CNA Practice Test - Part 1

1. A CNA, MA, and RN all provide care for 10 patients in a subacute facility. What is the term for this collaborative approach to patient care?

A. Group care

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B. Primary Care

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C. Team nursing

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D. Rehab

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2. 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 __________.

A. A hospital

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B. Rehab center

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hospice

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D. Nursing home

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3. A CNA is covering another CNA’s lunch break on another floor. She answers the light for a patient who complains of chest pain. Who should the CNA report this finding to?

A. Nurse

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B. Provider

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C. Director of nursing

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D. The other CNA when back from lunch break

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4. You are asked to complete a bed change for a 300 lb patient who is immobile and difficult to turn. You feel uncomfortable changing the bed yourself. What is your next course of action?

A. Schedule a time with another nurse or CNA. to have assistance during the bed change.

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B. Complete the bed change yourself even though you are uncomfortable.

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C. Wait until shift change to let the next shift take care of it.

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D. Tell the patient that they do not need a bed change.

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5. Which duties would be performed by CNA in team nursing?

A. Taking vital signs and blood sugar readings

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B. Teaching physical therapy exercises

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C. Taking Vital Signs and blood sugar readings

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D. All of the above

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6. The CNA can legally underscore

A. Supervise other CNAs

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B. Teach other CNAs

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C. Mentor other CNAs

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D. None of the above

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7. 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?

A. Refuse to do the assignment

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B. Do the best you can do

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C. Ask about the details

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D. Call the owner.

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8. Which of the following actions is ethically wrong in the care of nursing home residents?

A. The CNA. remains right outside the bathroom door and instructs the patient to pull the call light when they have finished urinating.

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B. The CNA wipes the patient’s finger with an alcohol swab prior to taking a blood glucose level

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C. The CNA does not let a confused high fall risk patient ambulate in the halls without assistance.

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D. The CNA chooses to complete an incontinence change every 4 hours on a patient who is incontinent every hour

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9. A patient requires a dressing change for the first time after surgery which of the following staff cannot legally change the patient’s dressing immediately after surgery?

A. CNA

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B. LPN

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C. RN

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D. MD

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10. Which of the following is now the minimal requirement to be able to legally record and document data such as Vital Signs and blood sugar readings within a hospital setting?

A. Experience

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B. Certification

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C. Certification

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D. College degree

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11. Who developed the hierarchy of needs?

A. Abraham Maslow

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B. P. Maslow

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C. Maslow

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D. Nating Gale

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12. The levels of the hierarchy of needs are underscore

A. Physical needs Safety and Security needs love and belonging needs esteem needs and self-actualization

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B. Need for Freedom need for resources needs of self and needs of others

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C. Subjective needs, objective needs, data analysis, and needs for resolution

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D. Integumentary system respiratory system nervous system and cardiac system

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13. The CNA is working on a busy medsurg Hospital floor and is caring for 10 patients. Vital signs are taken every 4 hours with meals delivered at 7:30, 12:30, and 5:30. It is currently 9:00 and all patients have received their breakfast trays. Last vital signs were taken at 4:00. Which of the following is the highest priority?

A. A. patient is complaining of chest pain after surgery and is requesting pain medicine.

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B. Taking vitals on all patients since they were not taken at 0800

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C. The patients have finished their meals and are requesting the trays to be taken from the room.

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D. A patient is complaining of chest pain after surgery and is requesting pain medicine.

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14. It is nearly time for your lunch break; a nurse is requesting assistance with an incontinence bed change. Which of the following is not a proper response?

A. Gather supplies and assist the nurse with the bed change

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B. Tell the nurse you cannot help as you are going on lunch

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C. Delay your lunch if needed to assist the nurse as possible

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D. Request the CNA covering your lunch to assist the nurse

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15. You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states ambulate at least 10 yards qid. This patient will be assisted with ambulation at which of the following times?

A. 10:00 a.m.

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B. 10:00 a.m. and 2:00 p.m.

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C. 10:00 a.m., 2:00 p.m., and 6:00 p.m.

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D. 10:00 a.m., 2:00 p.m., 6:00 p.m., and 10:00 p.m.

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

A. 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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17. Hospital policy states that patients on the medical floor should have Vital Signs taken every 4 hours which of the following is an appropriate abbreviation for this order?

A. V. Signs QID

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B. VS q4 hrs

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C. Vital signs QOD

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D. Vitals QD. x 4

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18. What does the medical abbreviation ADL stand for?

A. Activities of daily living

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B. Advantages of disability and life insurance

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C. Assessment of depth and length

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D. All day long

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19. You are caring for a patient with a BKA. What do you expect to see when entering the patient’s room related to this abbreviation when working with the patient?

A. A patient with an amputation below the knee

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B. A patient with tubes coming out of both kidneys

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C. A blood sugar of 600 once you take a finger stick glucose

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D. A patient with swollen legs from heart failure

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20. 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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21. What senses do nursing assistants use to observe patients and residents?

A. Sight, hearing, and touch

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B. Sight and hearing only

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C. Sight and Common Sense only

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D. Taste and hearing only

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22 a CNA is caring for an immobile patient and notices a new open sore to the patient sacrum what should did the CNA do

A. Report this finding to the nurse

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B. Place Barrier cream over the sore

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C. Ask the patient how they got the sore

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D. Do nothing

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23. A CNA is working in the resident dining hall and notices a resident grabbing at her throat without making any noise. What should the CNA’s response be?

A. Perform the Heimlich maneuver

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B. Start chest compressions.

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C. Slap the resident's back

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D. Call for help and wait.

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24. A CNA is bathing a child on a Pediatric Hospital unit. She notices the child has bruising to his arms and legs. What should be the CNA’s first response?

A. Report the finding to the charge nurse per hospital protocol.

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B. Ask the child what happened

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C. Confront the parents

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D. Report the finding to the charge nurse per hospital protocol

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25. Which risk factor places patients and residents at the greatest risk for falls?

A. Old age

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B. Middle years

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C. Pneumonia

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D. COPD

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26. Which sensory impairment places residents and patients at risk for falls?

A. Blindness

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B. Confusion

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C. Weakness

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D. Aging

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27. You are caring for a resident in an Alzheimer’s unit in a nursing home. The resident is repeatedly pushing on the locked door trying to exit the building. What would be your first response?

A. Unlock the door and allow the resident to exit the building.

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B. Take hold of the resident’s elbow and direct them toward the room.

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C. Attempt to verbally reorient or redirect the resident back to their room.

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D. Assist the resident to their room and apply restraints to prevent her from leaving.

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28. You are working in a dual occupancy room in a long-term care facility when the residents start arguing back and forth from their beds. What is the best response?

A. Tell the residents they must stop arguing.

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B. Notify the nurse or resident care manager.

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C. Change the room for one resident.

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D. Pull the curtain between the two residents.

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29. Which of the following is most likely to deescalate a disoriented patient who is starting to become verbally abusive?

A. Address their concerns in a slow and calm manner

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B. Shout at them to snap out of it

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C. Close the door to their room

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D. Physically assist the patient back into a supine position in bed

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30. A CNA notices an uncapped syringe lying on the floor in the patient’s room. What is the CNA’s response?

A. Safely pick up the syringe and place it in the sharps container, then report it to the nurse.

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B. Ignore the syringe; the cleaning staff will find it and dispose of it.

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C. Safely pick up the syringe and place it in the trash can.

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D. Leave the syringe in place and report it to the nurse.

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31. The fire alarms in your nursing home begin ringing; nobody on your unit is in immediate danger. You must now underscore:

A. Close the patient doors

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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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32. 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?

A. Extinguish the fire if you can do so safely and without harm.

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B. Run away from the fire

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C. Cover the fire with a blanket

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D. Open the windows and exit the floor

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33. Which of the following locations would provide you with the most update information on how to respond to a disaster within your facility?

A. Google search

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B. Ask another CNA

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C. The facility’s policy and procedures manual

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D. Human Resources handbook

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34. In the event of a tornado spotting near the proximity of the building, what is the CNA’s response to maintain patient safety?

A. Move patients as far away from windows as possible

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B. Assist ambulatory patients to exit the building

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C. Do nothing the building is secure

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D. Take patients down to the basement using the elevator.

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35. Which patients should be evacuated first in the event of a fire within the area?

A. Immobile patients or patients on life support

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B. Small children and ambulatory patients

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C. Patients requiring transfer Assistance or use of a stretcher

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D. Patients in wheelchairs or who can ambulate with walkers

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36. You hear the code for an infant abduction over the intercom in the hospital. You notice a suspicious person walking with a large bag quickly through the halls. What is your response?

A. Tell the person to give you their bag

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B. Ignore the suspicious person

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C. Block the exit to prevent the suspicious person from leaving

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D. Safely attempt to detain the person until security arrives.

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37. A patient is confined to their bed and needs assistance at meals. What position should you place the bed in as you’re feeding the patient?

A. High Fowler's

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B. High fowler

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C. Reverse Trendelenburg

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D. Lateral

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38. When cleansing the G.I. area during perineal care, the nurse aid should underscore:

A. Cleanse the penis with a circular motion starting from the base and moving toward the tip

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B. Replace the foreskin after it has been pushed back to cleanse an uncircumcised penis

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C. Cleanse the rectal area first and then clean the patient’s genital area.

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D. Use the same area on the washcloth for each washing and rinsing stroke for a female resident.

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39. Which of the following tasks would more likely be performed by a nurse?

A. Trimming the toenails of a patient with diabetic neuropathy

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B. Ambulating a low fall risk patient with a walker

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C. Bathing a surgical patient prior to surgery

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D. Trimming the toenails of a patient with diabetic neuropathy

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40. What may result when patients or residents ignore the urge to defecate?

A. Constipation

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B. Diarrhea

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C. Incontinence

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D. Hemorrhoids

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41 The Chain of Infection includes the underscore

A. Germ agent Reservoir exit portal mode of transmission entry port and susceptible host

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B. Active natural active artificial passive natural and passive artificial

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C. Opportunism weakness immunity and colonization

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D. Intrinsic extrinsic internal and external transmission

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42. Asepsis is defined as:

A. The absence of all microorganisms

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B. The absence of disease-causing germs

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C. A urinary infection

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D. A pathogenic infection

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43. Which of the following patients is likely to be placed on contact precautions in a hospital setting?

A. A patient with MRSA

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B. A patient who is coughing

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C. A patient who just had hip surgery

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D. An elderly patient

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44. What are standard precautions?

A. Hand washing or hand sanitizing between patients wearing gloves if handling bodily fluids

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B. Wearing gloves at all times only handwashing between patients

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C. Wearing gloves and a mask while in the patient room

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D. Gloves and hand washing is not required between patient rooms

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45. Which of the following Hospital floors would you most likely expect to see reverse isolation precautions?

A. Oncology

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B. Oncology

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C. Obstetrics

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D. Alzheimer’s

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46. Mobility is an important human function; the hazards of immobility lead to many physical problems and emotional problems. Immobility can lead to detrimental cardiac, muscular, respiratory, skeletal, urinary, gastrointestinal, skin, and emotional changes. Which of the following is an example of a skeletal hazard of immobility?

A. Contractures

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B. Constipation

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C. Calcium loss

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D. Catabolism

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47. An emotional consequence of immobility is underscore.

A. Depression

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B. Dementia

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C. Delirium

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D. Diversion

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48. Which of the following age groups are at the highest risk for injury causing falls?

A. Elderly

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B. Middle-aged

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C. Young adult

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D. Children

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49. All of the following are preventive measures to avoid pressure ulcers in the elderly except:

A. Repositioning every 2 hours

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B. Applying Skin Barrier cream to high pressure areas

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C. Changing incontinence pads as soon as they are soiled

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D. Applying contracture boots in an immobile patient

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50. Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair?

A. On the patient’s weak side

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B. At the foot of the bed

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C. At the head of the bed

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D. On the patient’s strong side

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51. Which of the following would not be considered a fall risk intervention?

A. Restraints

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B. Bed alarm

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C. Non-skid socks

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D. Restraints

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52. Two CNAs are caring for a total care elderly patient with dementia. Which of the following scenarios is incorrect?

A. The CNAs discuss another patient care while caring for this patient

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B. One CNA holds the patient while the other cleans the Peri area

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C. The CNAs discuss another patient care while caring for this patient

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D. The CNAs boost the patient up in bed using the draw sheet

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53. 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 _________.

A. Nervous and anxious

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B. Having a panic attack

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C. Having a heart attack

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D. Calling out for emotional attention

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54. You are caring for Thomas N. Thomas, who is 77 years old. He has edema or swelling in his legs and he has a fluid restriction in terms of his fluid intake. You have been assigned to weigh him daily. Based on these symptoms and the care that he is being given, what disorder is he most likely affected with?

A. Diabetes

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B. Dementia

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C. Congestive heart failure

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D. Congestive heart disease

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55. You are caring for a diabetic patient who reports dizziness and is shaky and sweaty. The patient is alert and oriented. The patient’s vital signs were normal 1 hour ago. After reporting your findings to the nurse, what do you expect the nurse to ask you to do?

A. Take the patient’s blood sugar.

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B. Take the patient’s Vital Signs

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C. Call a rapid response or code

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D. Answer the call light of a patient who is requesting a walk.

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56. You are assisting an elderly female patient to the bathroom. Which of the following would be important to emphasize to the patient to prevent urinary tract infections?

A. Wipe from front to back.

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B. Stand up slowly to prevent dizziness.

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C. Make sure to press the call light when you are done.

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D. Put one hand on the walker and one hand on the seat to press yourself up.

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57. You notice a patient is walking with a shuffling gait with a walker and has jerky movements of the arms and legs. The patient has some difficulty speaking but is alert and oriented. What do you suspect is causing this patient’s symptoms?

A. Alzheimer’s

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B. Heart failure

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C. Parkinson’s disease

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D. Stroke

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58. A patient is complaining of shortness of breath and requesting his breathing treatment. You notice the patient is wearing a nasal cannula with oxygen flowing at 2 L per minute. What disease do you suspect this patient suffers from?

A. Coronary artery disease

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B. COPD

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C. UTI

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D. Constipation

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59. Which is considered a normal or healthy type of grief?

A. Anticipatory grief

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B. Complicated grief

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C. Unresolved grief

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D. Inhibited grief

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60. The grant 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?

A. Gently explain the policy to the family and then implement it.

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B. Notify the nurse about this cultural concern.

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C. Call the deceased patient’s primary care provider for advice.

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D. Move the deceased patient to an empty room and stay with the body yourself.

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61. Many people, particularly older people, go to what kind of health care facility after they are discharged from a hospital after a stroke?

A. A Subacute Care Center

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B. Hospice

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C. A respite center

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D. A group home

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62. A CNA is caring for a patient on hospice care. She notices the patient’s lips, hands, and feet are blue and mottled; there is no rise and fall of the patient’s chest. What should the CNA’s next action be?

A. Notify the nurse.

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B. Call 911

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C. Shout at the patient to wake up

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D. Notify the nurse

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63. Which of the following hospice tasks should not be performed by a CNA?

A. Taking vital signs as requested for the family

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B. Providing repositioning and paranal care for the patient

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C. Providing emotional support for the family

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D. Determining time of death for the family

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CNA Practice Test – Part 1

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