0 of 70 Questions completed
Questions:
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
0 of 70 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
1. Mrs. French is unconscious and breathing through her mouth. You have been assigned to perform her personal care today. Which of the following accurately states a consideration in her personal care?
Consider the importance of communication and mouth care when providing personal care to an unconscious patient, as well as the need for proper positioning to prevent complications.
2. Mr. Dean is confused and disoriented. What are three possible medical reasons for this?
Consider factors that impair brain function or disrupt blood flow. Look into metabolic issues, temporary neurological events, and chronic cognitive disorders that could explain the symptoms.
3. What are the six links in the Chain of Infection?
Think of a sequence that starts with the cause of an infection and ends with a vulnerable individual. Each link in the chain involves a step in how the infection spreads, from source to potential host.
4. How should you help Mrs. Smith, who is very emotional and cries easily, and refuses to go to Chapel because she fears she will embarrass herself by crying?
Consider offering a safe space for Mrs. Smith to express her emotions and reassure her that it’s okay to feel vulnerable. Encourage open communication about her fears and explore coping strategies for public situations together.
5. You are caring for a resident who has been told she is dying. She has accepted this, but her daughter says it is not true and that her mother is just confused. How should you help with this?
Focus on supporting the resident’s emotional needs while gently addressing the daughter’s concerns. Encourage open communication between them to foster understanding, and consider involving the healthcare team if conflicts persist.
6. You have three call lights on while you are serving trays. One is a resident who calls all the time for trivial things; one is a resident who has had diarrhea all night and probably wants to be cleaned; the third one is calling because her meal is cold and she wants you to microwave it for her. What do you do first?
Consider the urgency of each situation. Identify which issue could lead to immediate discomfort or health risks for the residents involved. Prioritize the one that requires timely intervention for their well-being.
7. You are taking your client to the bathroom during a home care service. She is elderly with dementia and is a risk to fall due to a hip replacement. The bathroom is down a long hall and the client has informed you she really has to go quick. When you get halfway there, she asks you to get her a clean blouse to change into. What should you do?
Prioritize immediate safety and urgent needs over other requests.
8. What is a developmental disability?
Consider the age of onset and how these conditions can affect various areas of functioning throughout a person’s life.
9. Which of the following is a mental illness?
Consider the option that involves significant distortions in thinking and perception, impacting daily functioning.
10. Based on Maslow’s hierarchy of needs, which of the following is the most important thing you as a CNA should do for a resident?
Prioritize addressing the most basic physical needs first, as they are essential for the resident’s overall well-being and ability to engage with higher-level needs.
11. When you take a resident to the activity room for Bingo, which of Maslow’s hierarchy of needs are you addressing?
Consider the social and emotional benefits associated with participating in group activities, and how they might contribute to a sense of achievement and belonging.
12. What is the difference between an EMT and a paramedic?
Consider the levels of training and the types of medical procedures each role is certified to perform. One has basic skills, while the other has advanced capabilities.
13. Which of the following is not a normal age-related change in the cardiovascular system?
Consider what constitutes a typical adaptation versus a pathological issue within the cardiovascular system as one ages.
14. You are the CNA assigned to clean Mrs. James’s room. While you are doing this, you start to clean her clothes closet. In the closet, you discover several articles of clothing with other residents’ names on them. You have been informed in a report that articles of clothing are missing from other residents’ rooms, and the families of those residents are suggesting that someone has stolen the clothing. What should you do?
Consider the importance of maintaining confidentiality and the dignity of the residents involved. Seek the appropriate chain of command for reporting discrepancies in personal belongings without creating distress.
15. Where you work there is frequently a shortage of linen on your shift you are working with another CNA and you observe her at the beginning of the shift remove a large amount of linen from the cart and take it into one of the rooms she is responsible for as the shift proceeds you observe her taking linen from this room into her other rooms what should you do about this?
Consider the potential implications of her actions on infection control and resource availability. Open communication can help address the issue effectively, but assess whether further action is needed if the behavior continues.
16. In your facility CNAs are assigned lunch hours so that patients’ meals will not be affected by staff breaks. Your co-worker Sue has been assigned 10:30 a.m. and you have been assigned 11:00 a.m. Sue does not want to go that early and if she asks you to switch, you would not want to as it’s too early for you too. Is there anything that could make this situation better?
Consider having an open conversation with Sue about your lunch hour preferences. Encourage her to voice her concerns with the nurse responsible for scheduling. This collaborative approach can lead to a solution that respects both your needs and the requirements of patient care.
17. You are the CNA taking care of Mrs. Lee in room 232 bed 2. You are not assigned to take care of Mrs. Libs in 232 bed 1. The CNA who has been assigned to Mrs. Libs has asked you several times to perform care on her patient. Mrs. Libs is now asking you to perform care on her also. How should you address Mrs. Lib’s request for care?
Consider the importance of proper delegation and patient safety. Remember to respect your assigned responsibilities and communicate with both patients and colleagues about care limitations. Always keep the supervising nurse informed.
18. 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?
Focus on teaching and demonstrating proper techniques for lifting and bending. Emphasize the importance of using legs rather than the back, and provide tips on maintaining good body alignment and minimizing twisting movements.
19. You need to get Mrs. Lee up from the wheelchair and back to the bed. The first step is to check to make sure the bed and wheelchair are in a safe position. Which of the following describes the safe position of the wheels on the bed and the wheelchair for a transfer?
Ensure that both the bed and wheelchair have their wheels locked to maintain stability during the transfer. This prevents movement and enhances safety for both the caregiver and the patient.
20. Your resident has severe stage four pressure ulcers on her heels and ankles. How would you chart these?
Focus on providing a comprehensive description of the ulcers, including their stage, size, and characteristics, as well as any interventions implemented to manage and prevent further deterioration. Accurate and thorough documentation is key.
21. Which of the following is an objective observation?
Look for a statement that contains measurable data or specific facts verifiable by others, rather than personal feelings or interpretations.
22. How does dehydration affect the respiratory system?
Consider how a lack of moisture in the body affects the natural defenses in the airways, particularly the role of mucus in trapping harmful particles and pathogens.
23. Which of the following is a HIPAA violation?
Consider scenarios where patient health information is shared without proper authorization or outside the healthcare setting. Focus on any instances of unauthorized disclosures or casual conversations that could compromise patient privacy.
24. Which of the following is the most common catastrophic emergency in children?
Consider the leading cause of life-threatening situations in pediatric cases, particularly those linked to their ability to breathe.
25. In most facilities, what is a code red?
Think about emergency procedures related to fire safety in a facility. What signal would indicate a fire threat and prompt immediate action?
26. Your resident has fallen in between the wall and the toilet and he does not respond to your call calling his name. What should you do in this emergency?
Focus on ensuring the resident’s safety and comfort while calling for professional help. It’s vital not to move him before assessment, as this could exacerbate any potential injuries.
27. Your resident has had a stroke on the right side of his brain which of the following residual symptoms would not be expected?
Remember that strokes affect the opposite side of the body from where they occur in the brain. Focus on which symptoms typically present on the side opposite to the stroke site.
28. In a disaster who has a right to a patient’s medical record?
Consider who needs critical medical information for safe patient transport and care during emergencies.
29. You are caring for a resident who has been told her cancer has returned and she has a short time to live. You believe she is in denial. What behavior might reinforce this belief?
Consider how planning for future events, especially those that require significant time and investment, might signal a refusal to confront current realities.
30. A resident in your facility has shortness of breath and has oxygen most of the time; he leaves his oxygen in his room to go out to have a cigarette. What should you do first?
Prioritize safety by assessing the resident’s current oxygen levels before addressing their smoking behavior.
31. You are the first person to arrive at the scene of a cardiac arrest in the mall after you have secured the scene, called 911, and started CPR. How long do you have to stay there?
Remember, your role is vital; stay until the emergency responders arrive and take over. Your assistance could be crucial for the victim’s survival.
32. In an emergency, the power might go out in your building. How can you be sure most of your equipment will be powered by the emergency generator?
Ensure your critical equipment is plugged into designated power outlets that are marked to indicate they are supported by the emergency generator, often identified by a specific color. This will help maintain functionality during a power outage.
33. You observe that your resident’s left eye is red around the lid, bloodshot inside and slightly puffy. What should you do or report?
Think about the key characteristics or defining features related to the topic at hand. Consider how these aspects might connect to broader themes or concepts.
34. Mrs. Jones has been diagnosed with C. diff. Which of the following is a precaution that should be taken when performing personal care?
Remember to always wear appropriate personal protective equipment, including gloves and gowns, and prioritize handwashing with soap and water after care to effectively prevent the spread of C. diff.
35. Which of the following is not a bodily fluid?
Consider the primary roles of the options provided; focus on those involved in physiological functions versus those that serve different purposes like temperature regulation.
36. Why is mouth care important?
Consider how oral health impacts social interactions, nutrition, and the risk of infections affecting overall health.
37 you are caring for Mrs Sanchez she has an order for for bladder training what is your role in bladder training
Focus on establishing and maintaining a consistent schedule for bathroom visits while being attentive to her needs and responses throughout the training process.
38. Which of the following is not a bacteria or virus infection?
Consider the type of organism responsible for the infection in question; some infections are caused by protozoa rather than bacteria or viruses.
39. Which of the following cannot be treated with an antibiotic?
Consider the type of pathogen causing the condition. antibiotics target bacteria, while some common infections are viral and won’t respond to these medications.
40. What items are included in standard precautions?
Consider the key elements that help protect healthcare workers and patients from infections, focusing on protective gear, hygiene practices, and safe handling of medical tools.
41. The facility where you work has the policy of telling CNAs to clock out on time and then return to finish their work which of the following is not an accurate statement regarding the situation?
Consider the legal and ethical implications of an employee working after clocking out. Focus on the idea that being off the clock means the employee is no longer officially on duty, which can lead to serious risks for both the employee and the employer.
42. You are caring for a resident with dementia who refuses to change her clothes or remove them at bedtime. How should you handle this?
Consider integrating the clothing change into a more familiar routine, such as showering, to reduce resistance while respecting her autonomy and dignity.
43. As a CNA in a Rehabilitation facility, which of the following may negatively affect the progress of the person’s Rehabilitation and need to be reported?
Consider behaviors that indicate disengagement from rehabilitation efforts or refusal to use necessary assistive devices, as these can significantly impact a resident’s recovery progress.
44. You have been a CNA for 4 years, your license has expired, and you have been working outside of healthcare. How do you renew your license?
Consider checking your state’s regulatory board for nursing assistants, as they provide guidelines on refresher courses, testing requirements, and any necessary documentation for renewing an expired license.
45. Your coworker has been accused of verbally abusing a resident. What will happen to him now?
Consider the standard procedures for handling allegations of misconduct in healthcare environments, focusing on the immediate actions taken to protect residents and ensure an impartial investigation.
46. A CNA sees a former patient across the store the CNA cared for this former patient for 6 months and got to know her well based on that scenario which of the following is accurate with regards to HIPAA?
Consider the importance of maintaining confidentiality even after the patient-provider relationship has ended. Think about how discussing or even acknowledging the patient’s past care in a public setting might violate privacy laws.
47. 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, such as sudden weight gain, swelling in the legs or ankles, increased shortness of breath, and elevated blood pressure. These symptoms can indicate worsening heart failure and should be reported immediately for timely intervention.
48. How many milligrams of sodium are in 1 teaspoon of normal table salt?
Consider the composition of table salt and its primary ingredient, and remember that it’s commonly used in cooking and seasoning foods. Think about how teaspoon measurements translate to milligram content for this specific substance.
49. 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 engaging directly with Mrs. Pope to discuss her concerns and explain the shower schedule while showing empathy. This will help address her immediate needs and maintain professional communication about her care.
50. Mr. Johnson has a pressure ulcer classified as stage two what would you expect to see?
Look for a shallow, open wound with a pink or red base, possibly presenting as a blister, and showing signs of skin damage without any full-thickness loss.
51. Your resident is terminally ill and on hospice care; this means:
Consider the primary focus of care during this time, emphasizing comfort and quality of life rather than seeking a cure. Think about how this affects the approach to treatment and daily care routines.
52. Your resident has a history of somnambulism. What is this?
Think about a condition where a person is active while still asleep, often involving walking or performing tasks, and occurring during deep sleep stages.
53. You are doing Mrs. Kips HS care; you know she wears bilateral hearing aids. How do you handle hearing aids at bedtime?
Consider Mrs. Kip’s personal preferences regarding her hearing aids at bedtime, and ensure their safe handling and storage to avoid damage. Communication with the rest of the care team is key in managing her devices effectively.
54. You have just arrived for the night shift. If a report you were told that Mrs. Kip kept her hearing aids in at bedtime, what action should you take?
Consider the importance of your patient’s hearing aids for her ability to communicate and engage. Think about how you can support her in managing them safely throughout the night.
55. You are expected to check diet cards when serving trays. Match the following correctly: NPO should be Nothing by mouth, CL should be clear liquids, FL should be full liquids, NAS should be no salt added, puree should be baby food consistency.
Remember to associate each abbreviation with its specific dietary restriction or allowance. Think about the level of consistency or type of food that each represents, as well as their intended purpose in patient care.
56. You have a new resident who has a history of frequent pneumonias and seems to be reluctant to eat; his voice is hoarse and he coughs a lot. How should you tailor your care for him to counteract these things?
Consider prioritizing safety during meals by ensuring the resident is positioned correctly. Implement modifications to food and liquids to enhance swallowing efficiency and minimize the risk of aspiration.
57. Which of the following does not cause aspiration?
Consider factors that typically contribute to aspiration, particularly focusing on conditions or situations that enhance the likelihood of inhalation of substances into the airway.
58. You are doing home care for a person on a high fiber diet which of the following are high fiber foods?
Look for foods that retain their natural parts and include whole grains, fresh fruits, and vegetables. Avoid refined or processed options, as they typically have less fiber.
59. You have a heart client who is on a 1,200 mg sodium restricted diet you are very very careful how you plan her meals to accommodate this what else can you do to ensure she remains in the 1,200 mg limit?
Consider all sources of sodium, including medications, and communicate with the nursing staff about their sodium content to manage overall intake effectively.
60. Your resident is complaining of chest pain. What should you do?
Quickly assess vital signs and communicate findings to nursing staff; keep the resident NPO to prepare for potential interventions.
61. You are caring for a resident who is dying of cancer. He smells very bad and as a result, his room smells bad. His visitors have complained about the smell and blamed it on bad housekeeping and not being bathed. After you inform the nurse and ask her to talk to the family, what is your appropriate action?
Consider actions that improve the resident’s environment while respecting their dignity and addressing the concerns of visitors. Focus on solutions that enhance cleanliness and minimize odors in a compassionate manner.
62. You are a CNA in a children’s home. While you are bathing a severely mentally challenged girl, you notice bruising in her perineal area. What should you do?
Always prioritize the child’s safety and well-being by following the proper reporting procedures for any concerning findings. Documentation and timely communication with your supervisor are key steps to take in such situations.
63. In your facility, the patient charts are kept in a cabinet by the patient’s room. You see a family member go into the cabinet and read the patient’s chart. The family member has a medical power of attorney for the patient. What type of violation is this?
Consider the legal implications of the family member’s authority to access medical records as granted by the medical power of attorney. Reflect on healthcare privacy regulations and authorized access rights.
64. Which of the following are signs of depression?
Consider emotional changes, physical symptoms, and shifts in behavior that indicate a lack of interest or motivation. Look for signs related to mood, energy levels, appetite, social interactions, and coping strategies.
65. You are doing home care and your client trips on an area rug and falls. She gets up and is apparently unhurt. This is the second time it’s occurred. How should you handle this emergency?
Consider taking immediate action to eliminate hazards and ensure the client’s ongoing safety, while also reporting the incident for further evaluation and support.
66. You are a CNA in a facility with many Alzheimer residents. The doors to the parking lot are alarmed so residents cannot leave unnoticed. You become aware that many of the staff, including your nurse supervisor, go out to the parking lot and disable the alarm so they can get back in without going to the front door. What should you do?
Consider the implications of safety for residents and prioritize reporting any actions that compromise their well-being. Remember to document your observations and address the issue with co-workers first, if possible.
67. You are a CNA on a medsurg floor and as you are admitting Mr. James you notice a handgun in his belongings bag what is your most appropriate action?
Consider prioritizing safety and following protocol when encountering potentially dangerous items in a patient’s belongings.
68. A catastrophic reaction by a patient is a sudden unpredicted overreaction to a situation. When this occurs, what should a CNA do?
Focus on ensuring safety: assess the situation, provide calm reassurance, and seek help from colleagues. Avoid leaving the patient alone.
69. You are caring for a resident who is hallucinating and seeing spiders on her wall. She points them out to you and wants you to kill them. What should you do?
Acknowledge the resident’s feelings while gently guiding her to a more accurate perception of reality. Reassure her and ensure her safety, while also communicating the situation to the nurse for further assessment.
70. As a CNA, you are working with 6 to 8-year-old children with mental disabilities. What should you do to prevent injury to them?
Consider creating a safe sleeping space that minimizes the risk of falls, focusing on bed height and surrounding surfaces. Ensure that other safety hazards, like access to harmful items and environmental conditions, are also managed appropriately.