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1. Which fact about the end of life is true?
Consider the diversity of beliefs and needs people have at the end of life; not everyone seeks spiritual or religious support.
2. You are taking care of Martin F at the end of life. He rarely has visitors and he has said, “I am of no use to anyone.” Martin is expressing a underscore need with this comment.
Consider the emotional impact of isolation and the need for affirmation and purpose in one’s life.
3. You are taking care of Martin F at the end of life; he is very worried about his funeral expenses. Martin will most likely benefit from the help of a:
Consider the role of a professional who specializes in emotional support and resource allocation, especially in sensitive situations involving financial concerns and end-of-life planning.
4. Your end of life patient goes into cardiac arrest; this patient has a do not resuscitate order. What should you do?
Remember to prioritize the patient’s documented wishes and communicate promptly with the nursing staff about the situation.
5. People at the end of life still need mouth care. Your unconscious patient has a dry mouth. What should you do?
Consider a gentle approach to addressing oral care for the patient, focusing on hydration and comfort without the risk of aspiration.
6. Elderly patients are more prone to dehydration than younger people because the elderly:
Consider the physiological changes that occur with aging and how these affect basic needs like hydration.
7. You are caring for Mrs. Kay; she has fragile skin and she has had skin tears in the past. You are ready to assist her in order to transfer her from the bed to the chair. What should you do to prevent skin tears?
Ensure a gentle, non-pulling transfer by seeking assistance and using a two-person approach to support her fragility.
8. You are turning your patient in bed and you see that this confused and lethargic patient had loose car keys and lipstick in the bed and had been lying on them. What is this person at risk for because of all three of these factors: the confusion, lethargy, and items in the bed?
Consider how the patient’s inability to respond to discomfort and the presence of unfamiliar objects in bed could affect their skin health and lead to injury.
9. Select the age group that is coupled with an infectious disease that is most common in this age group.
Consider which age group is most involved in high-risk behaviors associated with sexually transmitted infections and where education and access to health resources may be limited.
10. Which age group has passive natural immunity?
Consider the youngest stage of human development when thinking about immunity transferred from a mother.
11. You are emptying urinary drainage bags for patients that need their output recorded. Where are you most likely to document the amount of urinary output?
Think about the best way to track both what the patient takes in and what they eliminate—look for a form dedicated to this purpose.
12. You have taken the vital signs for your patient; they are normal for the patient. What should you do next?
Think about the importance of keeping accurate and complete records in patient care; this step is essential for continuity and communication within the healthcare team.
13. What documentation is within the role of the CNA?
Consider the fundamental measurements and basic data CNAs are trained to document that are vital for patient care and contribute to medical records.
14. Which healthcare professional is most involved with swallowing disorders?
Think of a professional who works on communication and may also help patients with eating difficulties.
15. Your patient fell last week. They are now getting special exercises in order to improve their balance and their gait. Which person will most likely help this person with these exercises?
Think about who has specialized training in restoring movement and balance after injuries—this professional focuses on rehabilitation exercises tailored to individual needs.
16. Penny Thoren has had a stroke (CVA). She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices?
Consider which healthcare professional specializes in enhancing daily living skills and can recommend tools to help patients regain independence in tasks like eating.
17. A sign of depression is: A) sleeping too much B) sleep loss C) aphasia D) both A and B
Consider how changes in sleep, whether excessive or insufficient, can impact mood and daily functioning, as both may indicate an underlying issue.
18. Dementia is a loss of underscore function.
Think about the mental abilities that allow us to process information and make decisions—what term describes this capacity?
19. What kinds of exercise or therapy would be most helpful to the 85-year-old woman discussed above?
Consider emphasizing gentle movements that enhance flexibility and joint mobility while minimizing discomfort.
20. Alzheimer’s disease patients wander; the dangers associated with this wandering can be prevented with which of the following?
Consider solutions that provide alerts or supervision to prevent patients from leaving designated safe areas without assistance.
21. Mr. Golden has bilateral hand contractures. Contractures:
Consider the impact of prolonged immobility on joint function and the importance of early intervention strategies to maintain range of motion and prevent stiffness.
22. The difference between a flood watch and a flood warning is that a flood warning means that flooding ____________.
Remember that a flood watch indicates potential flooding conditions, while a flood warning means flooding is imminent or happening now.
23. You see a dark green sky and you hear a sound that reminds you of a train roaring down the tracks. What event is most likely occurring?
Think about weather phenomena associated with severe storms. Consider the visual and auditory clues that suggest a violent atmospheric event.
24. You hear an announcement in your nursing home that states “Dr. Storm, Dr. Storm, Dr. Storm” is your nursing home’s code word for immediately implementing emergency tornado measures. What should you do?
Prioritize the safety of all residents by moving them to an interior space away from windows. Ensure all exits are secure and calm any residents during the process.
25. You are a home health aide. You are driving your patient to the grocery store and the drug store for shopping. As you are driving, you feel the Earth shake. What is the first thing that you should do?
Prioritize safety by stopping the vehicle in a secure area, away from potential hazards like buildings, and ensure both you and your patient are protected from falling debris until the shaking subsides.
26. As you are changing the linens on your patient’s bed, you accidentally get stuck with a needle that was left in the patient bed. You must:
Prioritize immediate reporting of the incident to ensure proper documentation and follow-up care, while also cleaning the wound thoroughly to reduce the risk of infection.
27. AIDs/HIV is not the only disease that is spread with blood and body fluids. There are several other diseases that are spread in blood and other bodily fluids. What is another disease that is spread with blood and other bodily fluids?
Consider viral infections that affect the liver and are transmitted through blood, often linked to similar modes of transmission as HIV/AIDS.
28. Your AIDS/HIV patient has just died. Should you still use standard precautions as you provide postmortem care?
Remember, standard precautions are essential for minimizing infection risk, even after death. Always treat the body as a potential source of infection due to the presence of bodily fluids.
29. Your patient has just died from a massive heart attack. As far as you know, the patient had no other diseases, illnesses, or infections. Should you still use standard precautions as you provide postmortem care?
Always prioritize safety by adhering to standard precautions, even postmortem, as unseen risks may still be present.
30. Which disease is most like AIDS?
Consider diseases that are transmitted through bodily fluids and have implications for immune system function. Look for options that share similar risk factors and preventive measures.
31. Which of these actions is illegal in most states?
Consider the ethical and legal implications of ending a life, even with consent, as this action tends to be restricted or prohibited in many jurisdictions.
32. Which of the following is an example of physical neglect?
Consider situations where a person’s basic needs for cleanliness, nutrition, or safety are not met, leading to potential harm or discomfort.
33. Which of the following is an example of emotional neglect?
Consider how a lack of attention, support, or acknowledgment can impact someone’s feelings and sense of worth. Look for options that highlight the absence of emotional care or connection.
34. You suspect that another CNA on your unit may have pushed a patient. What should you do?
Prioritize patient safety by reporting your suspicions to a nurse or supervisor immediately, as you are not required to have concrete proof before taking action.
35. Which of the following is an example of physical abuse?
Consider actions that result in bodily harm or injury. Focus on violent physical contact intended to inflict pain or fear.
36. Which of the following is an example of emotional abuse?
Consider actions that undermine a person’s self-esteem or well-being, such as threats, humiliation, or manipulation. Look for examples that involve psychological harm rather than physical harm.
37 you are taking Mr D’s blood pressure the first sound that you hear is at 162 and the second sound that you hear is at 86 you should document and report that the blood pressure is
Remember, the first sound indicates systolic pressure and the second sound indicates diastolic pressure. Make sure to document both values clearly.
38. You use your underscore sense when you take Mr. D’s radial pulse.
Think about the sense you engage when feeling the pulse with your fingertips on the wrist. It’s all about touch!
39. Mrs. B curses at you and tries to strike you after you knock on the door to greet her at the beginning of the shift. What should you do?
Focus on ensuring safety for yourself and the patient. It’s essential to report any aggressive behavior to the nurse and follow facility protocols.
40 CNAs are responsible for observation and reporting. The primary purpose of observation is to:
Consider how observations can influence care decisions and improve patient outcomes by identifying changes over time.
41 CNAs are responsible for reporting; the primary purpose of reporting is to:
Think about how communication between team members can influence patient care and safety. What role do reports play in ensuring that everyone is aware of the patient’s current status?
42. Which should you document but not immediately report?
Consider documentation for observations that fall within normal ranges, as they don’t require urgent reporting but are still important for record-keeping.
43. You are feeding and monitoring a group of patients in the resident dining room. There is no sink in the dining room. What should you do?
Consider using hand sanitizer as a temporary measure for maintaining hygiene, especially when no sink is available. Ensure it’s effective by checking the alcohol content and remember to wash your hands with soap and water as soon as you can.
44. Your patient has shortness of breath. After you report this shortness of breath to the nurse, you should position the patient in the underscore position.
Consider positioning the patient in a way that facilitates easier breathing and enhances lung expansion.
45. The Sims position is most similar to the underscore position.
Think about body positioning during medical procedures and focus on how limb arrangement differs between these positions. One involves a bent leg, while the other tends to keep limbs more aligned.
46. You take an adult’s blood pressure and it is 40/20. You immediately report this to the nurse. The nurse returns to the patient room with you. She instructs you to place the patient in a Trendelenburg position. How will you put the patient into the Trendelenburg position?
To achieve the Trendelenburg position, remember to lower the head of the bed while elevating the foot to promote blood flow toward the upper body.
47. You have been assigned to take an apical pulse for one of the patients in the nursing unit. How will you do this?
Ensure you have a stethoscope, position the patient comfortably, and locate the correct area on the chest to listen for the heartbeat. Count for a full minute and note any irregularities.
48. You take the blood pressure for your patient while they are in bed and then you take it as soon as they rise from the bed and stand. The patient’s blood pressure in bed was 152 over 85 and the blood pressure when standing was 96/46. You should:
Consider the significant change in blood pressure readings from supine to standing, which suggests a potential safety risk for the patient. Focus on the implications of this drop and the importance of addressing it promptly.
49. When CNAs do pulses, they should note which of the following?
Remember to assess and document not only how fast the pulse is, but also its strength and fullness, as these factors give insight into the patient’s heart health.
50. You are working in a community Primary Care Center and it is your job to get the heights and weights of all patients. You are trying to measure a patient’s height and you see that the patient is somewhat slouched. What should you do?
Ensure the patient stands straight to obtain an accurate height measurement, and communicate any difficulties they have in maintaining proper posture to the medical staff.
51. Physical bullying among school-aged children threatens which of Maslow’s needs?
Consider how an environment characterized by intimidation and harm might impact a child’s feelings of safety and acceptance among peers.
52. Your patient has had a very full and rewarding life; she has had a lot of success in her personal and professional life, she has achieved all of her goals, and she has maximized her potential. This patient can be best described as a person who has achieved:
Think about the highest level of psychological development where an individual realizes their full potential and capabilities, often marked by personal fulfillment and peak experiences.
53. Which of these needs is the greatest priority?
Consider which needs form the foundation for overall well-being, as they must be fulfilled before moving on to higher-level aspirations.
54. Which of the following needs has the least priority?
Consider the hierarchy of needs, where certain fundamental requirements must be met before pursuing personal growth and self-fulfillment.
55. Which of the following has the highest priority?
Remember that in healthcare, life-threatening situations take precedence. Focus on the immediate physical needs that can lead to death or serious harm if not addressed quickly.
56. There are different kinds of poor behaviors. Some of the types of poor behavior include underscore behaviors.
Consider the impact of behaviors on an environment and how they disrupt or pose risks to safety and well-being. Focus on the categories that interfere with harmony or threaten safety.
57. Your patient is upsetting other residents because they are yelling and repeating the same thing over and over in a sing song manner. This behavior has to be managed because it is:
Consider how behaviors that detract from the overall atmosphere can impact both resident well-being and facility harmony. Focus on the importance of maintaining a calm and supportive environment.
58. You walk into your female resident’s room and you see a male patient exposing his genitals to the female patient. This type of behavior has to be managed because it is:
Consider the legal and ethical implications of behavior that infringes on personal boundaries and safety in a healthcare setting.
59. You are assigned to help residents in the group dining room during their lunchtime meal. A resident begins yelling and they throw a spoon at you. Your best response is to do which of the following?
Stay calm and focus on understanding the resident’s feelings to help de-escalate the situation.
60. Poor behaviors are provoked by triggers. An example of an environmental trigger for poor behavior is:
Consider factors in the environment that can disrupt a person’s calmness or focus, potentially leading to negative actions.