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1. Palliative care is an approach that improves the quality of life for patients and their families facing the problems associated with:
Consider the types of illnesses that significantly impact a person’s quality of life and may ultimately lead to serious health decline.
2. The nurse tells you the resident is a no code. This means:
Consider that a “no code” status reflects a patient’s choice about specific life-sustaining interventions, particularly during a critical medical situation. It does not imply a lack of overall medical care or support.
3. You are providing postmortem care to a resident who was receiving oxygen through a nasal cannula connected to an oxygen tank. The family will be viewing the body. You should:
Consider the importance of presenting the body in a respectful and dignified manner for the family, ensuring the absence of any medical equipment that could be unsettling during their farewell.
4. Bed rest can be very debilitating at any age which of the following does not result from bed rest?
Consider the broader effects of prolonged inactivity on mental and physical health. Focus on outcomes that stem from a lack of movement versus those that might seem beneficial.
5. Your co-worker has just come back from maternity leave and she seems very down and depressed. You understand that in some cases new mothers may not want to leave their newborn to come back to work and may suffer from hormonal originated depression called the baby blues. Having these considerations, which are important to foster team building?
Consider the impact of emotional challenges on work relationships. Focus on creating a supportive environment by practicing active listening and understanding individual experiences. Empathy can strengthen team bonds and improve overall morale.
6. Changes such as retirement, grandparenting, and increased dependence on others are examples of what kind of changes?
Consider how these changes impact personal identity and social roles as individuals progress through different life stages, particularly in later life.
7. You are caring for elderly residents. You should:
Consider the safety and comfort of residents when assisting with transitions. Encourage stability and allow them to take an active role in their care.
8. Mr. Dale has insomnia. You can assist him in managing this condition by:
Consider ways to minimize stimulation and create a peaceful environment in the evening to support better sleep.
9. Mrs DS is a bedfast resident who is in your facility for rehabilitation you are aware that foot drop is a serious complication of being bedfast and can slow return to an ambulatory status which of the following can be done to assist in preventing this complication from developing?
Consider measures that ensure the foot is held in a neutral position to prevent muscle weakness and promote better alignment.
10. You are caring for a resident who is diabetic; she is very frustrated that the nurse keeps telling her that her blood sugar is too high despite taking her medication. You know she has potato chips at her bedside and eats a lot of them. She avoids sweets and candy but loves pasta and always asks for extra or seconds. What, if anything, should you tell her?
Consider discussing the impact of carbohydrate-rich snacks and pasta on blood sugar levels. Emphasize the importance of moderation and suggest healthier alternatives to help her manage her diabetes more effectively.
11. CNAs are not permitted to do which of the following tasks?
Remember, CNAs primarily assist with basic care tasks and are not trained for specialized medical procedures that require sterile techniques or advanced skills.
12. Tasks that can be legally done by a CNA are found in:
Consider reviewing the official guidelines and legal documents that outline the responsibilities and limitations of CNAs in your specific state or federal jurisdiction.
13. You are taking care of a teenage person who is recovering from a serious automobile accident in your Rehabilitation/Restorative care area. His injuries included broken legs and arms. The most likely goal of this care is to:
Focus on enabling the patient to regain independence and normal functionality after their injuries through targeted therapies and support.
14. The people who live in a long-term care facility are referred to as:
Think about a term that signifies someone who occupies a place as their home, particularly in a context where they receive the care they need over an extended period.
15. You are working with a CNA you have not worked with before she is complaining that her lower back hurts and she cannot perform some of her duties because of this. You observe that she bends over a lot instead of squatting and uses her back muscles instead of her legs to lift and turn. How can you help this coworker?
Encourage your coworker to focus on proper lifting techniques by using her legs instead of her back, maintaining a straight posture, and keeping loads close to her body. Suggest widening her stance for better stability and remind her to take breaks and stretch to avoid further injury.
16. Gina is a CNA at the Sunshine Senior Care Center. She is the only nursing assistant at the nursing station when the phone rings. Answering the phone is part of her duties. Which of the following greetings is most professional?
Consider how you would introduce yourself in a formal setting. A greeting that incorporates the name of the facility along with your own conveys professionalism and establishes a clear context for the call.
17. You are caring for an Alzheimer’s patient who is confused. What can you do to decrease the level of the confusion?
Create a calm and familiar environment to help the patient feel secure and reduce anxiety.
18. Normal changes of aging in the integumentary system include:
Consider how the production of natural oils and sweat changes with age, as well as the effects of reduced blood flow on skin health and sensitivity.
19. Mrs. Evans has a diagnosis of diverticulitis; which foods should she avoid eating?
Consider avoiding foods that contain seeds or tough skins, as they may irritate the gastrointestinal tract and worsen symptoms.
20. Which of the following is the most common catastrophic emergency in children?
Consider the leading causes of emergencies in children that primarily affect breathing, as these situations require prompt attention to avoid serious consequences.
21. What sense does a retinal detachment affect?
Consider which of the five senses is primarily involved in processing visual information, and think about the critical role of the retina in that process.
22. You hear an announcement in your nursing home stating “Dr. Storm, Dr. Storm, Dr. Storm.” This is your nursing home’s code word for immediately implementing emergency tornado measures. What should you do?
Quickly move all residents to the designated safe area away from windows, ensuring they are protected from flying debris and possible injuries. Remember to close all windows and doors for added safety. Prioritize staying low and calm during the emergency.
23. Your resident during lunch cannot speak, appears panicked, and is gasping and coughing weakly. What should you do?
Consider the resident’s ability to cough as a vital sign of their airway control. Encouraging them to cough can help dislodge any obstruction. Remember, avoid interventions that might worsen the situation if they are still able to cough.
24. During an evacuation of patients from upper floors, how should you move bedfast patients?
Consider using a technique that prioritizes both patient safety and effective maneuvering. Focus on secure support and coordination between staff members to ensure a smooth descent while minimizing the risk of injury.
25. You find a patient who is in bed in cardiopulmonary arrest. How do you do CPR?
Ensure the patient is on a firm surface for effective chest compressions; consider using a CPR board if available to provide stability during resuscitation efforts.
26. Which of the following is a principle of good body mechanics?
Consider the importance of keeping loads close to your body and using your legs for strength when performing physical tasks.
27. The most important part of the hand washing procedure is:
Remember that proper scrubbing is essential, as it helps dislodge dirt and germs effectively. Focus on the action of rubbing your hands together to enhance cleanliness.
28. Mrs. Jones has been diagnosed with C. diff; what precaution should be taken when performing personal care?
Focus on using appropriate personal protective equipment (PPE) that provides a barrier to prevent contamination. Remember, hand hygiene after removing PPE is crucial, and standard hand sanitizers won’t suffice.
29. Which of the following is not a bacteria or a virus infection?
Consider the category of microorganisms responsible for creating various infections. Look for an option that involves single-celled organisms rather than bacteria or viruses.
30. Which of the following is not a method of taking a temperature?
Think about temperature-taking methods typically used in medical practice and consider whether any involve monitoring ocular function or the eye itself.
31 CNAs are permitted to do which of the following tasks?
Consider the specific responsibilities and limitations of CNAs, focusing on their role in direct patient care and routine procedures that do not require advanced medical training or supervision.
32. Your nursing home’s Ethics Committee meets on a monthly basis. You attend one of these meetings and you hear committee members discussing beneficence. At the beginning of the meeting, they are discussing which of the following?
Consider what actions or interventions healthcare professionals can take to enhance patient welfare and promote positive outcomes in care.
33 which ethical term and definition is correct
Consider the ethical principle related to honesty and transparency in patient communication; it plays a crucial role in fostering trust within healthcare.
34. Which of these actions is illegal in most states?
Consider actions that involve making decisions about ending a person’s life, especially without their explicit consent or under circumstances not approved by law.
35. Which of the following is an example of emotional neglect?
Consider situations where emotional support is absent or needs are overlooked, leading to feelings of loneliness or inadequacy, rather than physical mistreatment or neglect of basic needs.
36. Mr. Elliot, an elderly resident with terminal cancer, says to you, “Life is just not worth living anymore.” He tells you he is planning to save his pain medication to take all at once so he can end this misery. You must:
Consider the importance of immediate action in response to expressions of self-harm. Prioritizing safety and seeking assistance from trained professionals is crucial.
37. The RN asks you to bring the unit’s collected lab specimens to the lab stat. You should:
Remember that “stat” means immediate action is required; prioritize the task and transport the specimens without delay.
38. Your patient has a number of physical and emotional needs. Some of these needs are the need for safety, the need for fluids, and the need for mobility. Which of these needs must be addressed during all aspects of care?
Consider which need is foundational, impacting the ability to address the others effectively and consistently throughout care.
39. Which of the following lists the five senses?
Think about the ways you experience the world: consider how you perceive sounds, detect smells, enjoy flavors, see objects, and feel textures.
40. The CNA observes sudden changes in their patient’s health status; which of the following changes is the highest in terms of priority?
When assessing sudden changes in a patient’s health, prioritize any physical alterations, as they may indicate immediate medical concerns that require urgent intervention to ensure the patient’s safety.
41. A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?
Think about a device used in emergencies that can analyze heart rhythms and deliver shocks to restore normal function. It’s essential for managing sudden cardiac events and is designed for ease of use.
42. The nursing assistant has gone home when she remembered she forgot to document one of her residents. The best procedure to follow now is:
Consider your facility’s policies on late documentation and ensure that your record accurately reflects both the time of care provided and the time of your entry.
43. Your patient ate an 8 oz cup of Italian ice. How much will you record on the patient’s intake and output form in terms of this patient’s fluid intake?
Remember to convert ounces to cubic centimeters for accurate fluid intake recording, knowing that 1 ounce equals approximately 30 cc.
44. When you are feeding a patient who has paralysis on the left side of the face, you should place the food:
Consider the patient’s stronger side for effective chewing and swallowing.
45. The abbreviation AC is defined as:
Think about common health instructions related to timing and meals.
46. The purpose of soaking the feet as part of foot care is to:
Consider the benefits of cleanliness and relaxation that come from soaking. Think about how it helps with thorough washing and examining the feet, rather than just infection prevention.
47. Which of the following is not a part of CNA’s routine personal care of a patient?
Consider the common personal care tasks that CNAs normally perform to maintain patient hygiene and comfort. Look for an option that requires specialized skills or training beyond routine care.
48. 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 in preventing infections, even for residents who don’t typically eat on their own.
49. You are preparing to give a bed bath to your resident. You check the water temperature, which is an appropriate temperature for bathing: A) 91° F B) 109° F C) 118° F D) 125° F
Consider the safe range for water temperature that is comfortable for bathing, especially for individuals who may have sensitive skin or are elderly.
50. CNAs assist residents as needed with ADLs (activities of daily living), which set of tasks includes ADLs?
Think about the essential daily tasks that involve personal care and basic self-maintenance, such as hygiene and mobility support.
51. Which of these needs is the greatest priority?
Consider the most fundamental factors that ensure well-being and protection before thinking about personal connections or self-improvement.
52. Which of the following needs has the least priority?
Consider which needs focus on basic survival and security versus those that pertain to personal growth and fulfillment. The least urgent need often relates to achieving one’s highest potential.
53. The fire alarms in your nursing home begin ringing. What is the first thing you must do?
Focus on protecting those who may be vulnerable first; contain the situation before addressing the next steps.
54. You have six beds to strip and make, the nurse tells you one of your residents needs to be taken to the bathroom. You should:
Focus on the resident’s immediate needs first, as personal care takes precedence over other tasks. After addressing those needs, seek assistance to manage your workload effectively.
55. You work as a CNA in a hospital. A woman says she is the sister of a patient and asks you why she is there and how she is doing. What is your best response?
Focus on maintaining patient confidentiality while being courteous. Offer to check on the patient’s willingness for visitors rather than sharing specific information about their condition.
56. Albert B is incontinent of urine. He also wears glasses and a hearing aid. His UND score leads to his risk for falls:
Consider which two factors from Albert’s condition significantly contribute to his fall risk, particularly those that can affect his mobility and spatial awareness.
57. Your patient is upsetting other residents because they are yelling and repeating the same thing over and over in a sing song manner. This behavior has to be managed because it is:
Consider how disruptive behaviors can affect group dynamics and the importance of maintaining a harmonious environment for all residents.
58. Mrs. Lewis normally eats meals independently in her room. You check on her and see her clutching her throat; she is unable to cough or speak. You put on the call light. Your next action should be to:
Think about how to physically address a complete airway obstruction quickly. Prioritize a maneuver that can dislodge whatever is blocking her throat and consider the urgency of the situation.
59. Mr. Allen can be combative during care; how do you respond if he attempts to strike you?
Prioritize safety and calm communication, acknowledging the patient’s feelings while clearly explaining care. Document all interactions and refusals of care.
60. You walk past Mrs. Olsen’s room and see that she is crying. What is an appropriate CNA action?
Consider the importance of emotional support in difficult moments. Focus on how you can be present for someone, showing empathy and understanding without overwhelming them with questions or advice.