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Question 1 of 25
1. Question
1. You have been taught that sodium control is important in your residents with congestive heart failure. What symptoms should you look out for and report?
CorrectIncorrectHint
Pay close attention to signs of fluid retention, particularly in the ankles and legs, and watch for significant weight changes, as these can indicate worsening heart failure.
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Question 2 of 25
2. Question
2. Which is not an acceptable abbreviation?
CorrectIncorrectHint
Consider the potential for confusion between multiple meanings when abbreviating terms, especially in healthcare settings where clarity is critical.
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Question 3 of 25
3. Question
3. You are beginning a new career as a CNA. Which of the following senses will you not use throughout your new career?
CorrectIncorrectHint
Consider which senses are actively involved in patient care and interactions, and think about the appropriateness of using them in a clinical setting.
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Question 4 of 25
4. Question
4. For how many milligrams of sodium are in one teaspoon of normal table salt?
CorrectIncorrectHint
Consider the composition of table salt and how its weight relates to sodium content. Remember that sodium chloride is about 40% sodium by weight, and pay attention to the conversion from grams to milligrams.
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Question 5 of 25
5. Question
5. An example of point of care testing would be:
CorrectIncorrectHint
Think of tests that give quick results right where the patient is, like monitoring blood sugar or rapid strep tests.
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Question 6 of 25
6. Question
6. The CNA observes sudden changes in their patient’s health status. Which of the following changes is the highest in terms of priority?
CorrectIncorrectHint
Prioritize physical changes in health status, as they often indicate urgent medical needs that require immediate action over emotional or socioeconomic factors.
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Question 7 of 25
7. Question
7. 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?
CorrectIncorrectHint
Prioritize safety by removing yourself from the situation and alerting a nurse or appropriate staff member about the incident. Recognize that direct intervention is not within your responsibilities.
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Question 8 of 25
8. Question
8. Your resident voided 60 mL of urine at 10:00 p.m. in the afternoon; your facility uses International time (the 24-hour clock). How will you document the time of this resident action?
CorrectIncorrectHint
Remember to convert the time from the 12-hour format to the 24-hour format by adding 12 to the hour for any time in the evening. Also, ensure you only use numerical notation without “a.m.” or “p.m.” when documenting.
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Question 9 of 25
9. Question
9. Your resident has a history of somnambulism. What is this?
CorrectIncorrectHint
Consider a sleep-related behavior where individuals perform activities while still in a deep sleep state, often appearing awake but not actually being aware of their actions.
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Question 10 of 25
10. Question
10. 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?
CorrectIncorrectHint
Consider the distinction between what a patient expresses versus what can be objectively measured or observed. Focus on the personal nature of the patient’s experience in your answer.
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Question 11 of 25
11. Question
11. Mrs. Pope wants a shower and is demanding it right now. It is not her scheduled day or shift and you have others to shower. You hear her on the phone telling her daughter she has not had a shower in days and that you are refusing to do it. How should you handle this?
CorrectIncorrectHint
Consider balancing Mrs. Pope’s immediate emotional needs with the established care schedule. Validation of her feelings is key, followed by a clear explanation of the situation. Look for ways to potentially accommodate her request while ensuring that the needs of other residents are also met. Encouraging her to discuss any concerns with the nursing staff can help address her frustrations appropriately.
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Question 12 of 25
12. Question
12. Your resident is NPO. This means:
CorrectIncorrectHint
Remember that NPO prohibits all oral intake, including food, drinks, and medications, primarily for medical safety and preparation purposes.
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Question 13 of 25
13. Question
13. Your resident put on her call light multiple times during the shift with requests to be toileted; however, each time she only voided scant amounts of urine. What can this be a sign of?
CorrectIncorrectHint
Consider conditions that could irritate the bladder or impact urinary function, such as infections or obstruction, which can lead to frequent urges and limited output.
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Question 14 of 25
14. Question
14. Your resident is a diabetic who is bedbound. When you do his bath, you notice white crusted material under his foreskin. What should you do?
CorrectIncorrectHint
Focus on ensuring thorough hygiene in the affected area, while also documenting your findings and reporting to the nurse for further assessment.
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Question 15 of 25
15. Question
15. You are working in an assisted living facility where some residents have kitchens in their units. You have noticed that one resident often puts something on the stove and forgets she has done this. What must you do?
CorrectIncorrectHint
Consider the potential risks involved and the responsibility you have towards the resident’s safety. Think about how to effectively communicate your observations while ensuring appropriate action is taken.
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Question 16 of 25
16. Question
16. The care plan for Mrs. Stewart says she is to receive passive range of motion exercises to her left knee and ankle bid. How frequently will the resident receive range of motion exercises?
CorrectIncorrectHint
Consider the meaning of “bid” in medical terminology, which indicates how often a treatment or procedure should be administered within a day.
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Question 17 of 25
17. Question
17. The nurse has written a nursing order in John Taylor’s nursing care plan. It states assist the patient to the bedside commode PRN. When will this patient get this assistance to the commode?
CorrectIncorrectHint
Consider how “as needed” applies to the patient’s condition and whenever he expresses the need for assistance or shows signs of requiring help.
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Question 18 of 25
18. Question
18. 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?
CorrectIncorrectHint
Consider which need is fundamental to ensuring that all other aspects of patient care can be addressed effectively and without risk.
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Question 19 of 25
19. Question
19. Your elderly patient has a temperature of 98.5. Is there anything else that the CNA should do in addition to documenting this temperature?
CorrectIncorrectHint
Consider the patient’s overall condition and any additional signs or symptoms present, as they may require further assessment or notification of nursing staff, regardless of a normal temperature reading.
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Question 20 of 25
20. Question
20. You are caring for a group of patients and you hear a loud crash at the end of the floor. Which of your senses allowed you to hear this loud crash?
CorrectIncorrectHint
Think about the part of your body that helps you perceive sounds in your environment, especially when something unexpected happens.
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Question 21 of 25
21. Question
21. At the end of your shift Sophie T starts crying when you walk into her room. Sophie is usually very cheerful. You speak to Sophie and she tells you that she is very sad because she has not seen her family in weeks. Which of the senses allowed you to know that Sophie was crying?
CorrectIncorrectHint
Consider how you became aware of Sophie’s emotional state. Think about what you could visually observe and what sounds you might hear in the situation.
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Question 22 of 25
22. Question
22. What should you do?
CorrectIncorrectHint
Focus on actively listening and showing empathy to help the individual feel understood and supported.
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Question 23 of 25
23. Question
23. Should you report Sophie’s crying to the nurse?
CorrectIncorrectHint
Consider how emotional changes in a resident can impact their overall well-being and the importance of communicating these shifts to ensure they receive appropriate care.
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Question 24 of 25
24. Question
24. Mr Gray is in a bad mood today you enter his room to offer care and he says get the hell out of here and don’t come back you should report to the nurse that Mr Gray
CorrectIncorrectHint
When handling a resident’s aggressive refusal of care, it’s important to accurately report their exact words to healthcare staff. This ensures that their emotional state and intentions are clearly understood, allowing for appropriate follow-up.
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Question 25 of 25
25. Question
25. When doing HS (hour of sleep) care, what is the proper oral care with a patient that has dentures or bridges?
CorrectIncorrectHint
Ensure proper hygiene by removing dentures or bridges for effective cleaning, using a soft toothbrush and appropriate cleanser.