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1. A CNA, MA, and RN all provide care for 10 patients in a subacute facility. What is the term for this collaborative approach to patient care?
Consider how different healthcare roles work together to ensure comprehensive care for patients, leveraging each member’s unique skills and responsibilities.
2. Nursing assistants work in a lot of different places; one place that CNAs work is a Skilled Nursing Facility. This type of facility is also called a __________.
Think about a term commonly used to describe a place where elderly individuals receive extended care and support for daily living activities.
3. A CNA is covering another CNA’s lunch break on another floor. She answers the light for a patient who complains of chest pain. Who should the CNA report this finding to?
Consider the chain of command in healthcare settings, focusing on who is trained to assess and act on urgent medical concerns like chest pain.
4. You are asked to complete a bed change for a 300 lb patient who is immobile and difficult to turn. You feel uncomfortable changing the bed yourself. What is your next course of action?
Consider the importance of teamwork and safety when handling physically demanding tasks, especially with patients who are immobile or heavy. Prioritize asking for assistance from colleagues to ensure both your safety and that of the patient.
5. Which duties would be performed by CNA in team nursing?
Consider the responsibilities that fall within the scope of practice for a CNA, particularly tasks that involve routine monitoring rather than clinical assessments or specialized instruction.
6. The CNA can legally underscore
Remember that CNAs can assist in helping new staff understand their tasks but should not take on roles that involve supervision or teaching others, as these responsibilities are designated for licensed professionals.
7. The director of nursing at your Long-Term Care Nursing Home has assigned you to be in charge of the nursing home for the weekend because she is going away on a cruise vacation to the Caribbean what should you do?
Remember that certain roles and responsibilities are legally designated to licensed professionals. Consider the implications of taking on tasks that exceed your qualifications and the importance of maintaining proper communication with your supervisory chain.
8. Which of the following actions is ethically wrong in the care of nursing home residents?
Consider what actions might undermine the dignity or autonomy of nursing home residents, focusing on ethical principles such as respect and informed consent.
9. A patient requires a dressing change for the first time after surgery which of the following staff cannot legally change the patient’s dressing immediately after surgery?
Consider which staff member is typically responsible for assessing wound conditions and has the training to evaluate potential complications after surgery.
10. Which of the following is now the minimal requirement to be able to legally record and document data such as Vital Signs and blood sugar readings within a hospital setting?
Consider the legal requirements for healthcare documentation; focus on the importance of certification versus education levels.
11. Who developed the hierarchy of needs?
Think about the psychologist who introduced a model outlining different levels of human needs, emphasizing that basic needs must be met before pursuing higher aspirations.
12. The levels of the hierarchy of needs are underscore
Think about the foundational needs that must be met before individuals can focus on higher-level psychological and self-fulfillment goals.
13. The CNA is working on a busy medsurg Hospital floor and is caring for 10 patients. Vital signs are taken every 4 hours with meals delivered at 7:30, 12:30, and 5:30. It is currently 9:00 and all patients have received their breakfast trays. Last vital signs were taken at 4:00. Which of the following is the highest priority?
Consider the severity of symptoms when determining priorities. Immediate reporting of any signs indicative of a potential emergency is essential for patient safety.
14. It is nearly time for your lunch break; a nurse is requesting assistance with an incontinence bed change. Which of the following is not a proper response?
Consider the importance of teamwork and patient care in a healthcare environment. Think about how to balance personal needs with immediate responsibilities to patients.
15. You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states ambulate at least 10 yards qid. This patient will be assisted with ambulation at which of the following times?
Remember that “qid” indicates a frequency of four times a day, so consider typical times for regular activities in a healthcare setting.
16. The RN asks you to bring the unit’s collected lab specimens to the lab stat. You should underscore
Remember that “stat” indicates immediate action is required, reflecting the urgency of the situation and the need to prioritize patient care.
17. Hospital policy states that patients on the medical floor should have Vital Signs taken every 4 hours which of the following is an appropriate abbreviation for this order?
Consider how to clearly indicate frequency in medical abbreviations, particularly focusing on the number of hours between assessments.
18. What does the medical abbreviation ADL stand for?
Think about the essential daily tasks that individuals perform to maintain personal hygiene, mobility, and self-care.
19. You are caring for a patient with a BKA. What do you expect to see when entering the patient’s room related to this abbreviation when working with the patient?
Look for indications of a missing limb or adaptations in the patient’s environment that accommodate their mobility needs, particularly focusing on the lower leg area.
20. Which of the following lists the five senses?
Remember to focus on the fundamental ways we perceive the world around us through our bodies. Think about how each sense allows us to gather information from our environment.
21. What senses do nursing assistants use to observe patients and residents?
Consider the primary ways nursing assistants gather information about their patients by relying on their natural abilities to perceive changes in health and well-being.
22 a CNA is caring for an immobile patient and notices a new open sore to the patient sacrum what should did the CNA do
Always prioritize communication with the nursing staff when noticing changes in a patient’s condition, especially regarding new injuries or sores.
23. A CNA is working in the resident dining hall and notices a resident grabbing at her throat without making any noise. What should the CNA’s response be?
Remember to act swiftly when signs of choking are evident. Focus on the appropriate technique designed to clear the airway effectively.
24. A CNA is bathing a child on a Pediatric Hospital unit. She notices the child has bruising to his arms and legs. What should be the CNA’s first response?
Consider the importance of following established protocols when you notice concerning signs in a patient, especially regarding their safety and well-being.
25. Which risk factor places patients and residents at the greatest risk for falls?
Consider the role aging plays in physical health and stability, especially regarding balance, coordination, and overall mobility.
26. Which sensory impairment places residents and patients at risk for falls?
Consider the impact of visual limitations on a person’s ability to navigate safely in their environment.
27. You are caring for a resident in an Alzheimer’s unit in a nursing home. The resident is repeatedly pushing on the locked door trying to exit the building. What would be your first response?
Consider prioritizing verbal communication to redirect the resident’s attention. A calm and reassuring approach can effectively alleviate anxiety and prevent escalation.
28. You are working in a dual occupancy room in a long-term care facility when the residents start arguing back and forth from their beds. What is the best response?
Consider the importance of involving experienced staff when managing conflicts between residents in shared spaces.
29. Which of the following is most likely to deescalate a disoriented patient who is starting to become verbally abusive?
Focus on calming communication; prioritize a slow, reassuring approach to help the patient feel heard and safe. Avoid any aggressive responses that could worsen the situation.
30. A CNA notices an uncapped syringe lying on the floor in the patient’s room. What is the CNA’s response?
Consider the importance of safety and proper disposal when encountering sharp objects in a healthcare setting. Remember to follow protocols for handling potentially hazardous materials.
31. The fire alarms in your nursing home begin ringing; nobody on your unit is in immediate danger. You must now underscore:
Remember to focus on containment before evacuation; closing patient doors is key to preventing smoke spread.
32. A small contained fire breaks out in a small trash can near the lobby of the nursing home. No visitors or residents are in immediate danger. You have pulled the alarm. What should you do next?
Remember the RACE acronym after pulling the alarm: if it’s safe and manageable, consider extinguishing the small fire rather than allowing it to grow. Stay calm and act swiftly, but prioritize safety above all.
33. Which of the following locations would provide you with the most update information on how to respond to a disaster within your facility?
Consider looking for the most authoritative and specific guidance on emergency procedures that directly pertains to your facility.
34. In the event of a tornado spotting near the proximity of the building, what is the CNA’s response to maintain patient safety?
Ensure patients are moved to an interior room or hallway, away from windows and doors, to minimize risks during a tornado. Avoid using elevators.
35. Which patients should be evacuated first in the event of a fire within the area?
Consider the ability of patients to evacuate themselves quickly; prioritize those who can move independently.
36. You hear the code for an infant abduction over the intercom in the hospital. You notice a suspicious person walking with a large bag quickly through the halls. What is your response?
Consider the importance of both safety and urgency in this situation. It’s crucial to keep the situation under control without escalating it, and to rely on trained professionals for assistance.
37. A patient is confined to their bed and needs assistance at meals. What position should you place the bed in as you’re feeding the patient?
Consider the safest position for eating that minimizes the risk of choking and maximizes comfort during meals.
38. When cleansing the G.I. area during perineal care, the nurse aid should underscore:
Remember to retract the foreskin for thorough cleaning and always cleanse the genital area before the rectal area to minimize infection risk. Use a new part of the washcloth for each stroke to ensure proper hygiene.
39. Which of the following tasks would more likely be performed by a nurse?
Consider the level of skill and clinical judgment required for the task, particularly in relation to patient sensitivity and the potential for complications.
40. What may result when patients or residents ignore the urge to defecate?
Consider the consequences of delaying a natural bodily function, especially how it affects stool consistency and bowel health over time.
41 The Chain of Infection includes the underscore
Think about the different stages involved in the spread of an infection, and how interrupting any one of these stages can help control disease transmission.
42. Asepsis is defined as:
Consider the role of aseptic techniques in preventing infections and the significance of maintaining a germ-free environment in healthcare settings. Focus on the difference between general asepsis and surgical asepsis.
43. Which of the following patients is likely to be placed on contact precautions in a hospital setting?
Consider infections that are resistant to standard treatments and require special measures to prevent their spread.
44. What are standard precautions?
Think about the basic infection control practices that all healthcare providers should follow, focusing on hygiene and the handling of bodily fluids.
45. Which of the following Hospital floors would you most likely expect to see reverse isolation precautions?
Consider which hospital setting is specifically focused on treating patients with weakened immune systems and requires strict precautions to prevent infections.
46. Mobility is an important human function; the hazards of immobility lead to many physical problems and emotional problems. Immobility can lead to detrimental cardiac, muscular, respiratory, skeletal, urinary, gastrointestinal, skin, and emotional changes. Which of the following is an example of a skeletal hazard of immobility?
Consider how immobility affects bone health specifically, particularly in terms of mineral loss and the structural integrity of the skeleton. Think about what happens to bones when they are not engaged in weight-bearing activities for an extended time.
47. An emotional consequence of immobility is underscore.
Consider emotions commonly linked to isolation and loss of control, especially in individuals experiencing a lack of movement or social interaction.
48. Which of the following age groups are at the highest risk for injury causing falls?
Consider the common challenges faced by older adults that contribute to their increased vulnerability to falls.
49. All of the following are preventive measures to avoid pressure ulcers in the elderly except:
Consider the primary purpose of the equipment or strategy being used. Focus on whether it addresses skin integrity and circulation directly, or if it serves a different purpose that may inadvertently cause harm.
50. Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair?
Position the wheelchair on the strong side of the patient to ensure safety and stability during the transfer.
51. Which of the following would not be considered a fall risk intervention?
Consider the primary purpose of the option in question and whether it promotes safety and mobility or restricts movement.
52. Two CNAs are caring for a total care elderly patient with dementia. Which of the following scenarios is incorrect?
Consider the importance of patient confidentiality and the potential impact of discussions on a patient’s comfort and understanding.
53. Your patient is saying that they have chest pain and a pounding heart. You touch the person’s arm and you feel moisture; the patient is sweating and you also see that the person’s lips are blue. These signs and symptoms indicate that the person is most likely _________.
Consider the combination of the symptoms: chest pain, shortness of breath, diaphoresis, and cyanosis, indicating a severe lack of oxygen and possible cardiac distress.
54. You are caring for Thomas N. Thomas, who is 77 years old. He has edema or swelling in his legs and he has a fluid restriction in terms of his fluid intake. You have been assigned to weigh him daily. Based on these symptoms and the care that he is being given, what disorder is he most likely affected with?
Consider the relationship between fluid retention, edema, and management practices like fluid restrictions and daily weight monitoring. Focus on the condition that commonly presents with these particular symptoms in elderly patients.
55. You are caring for a diabetic patient who reports dizziness and is shaky and sweaty. The patient is alert and oriented. The patient’s vital signs were normal 1 hour ago. After reporting your findings to the nurse, what do you expect the nurse to ask you to do?
Consider the most immediate action to address the symptoms of dizziness, shakiness, and sweating in a diabetic patient. What would be a critical step to confirm the patient’s condition?
56. You are assisting an elderly female patient to the bathroom. Which of the following would be important to emphasize to the patient to prevent urinary tract infections?
Emphasize the importance of proper hygiene practices, specifically the correct wiping technique, to help reduce the risk of infections.
57. You notice a patient is walking with a shuffling gait with a walker and has jerky movements of the arms and legs. The patient has some difficulty speaking but is alert and oriented. What do you suspect is causing this patient’s symptoms?
Consider the hallmark features of motor symptoms, particularly disturbances in movement and coordination, as you think about conditions that impact the basal ganglia.
58. A patient is complaining of shortness of breath and requesting his breathing treatment. You notice the patient is wearing a nasal cannula with oxygen flowing at 2 L per minute. What disease do you suspect this patient suffers from?
Consider the patient’s history of respiratory issues and the need for oxygen therapy. Look for any signs of chronic airflow limitation and the typical treatments associated with long-term breathing difficulties.
59. Which is considered a normal or healthy type of grief?
Consider the emotional preparation one may engage in before a significant loss, enabling them to process feelings ahead of time. This type of grief acknowledges the reality of impending loss.
60. The grant family has just lost a loved one. A family member informs you that their culture does not permit a dead person to be left alone before burial. Hospital policy states that all bodies are to be stored in the hospital morgue. How would you best handle this situation?
Consider the importance of cultural practices in end-of-life care and the need for communication with the healthcare team to address these concerns respectfully.
61. Many people, particularly older people, go to what kind of health care facility after they are discharged from a hospital after a stroke?
Consider the type of facility that focuses on rehabilitation and recovery specifically for patients who have experienced severe medical events, especially elderly individuals needing specialized care before returning home.
62. A CNA is caring for a patient on hospice care. She notices the patient’s lips, hands, and feet are blue and mottled; there is no rise and fall of the patient’s chest. What should the CNA’s next action be?
Consider the patient’s condition and the context of hospice care; focus on communication with the nursing staff as the next step.
63. Which of the following hospice tasks should not be performed by a CNA?
Consider the professional boundaries and responsibilities associated with end-of-life care. Some tasks require specific qualifications and should be handled by licensed medical personnel.