1. Mr. Graves tells you he is ready to die but is hoping to live three more months until his first grandchild is born. He promises to stop smoking in return. You recognize this is a stage of grief known as:

2. Mrs. U has end-stage pancreatic cancer. When you enter her room, her daughters are sitting at the bedside weeping. Mrs. U says to you, indicating to her daughters, “I don’t know what’s the matter with them. I’m not dead yet.” The daughters are experiencing:

3. Supportive care to a dying resident includes all of the following except:

4. Mrs Herer does not want any life-sustaining treatments. Which intervention is appropriate?

5. Mrs. Kaplan tells you that she would never want to have artificial nutrition having seen her roommate come back from the hospital with a tube feeding; she asks you if you can do something to make sure that does not happen. You should:

6. A patient expresses sexual interest in you. What should be your response?

7. Mr. Gray tells you he is transgender. This means he:

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

9. When providing care for elderly residents, you should:

10. Mrs. Malloy says she is celibate. This means that she:

11. You are working as a valued member of the team in your nursing care unit. You are trying to figure out whether or not the team is doing well. Which of the following is a sign that your team is doing well?

12. Winning teams:

13. The primary purpose of a patient care meeting or conference is to determine which of the following?

14. Who should be members of a patient care conference?

15. Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their own?

16. You are attending a patient care conference as the CNA on the team. What things should you discuss with other members of the healthcare team?

17. You enter Mrs. Bellow’s room this evening and she yells at you for not coming in sooner. Your response should be:

18. When transferring Mr. Bold from bed to wheelchair, you allow his legs to dangle at the bedside for a few minutes after he sits up. This will help avoid:

19. Your resident has COPD. The CNA may perform all of the following interventions except:

20. People with any physical, mental, or emotional problems are best referred to as:

21. Your resident with dementia frequently becomes restless and agitated in the late afternoon and evening. This condition is known as:

22. Which of the following procedures is correct during a fire?

23. Mr. Allen is independent for ambulation, Mrs. Wilson is partial weight-bearing and uses a wheelchair, Mr. Barry is bed-bound and cannot transfer or move independently. You must evacuate your unit; none of the residents are in immediate danger. Who should you move first?

24. Mr. Allen is independent for ambulation, Mrs. Wilson is partial weight-bearing and uses a wheelchair, Mr. Barry is bed-bound and cannot transfer or move independently. You must evacuate your unit; none of the residents are in immediate danger. Who should you move second?

25. Mr. Allen is independent for ambulation, Mrs. Wilson is partial weight-bearing and uses a wheelchair, Mr. Barry is bed-bound and cannot transfer or move independently. You must evacuate your unit; none of the residents are in immediate danger. Who should you move last?

26. The promotion of self-care is a critical aspect of care. How can you on a daily basis promote self-care?

27. The pathogen is a microorganism that:

28. Which of the following statements describing viruses is true?

29. Which Link in the Chain of Infection would be considered droplets from a cough or sneeze?

30. Mrs. Elliot’s husband is visiting; you notice he is coughing and sneezing frequently. You should:

31. What is the relationship between HIPAA and technological advances?

32. Which technological advance is most likely to place you at risk for HIPAA violations?

33. Your former grade school teacher is now one of your residents. A friend asks for details on her condition. What is your best answer?

34. A family member requests information about a resident assigned to you which answer contains appropriate information?

35. A resident family member gives you a Christmas card with a $20 bill tucked inside. What is the appropriate response?

36. Mrs. Sanchez is a slow eater who usually has a poor intake. The nursing assistant is running behind and decides not to feed her since she takes a long time to feed but eats very little. The dietary department reports the tray is turned untouched. What charge could this nursing assistant be found guilty of?

37. CNAs are very important in terms of observation and Reporting why is this role so important?

38. Your resident is NPO. This means:

39. The care plan states your resident may be out of bed “ad lib.” This means:

40. 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?

41. Mr. Gonzalez’s care plan states he is to be out of bed using a Hoyer lift qod. He was last out of bed on Monday. When is the next day he should be out of bed?

42. Mr. Jackson tells you he is having pain; you notify his nurse who says, “Okay, I can give him Tylenol PRN for pain.” What is the meaning of PRN?

43. While providing perineal care and cleansing to a female patient who is incontinent of urine and stool, you should:

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

45. As you are shaving a male patient’s face, you should use short strokes with the razor while holding the skin taut in the direction of __________, except when the neck is being done.

46. You have accidentally nicked the patient’s neck when you are shaving him; you should:

47. CNAs assist residents as needed with ADLs (activities of daily living). Which set of tasks includes ADLs?

48. When providing personal care for a resident, the CNA should:

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

50. Mr. Grayson is an unconscious resident. How often will you provide mouth care on Mr. Grayson?

51. You have just come on duty for your 3:00 p.m. to 11:00 p.m. shift. Which task is the most important?

52. You enter Miss Harris’s room and note her respirations are rapid and she is having trouble catching her breath. After notifying the nurse, you should:

53. While providing care for a resident, a coworker enters the room to ask you a question unrelated to resident care. Your best response is to:

54. You are pulled to an unfamiliar floor to provide resident care. You demonstrate professionalism in this difficult situation by:

55. In the event of a fire, the first action you should take is:

56. You are working the midnight to 8:00 a.m. shift when you leave a resident’s room. There is a man with a knife in his hand. He says he wants to see Julie B, who is the nursing supervisor. What should you do?

57. You answer the phone on your nursing unit; the caller states there is a bomb in the operating room. What should you do?

58. Residents in long-term care facilities are at risk for incidents because:

59. The majority of incidents in the long-term care setting are from:

60. Medications that are given to residents to change behaviors that are considered problematic are: