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1. Mr. Graves tells you he is ready to die but is hoping to live three more months until his first grandchild is born. He promises to stop smoking in return. You recognize this is a stage of grief known as:
Consider how Mr. Graves is trying to negotiate for more time in exchange for a personal commitment. This reflects a common behavior in response to the fear of loss, where an individual makes promises or seeks to change their circumstances as part of coping with a difficult situation.
2. Mrs. U has end-stage pancreatic cancer. When you enter her room, her daughters are sitting at the bedside weeping. Mrs. U says to you, indicating to her daughters, “I don’t know what’s the matter with them. I’m not dead yet.” The daughters are experiencing:
Consider the emotional experience faced by family members who are aware of an impending loss, even while the patient is still alive.
3. Supportive care to a dying resident includes all of the following except:
Consider the primary aim of supportive care for a dying resident, which prioritizes comfort and dignity rather than interventions that extend life. Reflect on practices that align with this approach versus those that may intervene in the natural dying process.
4. Mrs Herer does not want any life-sustaining treatments. Which intervention is appropriate?
Consider the patient’s expressed preferences regarding their end-of-life care and focus on supportive measures that prioritize comfort.
5. Mrs. Kaplan tells you that she would never want to have artificial nutrition having seen her roommate come back from the hospital with a tube feeding; she asks you if you can do something to make sure that does not happen. You should:
Focus on the importance of clearly communicating the patient’s wishes to the appropriate healthcare team member to ensure her preferences are documented and respected in her care plan.
6. A patient expresses sexual interest in you. What should be your response?
Remember to maintain professionalism and set clear boundaries while addressing the situation calmly and respectfully. It’s essential to communicate your position without causing embarrassment to the patient. If the behavior persists, seek assistance from a colleague or authority.
7. Mr. Gray tells you he is transgender. This means he:
Consider how gender identity relates to one’s assigned sex at birth; it often involves a personal understanding of oneself that may differ from societal expectations.
8. You are caring for elderly residents. You should:
Consider the importance of safety and comfort when helping residents transition from sitting or lying to standing. Think about practices that encourage stability and respect for their individual needs.
9. When providing care for elderly residents, you should:
Consider how daily tasks, like maintaining cleanliness and vision, directly impact an elderly resident’s safety and communication.
10. Mrs. Malloy says she is celibate. This means that she:
Consider what it means to abstain from sexual activity and the motivations that can lead someone to make that choice.
11. You are working as a valued member of the team in your nursing care unit. You are trying to figure out whether or not the team is doing well. Which of the following is a sign that your team is doing well?
Consider how your team handles conflicts and discussions. A positive approach to disagreements often highlights a strong, cooperative atmosphere that encourages growth and improvement.
12. Winning teams:
Think about how successful teams navigate challenges by emphasizing collaboration and creativity over individual conflicts or judgments. Consider the importance of a supportive environment in achieving collective goals.
13. The primary purpose of a patient care meeting or conference is to determine which of the following?
Consider what the healthcare team focuses on to provide tailored support for the patient’s unique circumstances and goals.
14. Who should be members of a patient care conference?
Consider all the key players involved in a patient’s care, including healthcare professionals, the patient themselves, and potentially their family members, to ensure a well-rounded discussion about care needs and preferences.
15. Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their own?
Consider who the patient would trust most to represent their healthcare preferences if they were unable to advocate for themselves. This often involves a formal designation made ahead of time.
16. You are attending a patient care conference as the CNA on the team. What things should you discuss with other members of the healthcare team?
Focus on the patient’s daily living activities and self-care abilities. Highlight any changes you’ve observed in their needs, preferences, and assistance levels. Avoid topics related to medical diagnoses or medications, as those are beyond your scope. Your insights help shape an effective care plan.
17. You enter Mrs. Bellow’s room this evening and she yells at you for not coming in sooner. Your response should be:
Focus on acknowledging her feelings and showing that you are there to help. Responding with readiness to assist can help calm the situation and demonstrate your support.
18. When transferring Mr. Bold from bed to wheelchair, you allow his legs to dangle at the bedside for a few minutes after he sits up. This will help avoid:
Consider the body’s response to sudden position changes and how it can impact stability and blood flow.
19. Your resident has COPD. The CNA may perform all of the following interventions except:
Remember that any changes to oxygen delivery, as it is classified as a medication, must be handled by a licensed nurse. Focus on supportive care within the CNA’s scope.
20. People with any physical, mental, or emotional problems are best referred to as:
Think about a term that prioritizes the person’s identity while acknowledging their challenges. It emphasizes individuality rather than just the condition.
21. Your resident with dementia frequently becomes restless and agitated in the late afternoon and evening. This condition is known as:
Think about the time of day when some individuals with dementia may experience heightened confusion and restlessness, often correlated with the setting sun.
22. Which of the following procedures is correct during a fire?
Remember to prioritize safety by using designated fire exits and avoiding confined spaces that could trap you. Stay low to avoid smoke inhalation and always stay calm while evacuating.
23. Mr. Allen is independent for ambulation, Mrs. Wilson is partial weight-bearing and uses a wheelchair, Mr. Barry is bed-bound and cannot transfer or move independently. You must evacuate your unit; none of the residents are in immediate danger. Who should you move first?
Consider the level of independence each resident has for movement. Prioritize those who can assist themselves in the evacuation, allowing for a more efficient process.
24. Mr. Allen is independent for ambulation, Mrs. Wilson is partial weight-bearing and uses a wheelchair, Mr. Barry is bed-bound and cannot transfer or move independently. You must evacuate your unit; none of the residents are in immediate danger. Who should you move second?
Consider the mobility and independence of the residents when deciding the order of evacuation. Focus on those who require some assistance but can still move with support.
25. Mr. Allen is independent for ambulation, Mrs. Wilson is partial weight-bearing and uses a wheelchair, Mr. Barry is bed-bound and cannot transfer or move independently. You must evacuate your unit; none of the residents are in immediate danger. Who should you move last?
Consider the level of mobility and assistance required by individuals during an evacuation; prioritize those who can move independently first.
26. The promotion of self-care is a critical aspect of care. How can you on a daily basis promote self-care?
Encourage independence by allowing individuals to take on small tasks that promote their self-esteem and sense of autonomy. Focus on activities they can manage themselves and provide support rather than doing everything for them.
27. The pathogen is a microorganism that:
Think about microorganisms that are harmful and can cause illness in humans or other organisms, distinguishing them from beneficial ones.
28. Which of the following statements describing viruses is true?
Consider how viruses differ from bacteria in terms of treatment and prevention. Look for statements that highlight the role of vaccines in combating certain viral infections.
29. Which Link in the Chain of Infection would be considered droplets from a cough or sneeze?
Think about how infections spread through the air when someone coughs or sneezes. Consider what happens when droplets containing pathogens leave the body.
30. Mrs. Elliot’s husband is visiting; you notice he is coughing and sneezing frequently. You should:
Consider the potential risks of exposure to infectious diseases in a care setting and remember the importance of following infection control protocols.
31. What is the relationship between HIPAA and technological advances?
Consider how advancements in technology can both improve patient care and pose new challenges to maintaining confidentiality and security of sensitive health information under HIPAA guidelines.
32. Which technological advance is most likely to place you at risk for HIPAA violations?
Consider platforms where personal information can be shared publicly and may lead to unintended disclosures of patient data.
33. Your former grade school teacher is now one of your residents. A friend asks for details on her condition. What is your best answer?
Consider the importance of patient privacy and the legal guidelines surrounding medical information sharing. Your response should prioritize confidentiality over personal connections.
34. A family member requests information about a resident assigned to you which answer contains appropriate information?
Focus on providing information that is general and related to the resident’s daily activities or well-being, while ensuring that you do not disclose any sensitive medical details or information that requires authorization. Prioritize privacy and adhere to regulations.
35. A resident family member gives you a Christmas card with a $20 bill tucked inside. What is the appropriate response?
Consider the ethical implications and policies regarding accepting gifts in a caregiving role. Maintaining professional boundaries is key.
36. Mrs. Sanchez is a slow eater who usually has a poor intake. The nursing assistant is running behind and decides not to feed her since she takes a long time to feed but eats very little. The dietary department reports the tray is turned untouched. What charge could this nursing assistant be found guilty of?
Consider the consequences of omitting essential care tasks, particularly when it impacts a patient’s nutritional needs. What might that signify in terms of responsibility?
37. CNAs are very important in terms of observation and Reporting why is this role so important?
Consider the unique position of CNAs as the healthcare providers who spend the most time with patients. Think about how their observations can directly impact patient care and safety, facilitating timely interventions based on subtle changes they notice.
38. Your resident is NPO. This means:
Consider the implications of NPO status on a resident’s care, particularly regarding the timing of procedures and the administration of medications.
39. The care plan states your resident may be out of bed “ad lib.” This means:
Consider the resident’s ability to make personal choices regarding their mobility, reflecting their independence and comfort in the care setting.
40. 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?
Remember that BID indicates activities scheduled for two instances throughout the day.
41. Mr. Gonzalez’s care plan states he is to be out of bed using a Hoyer lift qod. He was last out of bed on Monday. When is the next day he should be out of bed?
Consider the term “qod” in the care plan, which indicates a schedule of every other day. Identify the next day based on the last occurrence.
42. Mr. Jackson tells you he is having pain; you notify his nurse who says, “Okay, I can give him Tylenol PRN for pain.” What is the meaning of PRN?
Think about how medications might be administered based on a patient’s immediate needs rather than a regular schedule. Look for a term that emphasizes flexibility and responsiveness to the patient’s situation.
43. While providing perineal care and cleansing to a female patient who is incontinent of urine and stool, you should:
Remember to always clean from front to back to minimize the risk of infection when providing perineal care.
44. Which of the following is not a part of CNA’s routine personal care of a patient?
Consider the specific tasks CNAs are trained to perform versus those that require specialized skills; think about activities that involve cutting or altering the patient’s appearance.
45. 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 hair on the face to determine the correct direction.
46. You have accidentally nicked the patient’s neck when you are shaving him; you should:
Apply pressure to the nicked area to control bleeding and promptly inform the nurse for further assessment and care.
47. CNAs assist residents as needed with ADLs (activities of daily living). Which set of tasks includes ADLs?
Think about the essential daily self-care tasks that help individuals maintain personal hygiene, mobility, and overall independence. Focus on the basic activities that are necessary for daily living.
48. When providing personal care for a resident, the CNA should:
Consider the importance of promoting independence and respecting personal preferences while providing care, as this fosters dignity and well-being for the resident.
49. You wash Mrs. Gillette’s hands before you feed her. The resident rarely feeds herself, so why should you wash her hands?
Consider how hand hygiene impacts overall health, even for those who receive help with eating. Think about preventing contamination and the importance of respecting personal care routines.
50. Mr. Grayson is an unconscious resident. How often will you provide mouth care on Mr. Grayson?
Consider the importance of regular oral hygiene for residents who cannot care for themselves, and think about how frequently you would need to ensure their comfort and prevent complications.
51. You have just come on duty for your 3:00 p.m. to 11:00 p.m. shift. Which task is the most important?
Focus on the task that directly impacts resident safety and well-being first; it’s essential to assess their condition as soon as you start your shift.
52. You enter Miss Harris’s room and note her respirations are rapid and she is having trouble catching her breath. After notifying the nurse, you should:
Consider how positioning can impact respiratory function, especially in emergencies.
53. While providing care for a resident, a coworker enters the room to ask you a question unrelated to resident care. Your best response is to:
Remember to prioritize the resident’s needs and maintain focus on their care when approached with unrelated questions. Consider addressing the coworker’s inquiry at a more appropriate time.
54. You are pulled to an unfamiliar floor to provide resident care. You demonstrate professionalism in this difficult situation by:
Consider emphasizing the importance of communication and collaboration in unfamiliar situations. Seeking guidance from experienced staff demonstrates a commitment to patient safety and care quality.
55. In the event of a fire, the first action you should take is:
Remember that prioritizing safety in a fire involves ensuring that anyone in immediate danger is addressed first. Focus on protecting individuals before proceeding with other safety measures.
56. You are working the midnight to 8:00 a.m. shift when you leave a resident’s room. There is a man with a knife in his hand. He says he wants to see Julie B, who is the nursing supervisor. What should you do?
In a threatening situation with an armed individual, prioritize your safety and the safety of others. Stay calm, avoid confrontation, and follow emergency protocols by notifying security or law enforcement while ensuring that the area is secured.
57. You answer the phone on your nursing unit; the caller states there is a bomb in the operating room. What should you do?
Remember to stay calm, keep the caller engaged for information, and report the threat to your supervisor immediately. Safety protocols are key.
58. Residents in long-term care facilities are at risk for incidents because:
Consider the various physical and cognitive challenges that residents may face, which can contribute to their vulnerability in a care setting.
59. The majority of incidents in the long-term care setting are from:
Consider factors affecting mobility and safety in elderly populations, particularly those common in long-term care environments.
60. Medications that are given to residents to change behaviors that are considered problematic are:
Consider medications that are used to modify behaviors deemed inappropriate or disruptive, particularly in settings where safety is a priority.