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1. Hospice Care can be provided:
Consider the various environments where patients may receive end-of-life care, focusing on comfort and support, rather than just a medical facility.
2. Caring for a patient on hospice involves:
Consider the significance of family involvement and support in end-of-life care, focusing on collaboration and honoring the patient’s and family’s wishes.
3. The sacrament of the sick is a ritual practiced by which religion?
Consider a faith that emphasizes sacraments and has a rich tradition surrounding healing and compassion during illness.
4. Mr Duffy died of cancer at the age of 32. He did not have an organ donation designation. Can he be an organ donor?
Consider the role of family consent when there is no formal organ donation designation, and keep in mind that certain organs can still be viable despite the cause of death.
5. You are providing postmortem care to a resident who was receiving oxygen through a nasal canula connected to an oxygen tank. The family will be viewing the body. You should:
Ensure the body is prepared with dignity by removing all medical equipment, including the nasal cannula and oxygen tank, to create a serene environment for family viewing.
6. Mr Dale has insomnia. You can assist him in managing this condition by:
Consider ways to create a peaceful bedtime routine that minimizes distractions and promotes relaxation.
7. Patients in the hospital will usually sleep for briefer periods and feel less well rested.
Consider how external factors in a hospital setting, such as noise and lights, disrupt normal sleep patterns and impact overall restfulness.
8. Which age group requires the most sleep?
Consider the life stage marked by significant physical and mental changes, where growth and development are at their peak. Think about the optimal sleep duration recommended for this age group.
9. Your resident this morning asks you if she may rest for 15 minutes prior to her bath. You should:
Consider the importance of the resident’s comfort and well-being, and how honoring her request aligns with respect for her autonomy. A brief rest can help her feel more prepared for the bathing experience.
10. Mr. Williams tells you he is experiencing pain; when you leave to notify the nurse, you hear him laughing while talking on the phone. You should:
Consider the difference between a patient’s verbal report of pain and their emotional expression. Focus on the importance of advocating for the patient based on their own statements rather than solely on their observed behavior.
11. Mrs. Garrison has chronic pain. This means her pain:
Consider the duration and nature of the pain. It’s not just about feeling discomfort; think about how long it has been affecting Mrs. Garrison and how it differs from short-term pain.
12. You notice your resident has increasing difficulty in swallowing. You notify the nurse. Which type of rehabilitation therapy is most appropriate for this resident?
Consider which therapy focuses specifically on communication and swallowing challenges, particularly for conditions like dysphagia.
13. A state survey is being conducted at your facility. A surveyor asks you a question about how you would perform a procedure. You should:
Focus on articulating your understanding of the procedure, referencing your training and the facility’s guidelines. Stay confident and direct in your response, demonstrating your competence and commitment to quality care.
14. Which department in the hospital prepares and provides medications?
Think of the department that focuses on managing and dispelling medications, ensuring patients receive the right treatments.
15. A type of health insurance payment that is prepaid by the consumer is:
Think about a health insurance model that requires a fixed monthly fee for access to a network of providers, focusing on preventive care and cost management.
16. You are a CNA in a long-term care facility, and a resident physician asks you to perform a procedure upon which you have not been trained. Your response should be:
Prioritize patient safety and follow your training limits; communicate your lack of training and seek guidance from a qualified professional.
17. A friend asks you to explain the role of the CNA in long-term care. You should tell her:
Consider the primary responsibilities of CNAs in supporting daily living activities, providing emotional support, and monitoring resident health while being mindful of their scope of practice.
18. Miz WR frequently attempts to remove her clothing. An effective intervention is:
Consider the environmental factors that might make her uncomfortable; addressing her comfort could reduce the behavior effectively.
19. The diagnosis of a developmental disability must be made before a person reaches what age?
Consider the age when educational and developmental support systems shift significantly, often marking a transition into adulthood.
20. This organ of the body utilizes 25% of the circulatory system more than any other organ.
Think of the control center of the body that processes thoughts, emotions, and vital functions; it relies heavily on blood flow to maintain its activity.
21. Mrs Evans has a diagnosis of diverticulitis which foods should she avoid eating?
Consider foods that may irritate your intestines or contain small particles that could get trapped. Focus on avoiding items with seeds or tough skins.
22. Which of the following may be caused by or made worse by a compromised immune system?
Consider health conditions that are known to be linked to immune function, especially those involving inflammation or autoimmunity. Think about how a weakened immune system might alter the body’s response to both infections and chronic diseases.
23. 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 promotes airway alignment and minimizes obstruction, keeping the head and neck in a neutral position to facilitate breathing.
24. The most common cause of a blocked airway is
Think about the position of the body and how natural muscle relaxation can lead to an airway obstruction, especially in unconscious individuals.
25. The nurse directs you to place the resident in the recovery position. This means you should:
Think about positioning someone on their side to keep the airway clear and prevent choking. Remember to support their body properly to avoid putting pressure on their chest or arm.
26. Your resident during lunch cannot speak, appears panicked, and is gasping and coughing weakly. What should you do?
Focus on helping the resident clear their airway safely, remembering that their ability to cough indicates some airflow. Avoid invasive measures unless absolutely necessary.
27. A patient on the unit, Miss Owens, is diagnosed with shingles. When will her shingle lesions no longer be infectious?
Consider when the blisters from shingles typically dry out and crust over, marking the end of infectiousness.
28. Hepatitis is an inflammation of the:
Consider the organ responsible for detoxification and producing bile. It’s vital for digestion and overall metabolism.
29. The form of hepatitis for which there is a vaccine available for protection is:
Consider which form of hepatitis has a well-established vaccine that is often given in a series of three doses, aimed especially at high-risk groups.
30. While performing care, you observe a rash on Mrs. Mitchell; the rash is red, raised spots between her fingers, inside her wrists, and on her waist. You do not see any source of the rash. Mrs. Mitchell complains of severe itching. What does Mrs. Mitchell most likely have?
Consider conditions associated with intense itching and localized rashes, especially in areas where skin folds or is thinner. Look for common parasitic infestations that can cause similar symptoms.
31. You are getting ready to provide care for Mrs. Mitchell. What personal protective equipment should you wear?
Consider the specific nature of the condition you’re addressing and focus on both barriers for hands and body to ensure safety and prevent transmission. Remember to minimize any contact with skin and hair as an extra precaution.
32. A resident family member asks you to arrange your assignment so the family member is in your care assignment. You should tell the family:
Remember to prioritize professionalism and ensure that all care assignments are handled through the appropriate channels. Communicating with your charge nurse is key in this situation.
33 Hippa rules on protecting identifiable health care information apply to information on A) flow sheets B) verbal information such as shift report C) electronic communication including email, tweets, and texts D) all of the above.
Consider how HIPAA emphasizes the protection of identifiable health information across different formats—written, verbal, and electronic. Remember, if it can identify a patient, it must be protected.
34. Teasing a coworker regarding his homosexuality is an example of:
Consider the implications of unwanted comments about someone’s sexual orientation in a workplace setting.
35. Which of the following is an example of an invasion of privacy?
Consider situations where someone’s personal space or confidential information is breached without their consent, especially in sensitive contexts like personal care.
36. The principle of HIPAA laws are based upon which concept?
Consider the importance of protecting patient privacy while ensuring that essential information is accessible to relevant healthcare professionals. Think about how access is determined by specific roles and responsibilities in patient care.
37. You want to post a photo online of you and your resident. This may be done if:
Consider the importance of consent and facility policies regarding privacy before sharing any photos involving residents.
38. Mr Delgado states he is having severe pain at his fracture site. You report this to the nurse. What type of information is this observation?
Consider whether the information involves personal feelings or experiences expressed by the patient that cannot be directly quantified or observed by others.
39. Your resident’s care plan directs the resident to be out of bed. This means the resident is to be:
Consider the benefits of physical activity and social interaction when a resident is encouraged to be out of bed, as it often supports their overall well-being and daily routines.
40. Mrs. Miller has a long list of medical diagnoses including type 2 DM and HTN. What does this mean?
Consider how both conditions affect the body’s functions and what lifestyle changes are often recommended to manage them effectively.
41. Mr Golden’s chart has a notation on the spine that reads DNR this means a do not resuscitate.
Consider the implications of a patient’s choice regarding emergency medical intervention. Look for terms related to preferences for resuscitation in medical settings.
42. A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?
Consider what life-saving device can assess heart rhythms and deliver shocks to restore normal function during a cardiac emergency.
43. 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:
Ensure the resident’s safety first and prioritize notifying the appropriate medical professional for assessment.
44. You are preparing to give Mr. Smith a bath in the whirlpool tub. Which of the following should not be done?
Consider the importance of safety and access in emergency situations when preparing the environment for bath time.
45. You are preparing your new resident for a shower in the tub room and she begins yelling and becoming agitated. What should you do?
Prioritize the resident’s emotional well-being by stopping the current procedure and seeking alternative options that respect their feelings and comfort.
46. When performing perianal care for a female, you should:
Use a front-to-back cleansing method to maintain hygiene and prevent bacterial spread. Prioritize the resident’s comfort and dignity throughout the care process.
47. When performing perianal care for a male, you should:
Consider the sequence of cleaning: start at the least contaminated area and move towards the more contaminated regions to reduce infection risk.
48. Miss Jones asks if you can wash her hair today while she is in bed what is the most important consideration?
Consider the need for medical authorization and the patient’s specific condition before proceeding with care activities.
49. Carrot HS is best done when:
Think about the time of day that aligns with nighttime routines and promotes relaxation before rest.
50. Routine oral hygiene for residents should be performed frequently:
Consider the key benefits of consistent oral care, such as preventing diseases, enhancing comfort and dignity, and reducing health risks associated with poor oral hygiene.
51. Miss Jackson has a tube feeding and is NPO; she is unconscious. You should:
Consider the importance of oral hygiene in unconscious patients receiving tube feeding, especially in preventing aspiration and maintaining mucous membrane health.
52. 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 the immediate needs of the resident and prioritize their comfort and dignity over other tasks. Communicate with your team for support after addressing the resident’s needs.
53. You are feeding a dependent resident when you are asked by the nurse to change a resident who is incontinent and wet. What should you do?
Think about the balance of care for both residents. Communicate clearly with the nurse about your current task and ask for assistance to ensure both residents’ needs are addressed promptly and appropriately.
54. You notice the floor in the hall is wet from a food tray spill; your next action should be to:
Consider the importance of maintaining a safe environment and acting quickly to prevent accidents.
55. The resident’s vitals are 99 to 98 36. Which of these findings needs to be reported immediately to the nurse?
Pay close attention to the respiratory rate; anything above the normal range warrants immediate attention from the nurse.
56. Your resident’s family brought in five new blouses. Your action should now be to:
Consider how to identify and protect the resident’s new clothing items to prevent any mix-ups or losses.
57. Mr. Long ate very little breakfast today. Which of the following diagnoses would require that this information be reported promptly to the nurse?
Consider the critical relationship between food intake and blood sugar levels in certain medical conditions, particularly focusing on how reduced intake can influence medication adjustments.
58. Mr. O’Brien, a confused resident, is agitated and wandering throughout the unit. Dinner trays have been served, but he does not want to sit and eat and keeps walking away. To encourage him to eat, you should:
Consider providing options that allow for mobility and independence during mealtime to reduce agitation and encourage nourishment.
59. Mrs Johnson has refused her bed bath for 2 days what might help to convince her to accept a bath?
Consider discussing her feelings about the bath and addressing any specific concerns she may have.
60. Mr. Allen can be combative during care; how do you respond if he attempts to strike you?
Prioritize safety and de-escalation by staying calm, communicating clearly, and allowing the resident a sense of control. Always report incidents to ensure proper care protocols are followed.