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1. Your patient has terminal cancer and wishes to make an advanced directive. Quickly the family requests you to sign as a witness. You should:
Consider the legal and ethical responsibilities tied to witnessing documents, especially regarding advanced directives, and recognize the limitations of your role.
2. Mr. Bledo, a dying resident, does not believe in any higher spiritual being. To best care for this resident, the CNA should:
Focus on providing compassionate care that respects Mr. Bledo’s beliefs, prioritizing his comfort and dignity without imposing spiritual views.
3. The nurse tells you the resident is a no code; this means:
Think about end-of-life decisions and the specific wishes regarding medical interventions during emergencies.
4. An autopsy is performed:
Consider under what circumstances an autopsy is generally conducted. Think about the role of family and medical professionals in requesting this procedure.
5. You are performing postmortem care on Mr. Low. What should be done with his dentures?
Consider how to maintain the deceased’s appearance and dignity during postmortem care.
6. Excessive noise in health care facilities:
Consider the impact of sound levels on patient well-being and recovery, focusing on the threshold at which noise becomes detrimental to health.
7. Which of the following statements about pain is false?
Consider the distinction between physical and psychological pain experiences, especially in cases of lost body parts.
8. Mr Blaze complains of pain. You notify the nurse who administers pain medication. While waiting for the medication to work, you can ease his pain by performing the following interventions except:
Consider the impact of the environment on comfort; bright lights may worsen pain perception rather than alleviate it.
9. Your pediatric patient wishes to sleep with her special baby blanket. You should:
Consider the emotional benefits for the child when making your decision about allowing personal items in a healthcare setting.
10. Your new Resident Mrs. Charles has episodes of somnambulism. This means she:
Consider the term’s roots and think about activities that occur during sleep without conscious awareness.
11. The department of a hospital that provides care for patients with pulmonary and breathing disorders is:
Think of the department that focuses on lung function and breathing support—it’s where you’ll find specialists assisting patients with various respiratory conditions.
12. Your resident tells you she is concerned about how her family will pay for her medical care. What department will assist the resident with financial matters?
Consider which department provides guidance on financial assistance and healthcare coverage, focusing on the needs of residents and their families.
13. Which of the following goals are not part of the Patient Protection and Affordable Care Act?
Consider the primary objectives of the ACA, which focus on expanding access to healthcare and protecting patients, particularly those with pre-existing conditions. Look for an option that deviates from these themes.
14. An on-site survey of a health care facility is focused on which of the following?
Focus on the evaluation of health and safety practices and compliance with regulations that protect both employees and patients in the facility.
15. The people who live in a long-term care facility are referred to as:
Think about a term that emphasizes the living situation of individuals in a supportive community setting, distinct from those receiving temporary medical treatment.
16. The majority of Care at an ALF assisted living facility is provided by:
Consider who provides the daily support and assistance for activities such as bathing, dressing, and meal preparation in assisted living settings.
17. Mrs. Jones has dementia; she spends many hours rummaging through a large pocketbook, removing and replacing items such as washcloths and plastic spoons and then repeating her actions. You should:
Consider the benefits of providing comfort and autonomy for Mrs. Jones, while also ensuring her safety and well-being.
18. When you told Mrs. Kramer it was time for her bath, she responded by screaming, “No, no, get out of here and leave me alone!” and swinging her arm toward you with a closed fist. The best response to her behavior is to:
Focus on creating a calm and safe environment. Acknowledge her feelings without escalating the situation, and give her space rather than trying to force compliance.
19. In Mrs. Kramer’s situation, her behavior can be characterized as a:
Consider how extreme emotional distress or agitation can arise in response to overwhelming situations, particularly in individuals with cognitive challenges.
20. An example of validation therapy would be:
Think about a therapeutic approach that involves accepting a person’s feelings and experiences without correcting their reality. Focus on the emotional validation rather than reorientation.
21. Mr B has been your resident for the past 2 months he is alert and oriented and knows your name when you wake him this morning he frowns and says who are you why are you in my house he is likely experiencing a
Consider sudden changes in a person’s cognitive state, especially after a period of stability, which can indicate an acute medical issue.
22. Which of the following events is an example of a life-threatening situation?
Consider scenarios where immediate medical intervention is crucial to prevent death or serious injury, such as those affecting vital functions or causing severe bodily harm.
23. Working in a health care facility, you hear code blue being called. This code is:
Think about a situation that requires immediate life-saving measures, particularly related to the heart or breathing.
24. Your facility is conducting a practice drill. What is your role in this?
Remember, your active participation during the drill is essential for improving team coordination and emergency response skills. Treat the exercise as a real scenario to maximize effectiveness and readiness.
25. You hear in the report that Mr. Green, one of your residents, is being prepared for transfer to the hospital because he is in respiratory failure. This means:
Consider the implications of inadequate breathing and its impact on oxygen and carbon dioxide levels in the body.
26. You received a new Resident who has head lice. Head lice can:
Consider how head lice are transmitted and the importance of personal item hygiene in preventing their spread.
27. The nurse tells you Mrs. Kramer’s pressure ulcer is not healing because it is covered with a biofilm. A biofilm is best described as a:
Think about how bacteria group together in a protective layer, making it hard for treatments to penetrate and effectively fight the infection.
28. Which of the following symptoms is not associated with tuberculosis disease?
Consider the typical symptoms of tuberculosis, which often reflect a decline in health rather than improvement. Look for a symptom that suggests recovery or good health instead of the usual signs of illness associated with TB.
29. The infection control nurse in your facility informs you that you are due for a TB tuberculosis test. You should:
Consider the importance of routine health screenings in your workplace and the potential risks of overlooking them for both yourself and those around you. Remember that certain infections can be present without obvious symptoms, highlighting the value of regular testing.
30. Mr. Delaney has a neurovirus. Which of the following interventions is not effective against neurovirus infections?
Consider which hygiene intervention may not adequately eliminate or prevent the spread of a highly resilient virus known for its transmission through contaminated surfaces and direct contact.
31. You witness your coworker place a resident’s ring in her own bag. By not reporting this, what charge could you be found guilty of?
Consider the implications of not reporting a witnessed crime; inaction can sometimes be viewed as support for the illegal act.
32. Mr. Golden is not able to ambulate independently; he keeps trying to get out of his wheelchair, and the staff must repeatedly respond to his wheelchair alarm. What action would be appropriate?
Consider Mr. Golden’s physical and emotional needs first; ensuring he can comfortably and safely access the bathroom or engage in movement can help address his restlessness. Focus on providing assistance rather than restricting his mobility.
33. You hear a coworker talking about a resident saying she’s just here to get more drugs she couldn’t get in jail you counsel the coworker to stop her remarks advising her that she could be accused of:
Consider the potential legal implications of making negative statements about a resident’s character, especially regarding sensitive issues like drug use.
34. A resident has no physician order for restraints; he is indicating he wants to leave the facility. The nurse says she will restrain the resident if necessary to keep him from leaving the facility. This would be considered:
Consider the legal implications of restraining someone without consent or proper authorization, especially in relation to their right to move freely.
35. Miss O’Brien states she is too tired for her bath; you should:
Consider the resident’s feelings and needs; offer flexibility in her care routine to support her comfort and autonomy.
36. Two female nursing assistants are caring for a male resident while performing care; they discuss dates with their boyfriends, including intimate details. This inappropriate action could be:
Consider the impact of inappropriate conversations in a caregiving environment, especially on residents’ comfort and dignity. Focus on how such discussions can violate professional boundaries and lead to potential discomfort or distress for those being cared for.
37. After documenting a set of vital signs from Mr. Alvarez, you realize you wrote in the spot for another patient. You should:
Ensure you follow proper documentation protocols to maintain record integrity. Use a single line to cross out the incorrect entry, label it as an error, and provide your initials before adding the correct information elsewhere. Avoid using correction fluid or erasers.
38. Which statement regarding documentation is accurate?
Remember that every piece of written documentation in a medical record holds legal significance and contributes to a resident’s comprehensive medical history. Treat it with accuracy and care.
39. You note a red rash on Mrs. Johnson’s left thigh; this is an example of what type of observation?
Consider whether the observation relies on personal feelings or opinions versus something that can be directly seen or measured.
40. 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:
Focus on the importance of conveying the resident’s exact words and emotional state to ensure clear communication with the healthcare team. This will help address any potential underlying issues.
41. You enter Miss Diamond’s room and observe she is having difficulty speaking after she awoke from a nap. You should next:
Consider the potential seriousness of communication changes after waking. Prioritize alerting the medical staff to assess the situation thoroughly.
42. Your resident voided 60 mL of urine at 1:00 p.m. in the afternoon. Your facility uses international time in the 24-hour clock. How will you document the time of this resident’s action?
Remember, in the 24-hour clock, afternoon hours are calculated by adding 12 to the hour value in standard time.
43. How will you position Mr. Grayson, an unconscious resident, when you provide mouth care?
Consider the importance of elevating the head and positioning the resident to minimize aspiration risks during mouth care.
44. Mr Johnson’s electric razor is broken so you report this to the nurse before switching to a safety razor what must be done?
Ensure you check Mr. Johnson’s medication status, particularly regarding anti-coagulants, before proceeding with the use of a safety razor.
45. You are preparing to give a bed bath to your resident. You check the water temperature, which is an appropriate temperature for bathing:
Ensure the water temperature is comfortably warm, generally between 95°F and 110°F, to provide a safe and soothing bathing experience.
46. The first step in a bed bath is to wash:
Start with the area that leaves a positive impression and requires gentle care, focusing on cleanliness without soap.
47. When providing routine care to the resident’s feet, you should:
Remember to thoroughly dry between the toes after applying lotion to prevent moisture buildup, which can lead to skin issues and infections.
48. Mr. Green is to receive a partial bed bath today which parts of the body will you bathe?
Focus on the areas that often accumulate sweat and dirt, especially where skin folds are present, to ensure comfort and hygiene.
49. You are preparing to bathe a resident who weighs 300 lb. You should:
Focus on cleaning skin folds thoroughly to prevent moisture buildup and potential skin issues. Always prioritize safety by seeking assistance or using appropriate equipment.
50. Mr Vieira has an IV; when you bathe him, you should:
Ensure the IV bag is positioned correctly to maintain flow, and be cautious around the IV line when providing personal care.
51. You have a new admission on your resident assignment. Which information should you make sure the resident is aware of?
Prioritize informing the resident about essential facilities and emergency communication options that ensure their comfort and safety.
52. You do not know how a resident toilets; what is the best way to find the correct information?
Check the resident’s care plan or profile card for detailed information on toileting procedures.
53. What step must be done before every procedure?
Think about the most basic hygiene practice that helps prevent the spread of germs before any medical interaction.
54. Mr. Dennis is receiving hospice care for end-stage metastatic colon cancer. What is the most important issue in his care plan?
Consider the primary goal of hospice care and how it directs the approach to managing symptoms and ensuring a peaceful end-of-life experience.
55. Your new Resident requires some additional documentation including meal monitoring and bladder training logs. Documentation should be done:
Consider how timely documentation impacts the accuracy and quality of resident care.
56. You are assisting Mr. Williams with dinner; the mashed potatoes are steaming. How can you be sure the food is not too hot?
Test a small amount on your wrist to check the temperature safely. This area is sensitive and can help you gauge if the food is too hot without risk of burns.
57. You hear your name being called on the overhead paging system when you are bathing a resident in the tub room. Your response should be to:
Consider the safety and needs of the resident first; complete your current task before responding to the page.
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
Consider the immediate need to address a potential airway obstruction. Focus on performing a technique designed to forcefully expel the blockage, ensuring it is suitable for someone in this situation. Time is of the essence, so act decisively.
59. How can the CNA best avoid skin shear when moving a resident up in bed?
Consider using a draw sheet to reduce friction and protect the skin when repositioning a resident in bed.
60. You are new on the unit. Many residents in the unit are ambulatory. Your assignment is to give Mrs. Jones in 306A a bath. There is a resident sitting on the bed in 306A who is not wearing a name bracelet. How will you make sure this is Mrs. Jones?
Consider verifying the resident’s identity with a colleague who is familiar with the residents on your unit, as they can provide accurate information when name bracelets are missing.