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1. 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 family’s cultural beliefs and prioritize communication with the healthcare team to explore possible accommodations within hospital policy.
2. Your patient Mr. Smith is elderly, has cancer, and has been told he has less than 4 months to live. He has decided to enter hospice care; his family disagrees with his decision and has asked you to talk him out of it. What should you do?
Consider the importance of patient autonomy in healthcare decisions, especially in end-of-life situations. Your role is to support Mr. Smith’s choice while ensuring his family has access to appropriate resources for their concerns.
3. What are the six links in the Chain of Infection?
Think of the Chain of Infection as a sequence of steps that illustrate how an infectious disease travels from one person to another. Each link represents a critical component in this process, and identifying all six can help in devising strategies for prevention.
4. Mrs. Smith is very emotional and cries very easily, so she refuses to go to Chapel because she will embarrass herself by crying. How should you help with this?
Consider discussing Mrs. Smith’s feelings about crying openly, as understanding her emotions can help her feel less isolated. Explore strategies together that respect her need for comfort while fostering inclusion in the Chapel environment, ensuring she feels safe and supported.
5. Your co-worker has just come back from maternity leave and she seems very down and depressed. You understand that in some cases new mothers may not want to leave their newborn to come back to work and may suffer from hormonal originated depression called the baby blues. Having these considerations, which are important to foster team building?
Consider how showing understanding and support for your co-worker’s emotional state can strengthen team connections and create a more inclusive work atmosphere. Empathy plays a key role in fostering positive relationships among team members, especially during challenging transitions.
6. Which is a physical integumentary risk among the elderly population?
Consider factors that contribute to skin fragility and injury in older adults, especially those related to aging and external forces.
7. 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 patient’s comfort and preferences in their environment. Certain actions may inadvertently increase discomfort, particularly if they involve bright lights or harsh stimuli. Focus on soothing interventions that promote relaxation instead.
8. Mr Dale has insomnia; you can assist him in managing this condition by:
Consider strategies that promote relaxation and a soothing atmosphere in the evening to help improve sleep quality.
9. Mr Nick has a neck brace that he is supposed to wear when he is out of bed; he often takes it off or does not put it on when he gets up. He says it smells. How can you help in this situation?
Consider implementing a cleaning routine for the neck brace, as maintaining proper hygiene can significantly enhance Mr. Nick’s comfort and encourage him to wear it consistently.
10. What is a developmental disability?
Consider conditions that impact a person’s development and functioning in key areas like communication and social skills, often identified in early years and lasting into adulthood.
11. 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 of a common term that emphasizes long-term care for individuals who need assistance with daily activities and medical support. This term is widely recognized and often used interchangeably with skilled nursing facilities.
12. Which of the following tasks can the CNA legally perform?
Remember to focus on basic patient care tasks that do not require advanced training or special licenses. Consider what essential duties CNAs are trained to perform within their legal scope.
13. Who should be members of a patient care conference?
Consider the essential roles and perspectives that contribute to a comprehensive care plan, including both the patient and their support system.
14. You are assigned to give a bath to Mrs. Turner. She is an uncooperative 57-year-old woman who can sometimes be uncooperative. Mrs. Turner has trouble getting up and turning over on her own. How can you best perform this task?
Focus on creating a calm, respectful environment that encourages Mrs. Turner’s participation in her care. Emphasize her comfort and autonomy while recognizing her limitations. When necessary, seek assistance to ensure her safety and effective hygiene.
15. As a CNA, you are assisting the EMTs move a new resident from the stretcher to the bed. You notice a skin rash and pustules around the resident’s scalp and ears. What should you do?
Observe carefully for any signs of infection or allergies, and prioritize immediate reporting of your findings to the nurse to ensure appropriate care.
16. You are the CNA assigned to clean Mrs. James’ 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 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 maintaining discretion and prioritizing the well-being of all residents. Focus on reporting your findings to the appropriate staff who can address the situation appropriately without causing distress to Mrs. James. Documentation of the incident is also crucial for accountability.
17. Your patient’s face is grimacing. What do you think your non-verbal patient is communicating to you?
Consider what physical or emotional discomfort might lead to a facial expression that suggests pain or unease.
18. A sign of depression is:
Consider how changes in sleep patterns can reflect emotional distress; look for signs of either excessive sleep or insomnia.
19. Alzheimer’s disease patients wander; the dangers associated with this wandering can be prevented with which of the following?
Consider measures that actively alert caregivers to prevent patients from leaving secure areas, ensuring their safety and reducing risks associated with wandering.
20. You enter Mrs. Bellow’s room this evening and she yells at you for not coming in sooner. Your response should be:
Acknowledge her feelings and express your willingness to help, focusing on how you can assist her now.
21. What sense does a retinal detachment affect?
Consider the role of the eye in experiencing the world around you, particularly how light is received and processed.
22. A fire needs which of the following?
Think about the three vital elements that work together to create and maintain a fire. One of them provides the necessary gas for combustion, another raises the temperature, and the last one is a material that can burn. Remember, without all three, a fire cannot exist.
23. Your resident’s clothing catches fire. You must:
Focus on swiftly controlling the situation by encouraging the resident to stop moving and drop to the ground, then roll to extinguish the flames while protecting their face.
24. The nurse directs you to assist in opening the airway of a resident in respiratory failure. In what position should the resident be placed?
Consider a position that facilitates an open airway and promotes optimal breathing.
25. When your patient Mr. Loader walks up to you to tell you he has a severe headache, you notice his speech is slurred and he is weak on one side. You notify the nurse. Which condition do his symptoms suggest?
Consider conditions that involve sudden neurological deficits, particularly ones affecting speech and motor function, and remember that time is crucial in such emergencies.
26. Mary T was admitted to the nursing home on May 1st; on July 4th, she was diagnosed with a skin infection. This infection is considered a(n) __________ infection.
Consider the timing of the infection’s onset relative to the patient’s admission to the nursing facility. Look for terms related to infections acquired while under medical care.
27. The spread of infection in healthcare facilities occurs for many reasons, including the fact that patients and residents are:
Consider the health vulnerabilities of individuals in healthcare settings, particularly how their medical conditions and treatments affect their ability to fight off infections.
28. Which disease is most like AIDS?
Consider diseases that are transmitted through blood or sexual contact and have significant impacts on the immune system and overall health.
29. 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 of a biofilm as a slimy shield created by bacteria that clings to surfaces, making it challenging for treatments to work effectively.
30. Why is mouth care important?
Consider the impact of oral health on both physical well-being and social interactions, along with the potential consequences of neglecting mouth care.
31. A CNA who does not give care with the same level of skill that they learned in school can be found guilty of underscore when this leads to an injury or damage to the person?
Consider the legal term that describes professional negligence when a caregiver’s actions fall below accepted standards and result in harm.
32. 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 and ethical implications of restraining someone against their will, particularly in the absence of a physician’s order. Focus on the rights of the resident and the consequences of limiting their freedom without justification.
33. Teasing a coworker regarding his homosexuality is an example of:
Consider the implications of making comments or jokes about someone’s personal identity, especially in a professional setting where respect and inclusivity are paramount.
34. Mr. Miller keeps calling out loudly and banging on his wheelchair tray; another nursing assistant pushes him into his room, locks the wheelchair brakes, and closes the door. You come to his aid, knowing this action is considered a:
Consider the implications of isolating someone in a healthcare setting without their consent, especially regarding their rights and dignity.
35. Your coworker has been accused of verbally abusing a resident. What will happen to him now?
Consider the importance of safety and the standard procedures that follow a serious allegation in a care setting.
36. The tray serving cart has leaked on the hallway floor. What should you do about the possibility of a resulting slip and fall accident?
Consider the immediate dangers of a wet surface and prioritize quick action to eliminate the spill before someone else is at risk.
37. CNAs are responsible for observation and reporting. The primary purpose of observation is to:
Think about how observation helps in making informed decisions about patient care and supports the healthcare team in responding to patients’ changing conditions.
38. You are the CNA taking care of Lorraine; she has a urinary drainage bag. You notice that her urinary output is scant and it is dark. What should you do?
Consider the significance of the patient’s symptoms and be prepared to communicate them clearly to the nursing staff for further evaluation.
39. You are giving care to a 76-year-old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. The sense that you have used to smell the fruity mouth odor in the above scenario is the underscore sense.
Consider how you identify different scents in your environment. What allows you to recognize and differentiate odors, especially in the context of a medical assessment?
40. You enter Miss Diamond’s room and observe she is having difficulty speaking after she awoke from a nap. What should you do next?
Consider the implications of her sudden change in communication ability; prioritize alerting healthcare professionals who can assess her condition.
41. Your resident care plan directs the resident is to be out of bed three times a day before meals. What does this mean for the resident?
Consider the benefits of physical activity and social interaction during meal times and how they relate to the resident’s overall well-being and appetite.
42. You are making rounds at the beginning of your shift and you see a resident lying on the floor. Your first action should be to:
Prioritize safety by alerting a trained professional before intervening directly.
43. Your resident had a stroke or CVA 5 years ago. The resident still has right-sided weakness. You are ready to transfer the resident from the bed to the wheelchair. The wheelchair should be positioned at the:
Position the wheelchair to facilitate the use of the resident’s stronger side during the transfer for added safety and support.
44. You are getting the patient ready to eat. The patient is on complete bed rest. You will put the head of the bed up at underscore degree or more.
Remember to elevate the head of the bed to a safe angle to promote comfort and decrease the risk of choking or aspiration while the patient eats.
45. You have been asked to record the amount of food that the person has eaten during each meal. What kinds of words or numbers would you use to record this food intake?
Consider using specific measurements such as grams, ounces, or servings to accurately document food intake, along with percentages for partial consumption, rather than relying on subjective descriptors. Clarity and consistency are crucial for effective tracking.
46. Mr. Thomas is a well-groomed 68-year-old male patient who had prostate surgery 2 days ago. He has an indwelling catheter and a urinary drainage bag. You have weighed him at 9:00 a.m. each morning for three mornings in a row. Today on the fourth day, his morning weight is 3 lb more than it was the day before. Why could he have gained these three lbs in one day on a 1,000 calorie diet?
Consider the management of the urinary drainage bag before weighing. Accumulated fluid could significantly influence weight readings if not emptied prior to the measurement.
47. While providing perianal 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 maintain hygiene and prevent infections when providing perianal care.
48. CNAs assist residents as needed with ADLs (activities of daily living). Which set of tasks includes ADLs?
Think about the everyday personal care tasks that individuals typically perform to maintain their hygiene and mobility. Focus on activities that enable someone to care for themselves in a basic, routine manner.
49. Your resident has essential tremors in her hands. How can you assist her at mealtime?
Consider using specially designed utensils that are easier to grip and handle, and ensure she feels comfortable in her familiar dining environment to maximize her independence and dining enjoyment.
50. Which of the following is not a social barrier to communication?
Consider factors that arise from social interactions themselves, as opposed to physical attributes or personal habits, when identifying the option that doesn’t fit the category of social barriers.
51. Which of Maslow’s needs is the least priority?
Consider the levels of Maslow’s hierarchy, starting from the most basic survival needs and working your way up. Identify which need relates to personal growth and fulfillment rather than immediate survival or safety.
52. You are taking care of 12 residents today. One of your residents wants water, another needs help walking to the bathroom, another just stated that they have chest pain, and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first?
Prioritize the situation that could indicate a life-threatening condition.
53. The resident who is asking for help to walk to the bathroom is expressing a(n) _____ need according to Maslow.
Consider the basic requirements for survival that are essential for one’s day-to-day functioning in Maslow’s hierarchy.
54. You have six beds to strip and make. The nurse tells you one of your residents needs to be taken to the bathroom. You should:
Consider what your resident needs most urgently and address that first, ensuring dignity and comfort while managing other tasks with the help of your team.
55. When giving care to a resident, which of his rights are you enforcing when you close the door or curtain before starting?
Consider the importance of personal space and confidentiality when providing care, particularly in relation to the individual’s comfort and dignity.
56. You will be escorting a patient to the operating room on a stretcher. In order to prevent this patient from falling, you must do which of the following?
Secure the patient with a safety belt and ensure the stretcher’s wheels are locked before transferring them.
57. There are different kinds of poor behaviors. Some of the types of poor behavior include underscore behaviors.
Consider the classifications of behaviors that disrupt normal activities or compromise safety in a healthcare setting.
58. Which person is most likely capable of workplace violence?
Consider individuals who experience significant emotional distress related to their employment status, especially those who have faced termination or unresolved grievances.
59. 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 of the food on a sensitive area of skin, like your wrist, to ensure it’s not too hot.
60. The nurse informs you Mr. Flores has started taking anti-hypertensive medication. How will this information affect your care?
Consider the implications of blood pressure changes on patient safety and the need for vigilance in monitoring Mr. Flores for signs of dizziness or lightheadedness, especially with movements. Implementing safety precautions is essential.