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1. Miss Jackson has a tube feed in and is NPO. She is unconscious. You should:
Ensure proper oral care to maintain hygiene and reduce aspiration risk in an unconscious patient with NPO status. Focus on positioning to facilitate drainage.
2. The nurse directs you to place your resident in a lateral position for 2 hours. The resident cannot support herself. To provide support, you should:
Consider using a folded pillow for effective support that keeps the resident stable and comfortable in the lateral position. This technique helps prevent rolling and ensures safety during the duration.
3. You have measured the urinary output of your resident at the end of your 8-hour shift. The output is 25 ounces. You should do what next?
Consider converting the urinary output to cubic centimeters for accurate documentation, and assess if it meets the expected hourly output to determine if further action is needed.
4. When you do daily weights for patients, the most accurate daily weights are taken:
Consider the time of day that minimizes external factors, such as food and fluid intake, for more reliable measurements.
5. Mr. Thomas is a well-groomed 68-year-old male patient he had prostate surgery 2 days ago he has an indwelling catheter and a urinary drainage bag you have weighed him at 9:00 a.m. each morning for three mornings in a row today on the fourth day his morning weight is 3 lb more than it was the day before why could he have gained these three lbs in one day on a 1,000 calorie diet?
Consider how the management of Mr. Thomas’s urinary drainage could impact his weight measurement. Focus on the role of the indwelling catheter and the urinary drainage bag in this scenario, particularly regarding how they relate to his weight gain.
6. Mr. Taylor is a blind person you are passing out resident meals in the Resident dining room. Mr. Taylor is able to eat on his own so you should:
Use verbal cues to describe the placement of food items on his plate, helping him navigate his meal independently.
7. When is the best time to perform HS care for a resident?
Consider the natural bedtime routine when planning care to ensure comfort and relaxation before sleep.
8. You have been assigned to take the vital signs of Mr. Smith at specific intervals. Mr. Smith is very agitated and refuses to let you take his blood pressure at the required time because he says it always hurts when people pump the cuff up too high and he does not want it done. How should you handle this?
Consider Mr. Smith’s feelings and seek alternatives that prioritize his comfort while still allowing you to fulfill your responsibilities. Empathetic communication is key, and finding a less distressing method for taking his blood pressure may help alleviate his concerns.
9. You wash Mrs. Gillette’s hands before you feed her. The resident rarely feeds herself, so why should you wash her hands?
Consider the importance of hygiene and the potential for germs, even if she is primarily fed by others.
10. You take the blood pressure for your patient while they are in bed and then you take it as soon as they rise from the bed and stand. The patient blood pressure in bed was 152 over 85 and the blood pressure when standing was 96 over 46. You should:
Consider the implications of a significant blood pressure drop upon standing and the potential risks associated with it. Prioritize patient safety and the need for immediate communication with the healthcare team.
11. You have been assigned to take an apical pulse for one of the patients on the nursing unit. How will you do this?
Use a stethoscope positioned over the heart’s left side, and count the beats for one full minute. Ensure the patient is comfortable during the process.
12. You are preparing to bathe a resident who weighs 300 lb. You should:
Ensure thorough cleaning of skin folds to prevent irritation and infection, and consider safety measures for both resident and caregiver during the bathing process.
13. You are feeding and monitoring a group of patients in the Resident dining room. There is no sink in the dining room. What should you do?
Remember to prioritize hand hygiene by using hand sanitizer when traditional handwashing facilities are unavailable, especially before and after interacting with each patient.
14. The purpose of soaking the feet as part of foot care is to:
Consider the benefits of improved cleanliness and relaxation when thinking about the role of foot soaking in care routines.
15. You will be emptying urinary drainage bags at the end of your shift at 4 p.m. You must do which of the following?
Remember to wear gloves to protect yourself and the patient when handling urinary drainage. Standard precautions are key to maintaining safety and infection control.
16. You are caring for Mrs. Oliver’s dentures. You should:
Remember to handle dentures gently, store them in a labeled container, and avoid hot water during cleaning to ensure their longevity and hygiene.
17. You are the CNA working with Mrs. Savier; she is an advanced Alzheimer’s patient whom you must get out of bed and transfer to a wheelchair. You should do which of the following?
Remember to communicate clearly and gently with Mrs. Savier throughout the process, ensuring she understands each step to reduce anxiety and promote comfort. Use a gait belt for safety, and encourage her participation where possible to respect her dignity.
18. Which of the following is one basic safety guideline for bathing a resident?
Focus on washing from the cleanest parts of the body to the dirtiest to maintain hygiene and prevent contamination.
19. You must underscore before and after feeding every patient in the dining room?
Remember to prioritize hygiene by ensuring proper handwashing before and after patient interactions during feeding. This is key to preventing infections in healthcare settings.
20. When performing peranal care for a male, you should:
Focus on starting from the least contaminated area and moving to the more contaminated region to minimize infection risk. Ensure comfort by allowing for bladder and bowel voiding beforehand.
21. Mr Vieira has an IV; when you bathe him, you should:
Ensure the IV bag is elevated and secure to allow for proper fluid flow while providing careful protection to the IV site during bathing.
22. Which of the following does not cause aspiration?
Consider options related to actions or devices that promote safe swallowing and airway protection, rather than those that disrupt these processes.
23. You are caring for Mr. Smith who has had an amputation below the left knee and wears a prosthesis. When you bathe Mr. Smith, what care must be given considering his condition?
Focus on the care of the residual limb, ensuring it remains clean and dry, while monitoring for any signs of irritation or injury from the prosthesis during bathing.
24. When CNAs do pulses they should note which of the following?
Consider the critical aspects that characterize pulse measurement, focusing on how the pulse feels, its strength, rhythm, and the number of beats in a minute. These details are key indicators of cardiovascular health.
25. Ignoring the urge to defecate may result in:
Consider the potential consequences of delaying a natural bodily function and how it affects digestive health.
26. As you are shaving a male patient’s face, you should use short strokes with the razor while holding the skin taut in the direction of __________ except when the neck is being done.
Consider the natural growth pattern of facial hair when determining your stroke direction.
27. Patients and residents who cannot move in their bed on their own should be turned at least:
Consider the importance of preventing skin breakdown and promoting circulation; think about how often you’d adjust someone’s position for optimal care and comfort.
28. Your patient has finished a 12 oz can of iced tea and 8 ounces of fresh orange juice. What will you record on the intake and output form for this patient’s intake?
Remember to sum the total fluid intake in ounces before converting to cubic centimeters, and consider rounding to the nearest whole number according to clinical practice.
29. You are preparing to give a bed bath to your resident. You check the water temperature; what is an appropriate temperature for bathing?
Ensure the water temperature is warm but not hot, typically between 95°F and 110°F, to provide a safe and comfortable bathing experience.
30. CNA’s assist residents as needed with ADLs (Activities of Daily Living), which set of tasks includes ADLs?
Think about the essential daily tasks that focus on personal care and hygiene, like what you might do to prepare yourself for the day or maintain your health and comfort.