North Carolina CNA flashcards
North Carolina CNA · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Bed bath order
- Wash the face and neck first, then the arms, chest, abdomen, legs, back, and perineal area last; change bath water and washcloths as needed.
- Dressing weak side
- When assisting a resident, put clothing on the affected or weak side first and remove it from the unaffected side first to make dressing easier.
- NPO meaning
- NPO means nothing by mouth, including water, ice chips, and oral medications; the nurse aide records and reports any accidental intake.
- Pressure injury prevention
- Reposition a dependent resident at least every two hours, keep skin clean and dry, and inspect bony areas such as heels, sacrum, and hips.
- Female perineal care
- Wipe from front to back using a clean area of the washcloth for each stroke; this reduces the spread of bacteria from the rectum to the urethra.
- Fall prevention setup
- Keep the bed low with wheels locked, put the call light within reach, place non-skid footwear on the resident, and clear clutter from the path.
- RACE fire response
- RACE stands for Rescue anyone in danger, Alarm, Contain the fire by closing doors, and Extinguish or Evacuate according to facility policy.
- Oxygen safety rules
- Keep oxygen tanks upright and secure, post no-smoking signs, avoid open flames, and do not use petroleum-based products near the oxygen source.
- Restraint monitoring
- After applying an ordered restraint, check circulation and skin every 15 minutes, release and reposition per policy, and report redness or numbness promptly.
- Wet floor response
- Clean spills immediately, place a wet floor sign, and warn residents and staff until the floor is completely dry to prevent falls.
- Hand hygiene triggers
- Perform hand hygiene before and after resident contact, after removing gloves, after touching body fluids, and before eating or handling clean equipment.
- PPE removal order
- Remove gloves first, then goggles or face shield, then gown, then mask; perform hand hygiene immediately after removing all personal protective equipment.
- Standard precautions
- Treat all blood and body fluids as potentially infectious; use gloves, gown, mask, and eye protection as the task requires, regardless of diagnosis.
- Seizure first aid
- Protect the resident's head, move objects away, loosen tight clothing, do not restrain the person or place anything in the mouth, and time the seizure.
- Adult choking response
- For a conscious choking adult, give abdominal thrusts; if the person becomes unresponsive, call for help and begin CPR according to training.
- Adult pulse range
- A normal resting adult pulse is about 60 to 100 beats per minute; count for 30 seconds and multiply by two, or count a full minute if irregular.
- Adult respiration range
- Normal resting adult respirations are about 12 to 20 breaths per minute; count without telling the resident so breathing stays natural.
- Blood pressure placement
- Place the cuff on the bare upper arm at heart level, use the correct cuff size, and deflate slowly while listening for systolic and diastolic readings.
- Intake-output conversion
- One ounce equals 30 milliliters, and one standard cup equals 240 milliliters; record all oral liquids, tube feedings, urine, vomitus, and drainage as ordered.
- Pulse oximetry reading
- A pulse oximeter estimates oxygen saturation; place the sensor on a warm, nail-free finger and report readings below 90 percent or per facility protocol.
- Hearing impairment communication
- Face the resident, speak clearly in a lower-pitched voice, reduce background noise, and avoid shouting; use written notes if the resident can read.
- Aphasia communication
- Allow extra time for the resident to speak, use yes-or-no questions and gestures, and do not finish sentences or correct speech unless asked.
- Objective reporting
- Report what you see, hear, smell, or measure, such as skin redness or a urine output of 100 mL, rather than opinions or guesses.
- Confidentiality rule
- Share resident information only with the care team that needs it; do not discuss residents in hallways, elevators, social media, or with uninvolved family members.
- CNA scope of practice
- A nurse aide performs assigned ADLs, vital signs, and observations and reports changes to the nurse; the aide does not perform sterile procedures or independent teaching.
- Delegation response
- Accept tasks only within training and facility policy; if an assignment seems unsafe or unclear, ask the nurse for clarification before performing it.
- Documentation timing
- Record care accurately and promptly after completing it, using objective facts, correct times, and the resident's own words for complaints; never chart care before giving it.
- Chain of command
- Report resident changes and concerns to the charge nurse or supervisor according to facility policy; follow the chain of command when an issue is not resolved.
- Resident right to refuse
- A competent resident may refuse care or treatment; the aide respects the refusal, documents it, and reports it to the nurse without arguing or threatening.
- Mandatory abuse reporting
- Suspected physical, sexual, emotional, or financial abuse and neglect must be reported immediately to the nurse or administrator and to the required state agency.
- Advance directive honor
- Follow the resident's documented wishes, such as a DNR or living will, and know facility policy for emergency response; do not substitute personal beliefs.
- False imprisonment example
- Confining a resident to a room, locking a door, or preventing free movement without legal justification violates rights and must be reported immediately.