Basic Nursing Skill Practice Test - Part 5

1. Palliative care is an approach that improves the quality of life for patients and their families facing the problems associated with:

A. Chickenpox

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B. The flu

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C. The end of life

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D. Insomnia

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2. The nurse tells you the resident is a no code. This means:

A. Do not resuscitate

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B. Begin CPR

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C. Notify the family if the resident appears to be dying

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D. The resident will not receive any physical care

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3. You are providing postmortem care to a resident who was receiving oxygen through a nasal cannula connected to an oxygen tank. The family will be viewing the body. You should:

A. Leave the cannula in the nose and keep the oxygen in the room.

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B. Remove the canula from the nose and oxygen tank from the room.

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C. Leave the cannula in the nose and remove the oxygen tank.

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D. Remove the cannula from the nose and leave the oxygen tank.

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4. Bed rest can be very debilitating at any age which of the following does not result from bed rest?

A. Constipation due to gut immobility during bed rest

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B. Sacral edema due to fluid accumulation over the sacrum

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C. Increased attention span due to prolonged time of inactivity

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D. Postural pneumonia due to fluid collection in the lungs from inactivity

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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?

A. Empathy

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B. Suspicion

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C. Envy

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D. Empathy

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6. Changes such as retirement, grandparenting, and increased dependence on others are examples of what kind of changes?

A. Moral

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B. Psychosocial

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C. Psychosocial

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D. Psychosocial

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7. You are caring for elderly residents. You should:

A. Avoid explaining procedures

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B. Set a resident's routines for your convenience

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C. Encourage the resident to dangle legs at the bedside before transfers

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D. Show affection by addressing residents as sweetie and honey

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8. Mr. Dale has insomnia. You can assist him in managing this condition by:

A. Encouraging daytime naps

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B. Limiting physical exercise

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C. Reducing evening stimulation

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D. Waking him at short intervals when he is sleeping

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9. Mrs DS is a bedfast resident who is in your facility for rehabilitation you are aware that foot drop is a serious complication of being bedfast and can slow return to an ambulatory status which of the following can be done to assist in preventing this complication from developing?

A. Make sure there is a padded footboard on the bed so her feet are supported when she is in bed

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B. Make sure she has on supportive shoes when she is awake in bed so her feet do not begin to drop.

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C. There is nothing you can do as foot drop is a frequent complication which physical therapy must deal with.

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D. Both A and B

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10. You are caring for a resident who is diabetic; she is very frustrated that the nurse keeps telling her that her blood sugar is too high despite taking her medication. You know she has potato chips at her bedside and eats a lot of them. She avoids sweets and candy but loves pasta and always asks for extra or seconds. What, if anything, should you tell her?

A. The pasta and chips have no effect as they are not sweets

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B. The carbohydrates in the pasta and chips raise blood sugar and should be avoided.

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C. She can eat as much pasta as she likes but not the potato chips.

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D. The carbohydrates in the pasta and the potato chips are good for her.

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11. CNAs are not permitted to do which of the following tasks?

A. Newborn temperatures

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B. Blood pressures on toddlers

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C. Clipping toenails

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D. Dressing a wound

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12. Tasks that can be legally done by a CNA are found in:

A. Federal laws and regulations

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B. State laws and regulations

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C. Federal and state laws and regulations

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D. In nursing home policies and procedures

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13. You are taking care of a teenage person who is recovering from a serious automobile accident in your Rehabilitation/Restorative care area. His injuries included broken legs and arms. The most likely goal of this care is to:

A. Ensure that the teenager continues their schooling

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B. Assist the person with their end of life needs

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C. Restore this patient to full and normal function

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D. Maintain their airway it is the highest priority

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14. The people who live in a long-term care facility are referred to as:

A. Residents

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B. Consumers

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C. Patients

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D. Clients

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15. 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?

A. You can discuss and demonstrate the ABCs of body mechanics.

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B. You can discuss and demonstrate the ABCs of body mechanics.

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C. You can discuss and demonstrate the ABCs of body mechanics.

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D. You can tell her you hope she feels better and do only your own work.

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16. Gina is a CNA at the Sunshine Senior Care Center. She is the only nursing assistant at the nursing station when the phone rings. Answering the phone is part of her duties. Which of the following greetings is most professional?

A. Hi, this is Gina.

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B. Hello sunshine Senior Care Center this is Gina

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C. Hello

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D. This is Gina.

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17. You are caring for an Alzheimer’s patient who is confused. What can you do to decrease the level of the confusion?

A. Nothing will help to decrease the confusion

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B. Keep the level of stimulation to a minimum

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C. Challenge the person to a game of Scrabble

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D. Ensure the patient’s safety at all times

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18. Normal changes of aging in the integumentary system include:

A. Increased production of oil glands

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B. Increased blood flow under the skin

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C. Increased sensitivity to heat

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D. Increased sensitivity to cold

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19. Mrs. Evans has a diagnosis of diverticulitis; which foods should she avoid eating?

A. Lettuce

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B. Hot dogs

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C. Milk and milk products

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D. Strawberries

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20. Which of the following is the most common catastrophic emergency in children?

A. Cardiac arrest

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B. Dog bite

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C. Respiratory arrest

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D. Respiratory arrest

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21. What sense does a retinal detachment affect?

A. Vision

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B. Smell

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C. Balance

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D. Vision

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22. You hear an announcement in your nursing home stating “Dr. Storm, Dr. Storm, Dr. Storm.” This is your nursing home’s code word for immediately implementing emergency tornado measures. What should you do?

A. Move all residents into the hallway.

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B. Open all of the windows to decrease the air pressure

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C. Pull the fire alarm so all the residents know that there is an emergency.

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D. Move all residents into the hallway.

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23. Your resident during lunch cannot speak, appears panicked, and is gasping and coughing weakly. What should you do?

A. Perform abdominal thrusts

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B. Offer a drink of water

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C. Encourage coughing

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D. Do a finger sweep.

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24. During an evacuation of patients from upper floors, how should you move bedfast patients?

A. Wrap them in a sheet and two staff members pull them down the hall to the elevator.

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B. Wrap them in a sheet and two staff members carry and slide them down the stairs head first

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C. Move the bed into the hall and take them down on the elevator.

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D. Place them on a stretcher, secure them in place, and two or more staff carry them down the stairs.

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25. You find a patient who is in bed in cardiopulmonary arrest. How do you do CPR?

A. Remove him from the soft bed onto the floor for a solid surface.

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B. Find someone to help you remove the headboard or the footboard and place it under his chest and shoulders for a hard surface

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C. Find someone to help you remove the headboard or the footboard and place it under his chest and shoulders for a hard surface.

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D. Have someone get a transfer board to put him on so there is a firm surface.

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26. Which of the following is a principle of good body mechanics?

A. Do not pivot

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B. Keep the line of gravity away from the base of support

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C. Pushing is safer and easier than pulling

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D. Pulling is safer and easier than pushing

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27. The most important part of the hand washing procedure is:

A. Using the the hottest water you can tolerate

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B. Using only antibacterial soap

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C. Using adequate friction

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D. Taking a full 3 minutes to wash your hands

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28. Mrs. Jones has been diagnosed with C. diff; what precaution should be taken when performing personal care?

A. Wear a mask

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B. Use hand sanitizer

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C. Wear a gown and gloves

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D. Dispose of use Linens

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29. Which of the following is not a bacteria or a virus infection?

A. HIV

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B. Shingles

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C. Chlamydia

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D. Tricomoniasis

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30. Which of the following is not a method of taking a temperature?

A. Oral

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B. Tanic

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C. Rectal

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D. Ocular

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31 CNAs are permitted to do which of the following tasks?

A. Newborn temperatures

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B. Toddler blood pressures

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C. Clipping toenails

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D. All of the above

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32. Your nursing home’s Ethics Committee meets on a monthly basis. You attend one of these meetings and you hear committee members discussing beneficence. At the beginning of the meeting, they are discussing which of the following?

A. Doing the right thing

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B. Honesty

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C. Doing the right thing

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D. Fidelity

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33 which ethical term and definition is correct

A. Autonomy do good

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B. Justice Do no harm

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C. Beneficence fairness

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D. Veracity truthfulness

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34. Which of these actions is illegal in most states?

A. Abortion

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B. Euthanasia

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C. Health care proxy

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D. Inquest

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35. Which of the following is an example of emotional neglect?

A. It’s threatening the person

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B. The slap to the person’s hand

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C. Ignoring and isolating a person

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D. Leaving a patient soiled for hours

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36. Mr. Elliot, an elderly resident with terminal cancer, says to you, “Life is just not worth living anymore.” He tells you he is planning to save his pain medication to take all at once so he can end this misery. You must:

A. Call the Family

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B. Respect the resident’s confidentiality

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C. Notify the nurse at once

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D. Consult with another nursing assistant who knows the resident.

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37. The RN asks you to bring the unit’s collected lab specimens to the lab stat. You should:

A. No, not do this errand because CNAs do not do stats.

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B. Run this errand as soon as you can

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C. Run this errand immediately and without delay

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D. Before the end of your shift or after your lunch

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38. Your patient has a number of physical and emotional needs. Some of these needs are the need for safety, the need for fluids, and the need for mobility. Which of these needs must be addressed during all aspects of care?

A. Safety

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B. Nutrition

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C. Mobility

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D. Fluids

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39. Which of the following lists the five senses?

A. Sight, hearing, taste, smell, and touch

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B. Hearing taste smell common sense and auditory

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C. Sight, taste, smell, auditory, and visual

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D. Hearing, smell, taste, sight, and touch

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40. The CNA observes sudden changes in their patient’s health status; which of the following changes is the highest in terms of priority?

A. Physical changes

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B. Emotional changes

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C. Behavioral changes

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D. Socioeconomic changes

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41. A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?

A. Automated external defibrillator

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B. Automated electric driver

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C. Automated external defibrillator

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D. Allowable extra diffuser

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42. The nursing assistant has gone home when she remembered she forgot to document one of her residents. The best procedure to follow now is:

A. Follow the facility procedure for making a late entry.

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B. Call the facility and have another CNA make the entry for you

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C. Cover the error by making the entry the next work day and backdate it to when it happened

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D. Notify the nurse as there is no way to correct a late entry.

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43. Your patient ate an 8 oz cup of Italian ice. How much will you record on the patient’s intake and output form in terms of this patient’s fluid intake?

A. 240 cubic cm

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B. 120 cubic cm

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C. 8 cubic cm

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D. 0 cubic cm because Italian ice is not a fluid

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44. When you are feeding a patient who has paralysis on the left side of the face, you should place the food:

A. On the left side of the mouth

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B. On the right side of the mouth

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C. On the tip of the tongue

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D. Into the throat

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45. The abbreviation AC is defined as:

A. Before the meal

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B. With the meal

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C. After the meal

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D. Anti Corpus

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46. The purpose of soaking the feet as part of foot care is to:

A. Clean the feet because simply washing the feet is not as thorough

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B. Provide a pleasant comfortable experience for the patient

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C. Maintain a safe and infection-free patient care area

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D. All of the above

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47. Which of the following is not a part of CNA’s routine personal care of a patient?

A. Haircuts

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B. Perinal care

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C. Facial shaving

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D. Foot Care

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48. You wash Mrs. Gillette’s hands before you feed her. The resident rarely feeds herself, so why should you wash her hands?

A. In case Mrs. Gillette touches you while you are feeding her.

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B. You will put gloves on Mrs. Gillette’s hands

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C. Mrs. Gillette might still touch her food or her mouth.

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D. There is no reason; it is just good etiquette.

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49. You are preparing to give a bed bath to your resident. You check the water temperature, which is an appropriate temperature for bathing: A) 91° F B) 109° F C) 118° F D) 125° F

A. 91° F

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B. 109° F

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C. 118° F

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D. 125° F

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50. CNAs assist residents as needed with ADLs (activities of daily living), which set of tasks includes ADLs?

A. Talking on the phone writing checks paying bills

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B. Toileting transferring ambulating

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C. Administering medications providing wound care

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D. Establishing goals for ambulation

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51. Which of these needs is the greatest priority?

A. A healthy and satisfying relationship

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B. Membership in a community group

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C. An award or a special recognition

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D. Reaching one’s fullest potential

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52. Which of the following needs has the least priority?

A. A healthy and satisfying relationship

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B. Membership in a community group

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C. An award or a special recognition

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D. Reaching one’s fullest potential

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53. The fire alarms in your nursing home begin ringing. What is the first thing you must do?

A. Evacuate the patients laterally

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B. Evacuate the patients vertically

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C. Close the patient doors

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D. Open the patient doors

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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:

A. Ask if you can get help with the beds after taking care of the resident

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B. Ask the nurse if she can take care of the resident

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C. Ask if the resident can wait so you can get caught up

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D. Ask if you can get help with the beds after taking care of the resident

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55. You work as a CNA in a hospital. A woman says she is the sister of a patient and asks you why she is there and how she is doing. What is your best response?

A. I can’t discuss her diagnosis but she is in room 2011, why don’t you visit her.

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B. I can’t tell you her diagnosis but she is responding to treatment well.

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C. I’m the CNA; if you give me your name and wait a few minutes, I’ll check to see if she can have a visitor.

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D. I'm sorry, but as a CNA, I can’t give out any information. Please see the nurse about visitation and your sister's diagnosis and condition.

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56. Albert B is incontinent of urine. He also wears glasses and a hearing aid. His UND score leads to his risk for falls:

A. Incontinence and loss of vision

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B. Loss of vision

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C. Incontinence

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D. Loss of hearing.

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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:

A. Disruptive

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B. Dangerous

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C. Illegal

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D. Unethical

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58. Mrs. Lewis normally eats meals independently in her room. You check on her and see her clutching her throat; she is unable to cough or speak. You put on the call light. Your next action should be to:

A. Perform abdominal thrusts

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B. Give her a drink of water

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C. Ask her if she is choking

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D. Perform five back blows.

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59. Mr. Allen can be combative during care; how do you respond if he attempts to strike you?

A. Request another CNA. hold his arms during care

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B. Refuse to do his care

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C. Calmly explain you are doing his care but will stop if he wishes and return later

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D. Take charge of the situation and tell him you are the boss now

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60. You walk past Mrs. Olsen’s room and see that she is crying. What is an appropriate CNA action?

A. Go to the nurse and report what you saw.

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B. Ask Mrs. Olsen what’s wrong honey

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C. Tell Mrs Olsen to cheer up

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D. Offer to sit with Mrs. Olsen if she would like

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Basic Nursing Skill Practice Test – Part 5

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