1. Your patient has terminal cancer and wishes to make an advanced directive. Quickly the family requests you to sign as a witness. You should:

2. Mr. Bledo, a dying resident, does not believe in any higher spiritual being. To best care for this resident, the CNA should:

3. The nurse tells you the resident is a no code; this means:

4. An autopsy is performed:

5. You are performing postmortem care on Mr. Low. What should be done with his dentures?

6. Excessive noise in health care facilities:

7. Which of the following statements about pain is false?

8. Mr Blaze complains of pain. You notify the nurse who administers pain medication. While waiting for the medication to work, you can ease his pain by performing the following interventions except:

9. Your pediatric patient wishes to sleep with her special baby blanket. You should:

10. Your new Resident Mrs. Charles has episodes of somnambulism. This means she:

11. The department of a hospital that provides care for patients with pulmonary and breathing disorders is:

12. Your resident tells you she is concerned about how her family will pay for her medical care. What department will assist the resident with financial matters?

13. Which of the following goals are not part of the Patient Protection and Affordable Care Act?

14. An on-site survey of a health care facility is focused on which of the following?

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

16. The majority of Care at an ALF assisted living facility is provided by:

17. Mrs. Jones has dementia; she spends many hours rummaging through a large pocketbook, removing and replacing items such as washcloths and plastic spoons and then repeating her actions. You should:

18. When you told Mrs. Kramer it was time for her bath, she responded by screaming, “No, no, get out of here and leave me alone!” and swinging her arm toward you with a closed fist. The best response to her behavior is to:

19. In Mrs. Kramer’s situation, her behavior can be characterized as a:

20. An example of validation therapy would be:

21. Mr B has been your resident for the past 2 months he is alert and oriented and knows your name when you wake him this morning he frowns and says who are you why are you in my house he is likely experiencing a

22. Which of the following events is an example of a life-threatening situation?

23. Working in a health care facility, you hear code blue being called. This code is:

24. Your facility is conducting a practice drill. What is your role in this?

25. You hear in the report that Mr. Green, one of your residents, is being prepared for transfer to the hospital because he is in respiratory failure. This means:

26. You received a new Resident who has head lice. Head lice can:

27. The nurse tells you Mrs. Kramer’s pressure ulcer is not healing because it is covered with a biofilm. A biofilm is best described as a:

28. Which of the following symptoms is not associated with tuberculosis disease?

29. The infection control nurse in your facility informs you that you are due for a TB tuberculosis test. You should:

30. Mr. Delaney has a neurovirus. Which of the following interventions is not effective against neurovirus infections?

31. You witness your coworker place a resident’s ring in her own bag. By not reporting this, what charge could you be found guilty of?

32. Mr. Golden is not able to ambulate independently; he keeps trying to get out of his wheelchair, and the staff must repeatedly respond to his wheelchair alarm. What action would be appropriate?

33. You hear a coworker talking about a resident saying she’s just here to get more drugs she couldn’t get in jail you counsel the coworker to stop her remarks advising her that she could be accused of:

34. A resident has no physician order for restraints; he is indicating he wants to leave the facility. The nurse says she will restrain the resident if necessary to keep him from leaving the facility. This would be considered:

35. Miss O’Brien states she is too tired for her bath; you should:

36. Two female nursing assistants are caring for a male resident while performing care; they discuss dates with their boyfriends, including intimate details. This inappropriate action could be:

37. After documenting a set of vital signs from Mr. Alvarez, you realize you wrote in the spot for another patient. You should:

38. Which statement regarding documentation is accurate?

39. You note a red rash on Mrs. Johnson’s left thigh; this is an example of what type of observation?

40. 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:

41. You enter Miss Diamond’s room and observe she is having difficulty speaking after she awoke from a nap. You should next:

42. Your resident voided 60 mL of urine at 1:00 p.m. in the afternoon. Your facility uses international time in the 24-hour clock. How will you document the time of this resident’s action?

43. How will you position Mr. Grayson, an unconscious resident, when you provide mouth care?

44. Mr Johnson’s electric razor is broken so you report this to the nurse before switching to a safety razor what must be done?

45. You are preparing to give a bed bath to your resident. You check the water temperature, which is an appropriate temperature for bathing:

46. The first step in a bed bath is to wash:

47. When providing routine care to the resident’s feet, you should:

48. Mr. Green is to receive a partial bed bath today which parts of the body will you bathe?

49. You are preparing to bathe a resident who weighs 300 lb. You should:

50. Mr Vieira has an IV; when you bathe him, you should:

51. You have a new admission on your resident assignment. Which information should you make sure the resident is aware of?

52. You do not know how a resident toilets; what is the best way to find the correct information?

53. What step must be done before every procedure?

54. Mr. Dennis is receiving hospice care for end-stage metastatic colon cancer. What is the most important issue in his care plan?

55. Your new Resident requires some additional documentation including meal monitoring and bladder training logs. Documentation should be done:

56. You are assisting Mr. Williams with dinner; the mashed potatoes are steaming. How can you be sure the food is not too hot?

57. You hear your name being called on the overhead paging system when you are bathing a resident in the tub room. Your response should be to:

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

59. How can the CNA best avoid skin shear when moving a resident up in bed?

60. You are new on the unit. Many residents in the unit are ambulatory. Your assignment is to give Mrs. Jones in 306A a bath. There is a resident sitting on the bed in 306A who is not wearing a name bracelet. How will you make sure this is Mrs. Jones?