radial Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Apical Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Measuring the Respirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Partial Bedbath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Perineal Care of the Female Resident. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nail Care (Fingers and Toes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mouth (Oral) Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mouth (Oral) Care: Care of Dentures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
viiContentsApplying Elastic Support Hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Making an Occupied Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Moving the Resident to the Side of the Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Supine Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fowler’s Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Lateral (Side-Lying) Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sim’s Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Prone Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Orthopneic Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Logrolling the Resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Assisting the Resident to Sit on the Side of the Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . .Assisting the Resident to Transfer from the Bed to a Chair or Wheelchair . . . . . . . .Transferring the Resident from a Bed with a Mechanical Lift . . . . . . . . . . . . . . . . . . . .Moving the Resident from a Bed to a Stretcher (Gurney) . . . . . . . . . . . . . . . . . . . . . . .Using a Gait-Transfer Belt to Assist the Resident to Ambulate . . . . . . . . . . . . . . . . . . .Passive Range of Motion Exercises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Monitoring Resident in Restraints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Feeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Offering the Bedpan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Performing Ostomy Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Administering a Cleansing Enema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Recording Intake and Output (I & O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Measuring and Recording Output from a Urinary Drainage Bag . . . . . . . . . . . . . . . . .Indwelling Catheter Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Applying a Condom Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Collecting Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Routine Urine Specimen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Clean Catch Urine Specimen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Urine Specimen from an Indwelling Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . .Stool Specimen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Isolation Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Choking Relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Putting on Disposable Gown, Gloves, Goggles, and Mask . . . . . . . . . . . . . . . . .Removing Disposable Gown, Gloves, Goggles, and Mask . . . . . . . . . . . . . . . . . .Assisting with Post-Mortem Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132133
viiiCNA Certified Nursing Assistant Exam CramPractice Exam I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135Exam Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136Answers to Practice Exam I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151Answers at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151Rationales for Answers to Practice Exam I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152Practice Exam II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159Exam Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160Answers to Practice Exam II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175Answers at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175Rationales for Answers to Practice Exam II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176Practice Exam III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183Exam Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184Answers to Practice Exam III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199Answers at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199Rationales for Answers to Practice Exam III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200Appendix A:Nursing Assistant Test Cross-Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 9
About the AuthorsMarty Walker has practiced nursing for the past 39 years at the vocational nursing level asa registered nurse, and at the master’s level. Marty began her nursing career as a licensedpractical nurse, receiving her vocational education certificate from Atlantic Vocational Schoolin Pompano Beach, Florida, in 1979. In 1982, she earned the associate degree in nursingfrom Broward Community College in Davie, Florida. She worked for more than 10 years as astaff nurse in telemetry, critical care, and emergency nursing before completing a bachelor ofscience degree in nursing from Florida International University in Miami, Florida. In 1995,she began teaching medical-surgical nursing at Ivy Tech State College in Sellersburg, Indiana.After relocating to Miami, Marty accepted a position as Nurse Clinical Educator for threecardiac units at Jackson Memorial Hospital. She attained a Master’s in Nursing Science inNursing Education from Barry University in Miami Shores, Florida, in 2003. Marty’s love ofteaching led her to Mercy Hospital’s School of Practical Nursing, along with adjunct teachingpositions at Florida International University and Barry University. In Miami, Marty addedpediatrics to her teaching expertise. She taught medical-surgical nursing for a short time atPensacola State College in Pensacola, Florida, before accepting a full-time associate professor position at Northwest Florida State College, where she taught in the RN-BSN programas well as the associate degree nursing program. She is now the director for both programs.Marty’s expertise also includes test construction. She has led the faculty at NWF State Collegein improving the success rates of students enrolled in the program as well as their successon the NCLEX-RN. Marty’s versatility extends to her clinical practice as she completed thefamily nurse practitioner certificate program at the University of South Alabama in Mobile,Alabama, where she also completed her Doctorate in Nursing Practice in 2014. Marty hasvolunteered as the director of nursing services, as a nurse practitioner, and as board presidentfor the Crossroads Medical Center Clinic in Valparaiso, Florida, since 2007.Linda Whitenton began a 45-year nursing career in 1967 as a nursing assistant in Paducah,Kentucky. Following her graduation from Murray State University’s BSN program in 1970,she practiced in mental health, pediatrics, and medical-surgical nursing. Teaching nursingassistants, emergency medical technicians, and unit secretaries in a Mississippi hospitalcemented her love for teaching in her role as a hospital in-service education director in theearly 1970s. She accepted her first teaching position at Northeast Mississippi CommunityCollege in 1975. While at NEMC, she taught fundamentals, medical-surgical nursing,management, and psychiatric nursing and served as assistant director and director of theprogram for seven years. In 1977, Linda earned her master’s of science degree in nursingat the Mississippi University for Women, which also afforded her the family nurse cliniciancredential. In 1987, she relocated to Florida and accepted a position as associate director ofnursing for the associate degree nursing program at St. Petersburg College in St. Petersburg.
xCNA Certified Nursing Assistant Exam CramWhile at SPC, she designed curriculum for more than 1,000 employees of the Pinellas CountyEMS, taught LPN transitional students at night, and practiced part time at the BayfrontMedical Center Trauma Center.During her 35 years of teaching, Linda continued to practice in emergency nursing,urological nursing, and as a nurse clinician. Linda also earned 30 hours of post-masters workin anthropology and educational psychology. In 2004, she returned to clinical practice asthe director of nursing/vice president for a Mississippi community hospital. While there,she received a national award for outstanding nursing leadership. She returned to Florida in2000 to design and direct a new AD nursing program for Northwest Florida State College,formerly Okaloosa-Walton College, the first of seven health programs now in place at thecollege. Linda served as associate dean of Health Technology for three years, adding administrative oversight for the health programs she launched during her eight-year tenure atNWFSC. In 2008, she retired from the college, receiving the honor of Emeritus AssociateDean and Director of Nursing. In 2015, Linda accepted an interim position as campus deanat Pensacola State College, where she now serves as director of Nursing and EmergencyMedical Services, overseeing the nursing programs, the emergency medical service programs,the surgical technology, and the newly designed patient care technician program. Lindahas worked with Rinehart and Associates Nursing Review, a nurse-owned company thatoffers review courses for graduates preparing for their examination to become licensed RNsor LPNs. Linda is a Certified Nurse Educator, CNE, and a member of Sigma Theta TauInternational Nursing Society.
About the Technical EditorSteven M. Picray is a medical surgical registered nurse in a major metropolitan hospital. He hasalso been a Baptist pastor and a computer programmer. He has a bachelor’s and a master’sdegrees in theology, a B.S.N., and is currently pursuing his master’s degree in nursing tobecome a nurse practitioner.
DedicationWe dedicate this book to the compassionate and caring nursingassistants everywhere, who dedicate their livesto caring for our precious elders.AcknowledgmentsWe wish to thank Kathy McNair for her superlative technical assistance, her encouragement,caring, and expertise in all she does for nursing education.A special thanks goes to Mrs. Jeanece C. Ridge, former instructor, Nursing Assistant Programand current instructor, Practical Nursing Program at Okaloosa Technical College in FortWalton Beach, Florida, for her thorough review of our first edition.We also thank our families for their love and patience.
xiiiContact the Nursing Board in Your AreaBecause nursing standards sometimes vary by state due to differing legal concerns at thestate level, you should check the Nurse Aid Registries at National Council of State Boards ofNursing website for your area at https://www.ncsbn.org/725.htm.Companion WebsiteRegister this book to get access to the Pearson Test Prep practice test software and other studymaterials plus additional bonus content. Check this site regularly for new and updated postings written by the author that provide further insight into the more troublesome topics onthe exam. Be sure to check the box that you would like to hear from us to receive updates andexclusive discounts on future editions of this product or related products.To access this companion website, follow these steps:1. Go to www.pearsonITcertification.com/register and log in or create a new account.2. Enter the ISBN: 9780789758866.3. Answer the challenge question as proof of purchase.4. Click the Access Bonus Content link in the Registered Products section of youraccount page to be taken to the page where your downloadable content is available.Please note that many of our companion content files can be very large, especially image andvideo files.If you are unable to locate the files for this title by following the preceding steps, visitwww.pearsonITcertification.com/contact and select the “Site Problems/ Comments” option.Our customer service representatives will assist you.Pearson Test Prep Practice Test SoftwareAs noted previously, this book comes complete with the Pearson Test Prep practice test software containing three full exams. These practice tests are available to you either online or asan offline Windows application. To access the practice exams that were developed with thisbook, please see the instructions in the card inserted in the sleeve in the back of the book. Thiscard includes a unique access code that enables you to activate your exams in the Pearson TestPrep software.
xivCNA Certified Nursing Assistant Exam CramAccessing the Pearson Test Prep Software OnlineThe online version of this software can be used on any device with a browser and connectivity to the Internet, including desktop machines, tablets, and smartphones. To start using yourpractice e
Practice Exam I 135 Answers to Practice Exam I 151 Practice Exam II 159 Answers to Practice Exam II 175 Practice Exam III 183 Answers to Practice Exam III 199 APPENDIX A Nursing Assistant Test Cross-Reference 207 Glossary 209 Index 219
