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1. Which is considered a normal or healthy type of grief?
Consider the type of grief that occurs when someone is preparing for an impending loss rather than after it happens.
2. The grand 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 sensitivity and communication. Explore options for collaboration with healthcare staff to find a respectful compromise that honors the family’s wishes while considering institutional policies.
3. The gradual decrease of the body’s temperature after death is called:
Think about the term that describes the cooling of the body post-mortem, which is crucial for forensic analysis in determining time of death.
4. Rigor mortis occurs about __ hours after death.
Consider the general timeframe when the body starts to stiffen, which is influenced by various factors including time since death and conditions surrounding the body. Focus on the early hours right after death for your answer.
5. The total response to the loss experience is referred to as A. grief B. bereavement C. mourning D. death
Consider the term that describes the emotional response and reactions one experiences after losing someone or something important. This term covers a wide range of feelings and can vary greatly among individuals.
6. The study of pediatric growth and development enables CNAs to understand:
Focus on how understanding growth stages aids in recognizing and addressing children’s developmental needs and milestones.
7. Johnny Tate, a 2-year-old boy, is hospitalized with pneumonia. This child will most likely:
Consider the typical emotional responses of toddlers when faced with illness and unfamiliar environments, particularly their tendency to show distress and discomfort through crying or resistance.
8. At what age does a child begin to accept the fact that death is permanent?
Consider the developmental milestones of a child’s understanding of life and death, particularly between early childhood and the later preschool years.
9. What term is used to describe the sexual response changes among middle-aged men?
Consider a term that parallels a significant transition in women’s sexual health, focusing on the changes men experience during middle age.
10. Identify the age group with the correct range of years.
Consider the years that mark the transition from childhood to the beginnings of adulthood, specifically focusing on the time commonly associated with middle and late teen years.
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 about the common terms used for places that provide long-term care and support for the elderly or those with chronic conditions.
12. Many people, particularly older people, go to what kind of Health Care Facility after they are discharged from a hospital after a stroke?
Think about a facility that offers specialized rehabilitation services and ongoing medical supervision for recovery after serious health events, especially for older adults.
13. Nursing care plans are:
Consider how nursing care plans facilitate teamwork and communication among healthcare providers while addressing individual patient needs.
14. Nursing care plans contain which of the following?
Think about the key components that guide and document a patient’s care, focusing on assessment-based diagnosis, measurable objectives, and actionable strategies the nursing team will implement.
15. CNAs are not permitted to do which of the following tasks?
Consider what types of tasks require specialized skills and training beyond basic patient care, particularly those involving sterility and infection control.
16. You are working in a health care setting that cares for people with chronic physical health care problems. Which type of health care facility are you most likely working in?
Consider a facility focused on long-term care, where residents receive assistance with daily activities and management of ongoing health issues, rather than acute medical treatment.
17. 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 chest pain, sweating, and cyanotic lips; these symptoms are red flags for a serious cardiovascular condition needing immediate attention.
18. You are caring for Thomas N. Thomas is 77 years old, he has edema or swelling in his legs, and he has a fluid restriction in terms of his fluid intake. Based on these symptoms and the care that he is being given, what disorder is he most likely affected with?
Consider the connection between fluid overload, impaired circulation, and the body’s response to heart function. Look for a disorder that involves both edema and fluid management as part of the treatment plan.
19. The major difference between a grand mal and petite mal seizure is that a person with a grand mal seizure will have ___ and the person with a petite mal seizure will not.
Think about how the body reacts during a seizure. Consider the physical display of movement that defines one type while the other focuses on a lack of movement and awareness.
20. Your patient has shown the following signs and symptoms: feeling very thirsty, large amount of water intake, dryness of the mouth, urinary frequency. What physical disorder does this patient most likely have?
Consider how elevated blood sugar levels affect the kidneys and hydration status in the body.
21. Which fact about diabetes is true?
Consider the age groups affected by both types of diabetes and the common misconceptions surrounding them.
22. The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger. You must now:
Think about how to minimize the spread of smoke and protect patients while you wait for further instructions.
23. 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?
Consider the safety of yourself and others while assessing the situation. If the fire is small and manageable, you may be able to use appropriate equipment to address it. Always prioritize personal safety first.
24. A fire needs which of the following?
Remember the “fire triangle” which consists of three key elements essential for a fire to ignite and continue burning. Each part plays a vital role in the combustion process.
25. There are several different types of fire extinguishers; the best one to have in a private home is a class __ fire extinguisher.
Consider a fire extinguisher that can handle multiple types of fires commonly found in household settings, including those from materials, liquids, and electrical sources.
26. The Chain of Infection includes the a germ agent Reservoir exit portal mode of transmission entry port and susceptible host
Consider the sequence of events that allow an infection to spread. Each component is like a link in a chain, and breaking any link can stop infection from reaching a susceptible individual. Focus on how each part connects to the next.
27. Asepsis is defined as:
Consider the importance of cleanliness and the absence of infection-causing microorganisms, especially in medical environments. Focus on practices that prevent contamination and protect patients during procedures.
28. Select the correct term and its definition or description.
Consider the level of sterility required in medical settings: one ensures complete absence of all microorganisms, while the other focuses on reducing their presence.
29. 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 ______ infection.
Consider the setting in which the infection developed and the timeline of Mary T’s admission. Think about how this relates to infections acquired during the course of receiving healthcare.
30. The spread of infection in health care facilities occurs for many reasons, including the fact that patients and residents are:
Consider how the health status of individuals in a healthcare setting affects their vulnerability to infections.
31. The CNA can legally: A) supervise other CNAs B) teach other CNAs C) mentor other CNAs D) none of the above
Consider the legal boundaries of CNA responsibilities and the important distinction between their role and that of licensed nursing professionals.
32. 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?
Consider your role and responsibilities carefully; ensure that you adhere to the scope of practice defined for your position to protect patient safety and yourself professionally.
33 CNAs are permitted to do which of the following tasks?
Consider the general scope of practice for CNAs, particularly focusing on routine health monitoring and basic personal care tasks, while being mindful of specific patient safety guidelines.
34. CNAs are personally responsible in terms of:
Consider the ethical implications of your actions and decisions in patient care, focusing on accountability and adherence to established standards.
35. A CNA is with a patient who is ambulating down the hallway. The CNA sees a caution wet floors sign and red cones around the area. The CNA carefully looks and thinks that the floor is not wet anymore and that it is safe. Moments later, the patient slips and falls in the closed-off area. Who is responsible for this fall?
Consider the importance of adhering to safety protocols and signs, even if you believe a situation appears safe.
36. A CNA has failed to leave the patient’s bed in the low position after you having given care; the patient falls out of the bed and gets a concussion. Who is responsible for this fall?
Consider who is directly responsible for adhering to safety protocols and the implications of their actions in maintaining a safe environment for the patient.
37. You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states ambulate at least 10 yards Q ID. This patient will be assisted with ambulation at which of the following times?
Remember that “Q ID” indicates four times a day. Think about common times for routine activities in a healthcare setting when determining those ambulation sessions.
38. The RN asks you to bring the units collected lab specimens to the lab stat. You should:
Remember that “stat” means immediate; prioritize delivering the specimens quickly to ensure timely lab processing and patient care.
39. You are working the 4:00 p.m. to 12:00 midnight evening shift. You are taking care of a group of patients. The RN identifies five patients who get a therapeutic backrub at HS. When will you give these therapeutic backrubs?
Consider the patients’ typical bedtime and the timing of your shift to determine when to administer the backrubs.
40. You are the CNA caring for Mr. Charles. You see a notation on the nursing care plan that states remind the patient to use the incentive spirometer TID. This patient will be reminded at which of the following times?
Consider typical daily schedules when planning reminder times, often aligned with meals or routine activities. Aim for three specific intervals throughout the day to help the patient maintain consistent use of the incentive spirometer.
41. The nurse has written a nursing order in John Taylor’s nursing care plan that states assist the patient to the bedside commode PRN. When will this patient get this assistance to the commode?
Consider the patient’s immediate needs and cues for assistance, as the order is contingent upon their expression of necessity rather than a set schedule.
42. You see a sign over Mary Jones’ bed when you arrive at 7:00 a.m. to begin your day shift. The sign says NPO. Miss Jones is on a regular diet. The patient asks for milk and some crackers. What should you do?
Remember, NPO means “nothing by mouth.” Respecting this order is crucial for the patient’s safety, regardless of her previous dietary habits or wishes.
43. When cleansing the genital area during perineal care, the nurse aide should:
Focus on proper technique and hygiene; ensure to handle sensitive areas with care, especially for uncircumcised patients. Remember to follow established protocols for retraction and cleansing.
44. __________ may result when patients or residents ignore the urge to defecate.
Consider the impact of ignoring natural bodily signals on digestive health, particularly the potential for stool accumulation and harder consistency.
45. When giving a back rub, the nurse aide should:
Ensure the resident is in a comfortable position that provides full access to the back while maintaining dignity. Remember to warm the lotion beforehand and avoid leaving excess on the skin.
46. You are ready to give your resident a complete bed bath. The temperature of this bath water should be which of the following?
Ensure the bath water is warm enough for comfort but not so hot that it poses a risk of scalding. Aim for a temperature that promotes relaxation without causing distress.
47. You are ready to wash your patient’s face. You would start by washing what area of the face?
Consider the area that is most sensitive and prone to contamination, especially if there are any issues present.
48. The CNA should wash from the __________ when washing a patient’s eye area.
Think about the direction that keeps the cleanest area away from the dirtier one when caring for the eyes.
49. 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 on the resident’s stronger side to support a safer and more effective transfer.
50. Now you are ready to dress this resident who had the CVA 5 years ago. The resident chooses a long sleeve button shirt to wear. You should:
When dressing the resident, prioritize their independence and preferences, offering help only where needed to support their dignity and self-esteem.
51. Who developed the hierarchy of needs?
Think of a psychologist known for his work on motivation and personality, often associated with personal growth and a pyramid model of human needs.
52. The levels of Maslow’s hierarchy are:
Think of a pyramid that starts with survival essentials at the base and progresses through safety, social connections, esteem, and ultimately personal growth and fulfillment at the top.
53. Of all the patient needs, which one is the greatest priority?
Consider the foundational aspects of life support when prioritizing patient needs; remember the sequence that starts with maintaining a clear pathway for breathing.
54. Your patient is concerned about their life insurance and the costs of their burial. Which of Maslow’s needs is your patient expressing?
Consider the foundational aspects of safety and stability in a person’s life.
55. Which of Maslow’s needs is the least priority?
Consider the highest level of Maslow’s hierarchy, which focuses on one’s potential and personal growth. This need is pursued only after more fundamental needs are satisfied.
56. Which risk factor places patients and residents at the greatest risk for Falls?
Consider the demographic most affected by physical decline and potential health complications that can lead to instability and increased fall risk.
57. Which sensory impairment places residents and patients at risk for falls?
Consider the role of visual clarity in navigating environments safely, and how difficulties in seeing clearly can lead to misjudgments in spatial awareness.
58. You are taking care of Mary Eden; she is an elderly and frail 91-year-old resident. She gets confused during evening hours and at times she thinks that she hears her daughter calling her from the other side of the nursing home. Which physical problem places Mary Eden at risk for falls?
Consider how age-related declines in muscle strength and balance contribute to increased fall risk in elderly individuals. Look for signs of frailty that may impact stability.
59. What kind of preventive measures is most likely to be used to prevent Mary Eden from falling because of her muscular frailness?
Consider focusing on enhancing muscle strength and stability through targeted exercises to address balance and coordination issues.
60. What other preventive measure will prevent Mary Eden from falling from her bed?
Consider measures that involve increased supervision and the presence of caregivers to promptly assist in case of need.