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1. You have been taught that sodium control is important in your residents with congestive heart failure. What symptoms should you look out for and report?
Pay close attention to signs of fluid retention, particularly in the ankles and legs, and watch for significant weight changes, as these can indicate worsening heart failure.
2. Which is not an acceptable abbreviation?
Consider the potential for confusion between multiple meanings when abbreviating terms, especially in healthcare settings where clarity is critical.
3. You are beginning a new career as a CNA. Which of the following senses will you not use throughout your new career?
Consider which senses are actively involved in patient care and interactions, and think about the appropriateness of using them in a clinical setting.
4. For how many milligrams of sodium are in one teaspoon of normal table salt?
Consider the composition of table salt and how its weight relates to sodium content. Remember that sodium chloride is about 40% sodium by weight, and pay attention to the conversion from grams to milligrams.
5. An example of point of care testing would be:
Think of tests that give quick results right where the patient is, like monitoring blood sugar or rapid strep tests.
6. The CNA observes sudden changes in their patient’s health status. Which of the following changes is the highest in terms of priority?
Prioritize physical changes in health status, as they often indicate urgent medical needs that require immediate action over emotional or socioeconomic factors.
7. Mrs. B curses at you and tries to strike you after you knock on the door to greet her at the beginning of the shift. What should you do?
Prioritize safety by removing yourself from the situation and alerting a nurse or appropriate staff member about the incident. Recognize that direct intervention is not within your responsibilities.
8. Your resident voided 60 mL of urine at 10:00 p.m. in the afternoon; your facility uses International time (the 24-hour clock). How will you document the time of this resident action?
Remember to convert the time from the 12-hour format to the 24-hour format by adding 12 to the hour for any time in the evening. Also, ensure you only use numerical notation without “a.m.” or “p.m.” when documenting.
9. Your resident has a history of somnambulism. What is this?
Consider a sleep-related behavior where individuals perform activities while still in a deep sleep state, often appearing awake but not actually being aware of their actions.
10. Mr. Delgado states he is having severe pain at his fracture site. You report this to the nurse. What type of information is this observation?
Consider the distinction between what a patient expresses versus what can be objectively measured or observed. Focus on the personal nature of the patient’s experience in your answer.
11. Mrs. Pope wants a shower and is demanding it right now. It is not her scheduled day or shift and you have others to shower. You hear her on the phone telling her daughter she has not had a shower in days and that you are refusing to do it. How should you handle this?
Consider balancing Mrs. Pope’s immediate emotional needs with the established care schedule. Validation of her feelings is key, followed by a clear explanation of the situation. Look for ways to potentially accommodate her request while ensuring that the needs of other residents are also met. Encouraging her to discuss any concerns with the nursing staff can help address her frustrations appropriately.
12. Your resident is NPO. This means:
Remember that NPO prohibits all oral intake, including food, drinks, and medications, primarily for medical safety and preparation purposes.
13. Your resident put on her call light multiple times during the shift with requests to be toileted; however, each time she only voided scant amounts of urine. What can this be a sign of?
Consider conditions that could irritate the bladder or impact urinary function, such as infections or obstruction, which can lead to frequent urges and limited output.
14. Your resident is a diabetic who is bedbound. When you do his bath, you notice white crusted material under his foreskin. What should you do?
Focus on ensuring thorough hygiene in the affected area, while also documenting your findings and reporting to the nurse for further assessment.
15. You are working in an assisted living facility where some residents have kitchens in their units. You have noticed that one resident often puts something on the stove and forgets she has done this. What must you do?
Consider the potential risks involved and the responsibility you have towards the resident’s safety. Think about how to effectively communicate your observations while ensuring appropriate action is taken.
16. The care plan for Mrs. Stewart says she is to receive passive range of motion exercises to her left knee and ankle bid. How frequently will the resident receive range of motion exercises?
Consider the meaning of “bid” in medical terminology, which indicates how often a treatment or procedure should be administered within a day.
17. The nurse has written a nursing order in John Taylor’s nursing care plan. It states assist the patient to the bedside commode PRN. When will this patient get this assistance to the commode?
Consider how “as needed” applies to the patient’s condition and whenever he expresses the need for assistance or shows signs of requiring help.
18. 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 fundamental to ensuring that all other aspects of patient care can be addressed effectively and without risk.
19. Your elderly patient has a temperature of 98.5. Is there anything else that the CNA should do in addition to documenting this temperature?
Consider the patient’s overall condition and any additional signs or symptoms present, as they may require further assessment or notification of nursing staff, regardless of a normal temperature reading.
20. You are caring for a group of patients and you hear a loud crash at the end of the floor. Which of your senses allowed you to hear this loud crash?
Think about the part of your body that helps you perceive sounds in your environment, especially when something unexpected happens.
21. At the end of your shift Sophie T starts crying when you walk into her room. Sophie is usually very cheerful. You speak to Sophie and she tells you that she is very sad because she has not seen her family in weeks. Which of the senses allowed you to know that Sophie was crying?
Consider how you became aware of Sophie’s emotional state. Think about what you could visually observe and what sounds you might hear in the situation.
22. What should you do?
Focus on actively listening and showing empathy to help the individual feel understood and supported.
23. Should you report Sophie’s crying to the nurse?
Consider how emotional changes in a resident can impact their overall well-being and the importance of communicating these shifts to ensure they receive appropriate care.
24. Mr Gray is in a bad mood today you enter his room to offer care and he says get the hell out of here and don’t come back you should report to the nurse that Mr Gray
When handling a resident’s aggressive refusal of care, it’s important to accurately report their exact words to healthcare staff. This ensures that their emotional state and intentions are clearly understood, allowing for appropriate follow-up.
25. When doing HS (hour of sleep) care, what is the proper oral care with a patient that has dentures or bridges?
Ensure proper hygiene by removing dentures or bridges for effective cleaning, using a soft toothbrush and appropriate cleanser.