CNA Practice Test - Part 13

1. 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. Increased attention span due to prolonged time of inactivity

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2. You have been caring for a resident as she dies. Which of the following is not your responsibility at her time of death?

A. Notifying the nurse that you think she is gone

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B. Notifying the family that she is gone

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C. Pack, list, and label her belongings

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D. Clean her body and prepare her for the mortician

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3. You have cleaned your resident up after she has died, but as you wrap her in the shroud, she leaks stool. What do you do?

A. Clean her up and put on the shroud

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B. Clean her up, place a diaper or absorbent pad around her perineum, and apply the shroud.

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C. Do not re-clean her; the mortician does this. Apply the shroud.

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D. None of the above.

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4. Your resident has died and the family wants to help clean her before the mortician arrives. What should you do?

A. Tell them this is not allowed and that they can come back when you are done.

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B. Only let them watch as you clean.

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C. Let them dress the body after you clean it.

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D. It is acceptable to allow them to clean the body.

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5. Your coworker 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. Generosity

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B. Suspicion

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C. Envy

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D. Empathy

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6. You are doing home care; your client wants you to do several tasks. It is 9:00 a.m.; which should you do first?

A. Prepare his lunch

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B. Set out his pill case so he can take his pills before he eats lunch

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C. Start the wash so it will be done before his family gets home in the late afternoon

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D. Help him shower

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7. You are doing post-mortem care and your resident’s teeth have been out for a long time and you cannot get them in. What do you do?

A. Keep trying as it is necessary

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B. Leave them out and pack them with her belongings

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C. Leave them out and give them to the mortician to put in at the funeral home.

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D. Leave them out and give them to the family so they can give them to the mortician.

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8. Your resident has had a stroke and has residual paralysis hemiplegia on her left side. What type of range of motion exercises can you as a CNA working with Rehabilitation be asked to perform on her?

A. You cannot perform range of motion exercises within your scope of practice.

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B. You will perform passive range of motion exercises on both arms, hands, and shoulders.

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C. You will perform passive range of motion on her left side and may also perform active range of motion on her right side.

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D. You will perform active range of motion on her left side and may also perform passive range of motion on her right side.

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9. What is a stool sample for O and what special treatment does it receive?

A. Cold blood and pass it needs to be given to the nurse to Hult on the unit

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B. Over and pause it needs to be kept at room temperature to keep the alive or the test cannot be performed

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C. OVA and parasites; it needs to go to the lab right away for testing while it’s warm, and if the test is delayed, the sample needs to be refrigerated to preserve it.

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D. Cold blood and parasites; it needs to be given to the nurse to test on the unit.

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10. What is restorative care?

A. It is another name for rehabilitation

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B. It is the care given after an injury before rehabilitation can begin

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C. The level of care associated with assisted living facilities

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D. The care which follows Rehabilitation to maintain the level of function attained in Rehabilitation

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11. Complications from immobility and inactivity may include which of the following?

A. Foot drop

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B. Blood clots

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C. Paralytic ileus

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D. All of the above

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12. You have admitted a 19-year-old motorcycle accident survivor to your rehabilitation facility. He is paralyzed but alert and oriented. You are assigned as his CNA to his AM care. How can you best approach his daily morning care?

A. Treat him as you would any other facility resident.

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B. Recognize that he is a teenager and approach his care with this in mind.

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C. Recognize that this is a catastrophic life change for him and understand that he may act out with anger, depression, and withdrawal.

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D. All of the above

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13. You are a CNA on an Alzheimer’s unit. Some of your residents are difficult and aggressive. One of your co-workers always puts Mrs. James and Mrs. Jones’ wheelchairs side by side because she seems to enjoy watching them bicker. She has often commented on how amusing this is. How can you relieve this situation?

A. If you see these residents side by side, move one or both of them away from the area.

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B. Tell the co-worker that you feel that these two should be separated and let her handle it.

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C. Discuss the problem with the coworker and help her move the residents; report the situation to the nurse.

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D. Do nothing, as socializing, even bickering, is good for the residents.

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14. Your resident has a wound VAC on her leg the alarm keeps sounding and she is becoming agitated and wants it removed what should you do?

A. Shut it off for a little while until she calms down, then turn it back on.

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B. Reset the alarm and reposition the leg.

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C. Report the problem to the wound care nurse when you have time

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D. Let the resident know that this is a highly specialized piece of equipment and you will notify the nurse immediately.

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15. You are a male CNA working with an all-female staff. You are assigned your own residents just the same way the female CNAs are, but you are frequently called upon by your co-workers to leave your residents to help them with a lift or heavy resident. How can you best handle this?

A. Discuss the problem with your co-workers and see if there are tasks they can do for you so you can still get your work done on time.

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B. Discuss the problem with your co-workers and see if there are tasks they can do for you so you can still get your work done on time.

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C. Discuss the problem with your co-workers and see if there are tasks they can do for you so you can still get your work done on time.

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D. Tell the assignment nurse that due to the problem you need to have a lighter schedule to be able to assist others.

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16. You have a survey arriving at your facility that is being conducted by JCAHO. What must you as a CNA do?

A. Do your job as you always do and be prepared to answer questions.

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B. You will be asked to demonstrate Personal Care tasks.

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C. They will only ask you about your resident complaints

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D. Nothing they are here to survey management

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17. You have been job hunting and Simi General Hospital has scheduled a telephone interview with you at 2 PM today. How should you prepare?

A. There is no special preparation as this is not really a face-to-face interview and they have all your pertinent information.

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B. Find a quiet place to take the call have all of your submitted information in front of you so you don’t give conflicting information

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C. Find a quiet place to take the call, have all of your information handy to answer routine questions, and have a start or availability window of dates ready.

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D. You have this interview so you already have the job; they just want to cross the t's and dot the i's.

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18. What is a physiatrist?

A. A doctor who specializes in Rehabilitation

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B. A doctor who specializes in Rehabilitation

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C. A physical therapist specializing in the elderly

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D. A personal trainer specializing in rehab

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19. Who is the person tasked with hearing residents’ complaints and helping to resolve them?

A. Charge nurse

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B. Patient Advocate

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C. Facility administrator

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D. Facility social worker

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20. What is the Ethics Committee?

A. A committee consisting of the hospital department heads that decide when an employee has behaved unethically and suggest punishment

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B. A committee of Physicians who decide when a hospital policy can be followed based on the medical ethics of the policy

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C. A committee usually made up of a physician, a chaplain, a nurse, a social worker, an administrator, and others that determine ethics policies and ethical care for individual patients

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D. A committee usually made up of a physician, a chaplain, a nurse, a social worker, an administrator, and others that determine ethics policies and ethical care for individual patients.

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21. Your coworker is refusing to help with a resident’s postmortem care. She says she is afraid of dead bodies. How should you handle this?

A. Find someone else to help or do it yourself and then report her actions afterwards.

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B. Tell her that she is being silly and she has to help.

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C. Report her to the nurse and do not do the care until someone is there to help.

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D. Tell her that you recognize her fear, but this is part of her job and she needs to do it.

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22. Your resident is fairly young but is in your facility because of mental deterioration. Which of the following may have caused this?

A. Alcohol and sephyiopathy

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B. Alzheimer’s disease

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C. Kuru (a rare and fatal brain disorder caused by prion infection, historically associated with cannibalism)

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D. All of the above

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23. You are doing post-mortem care on a person who is a Coroner’s case. Which of the following actions is not to be performed in this case?

A. A postmortem bath

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B. Place the person in a shroud and place a toe tag on

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C. Remove all tubes IVs catheters and Airways

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D. You do all the usual postmortem care

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24. Which type of arthritis is a result of aging?

A. Rheumatoid arthritis

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B. Psoriatic arthritis

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C. Osteoarthritis

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D. Btis

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25. What sense does a retinal detachment affect?

A. Hearing

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B. Smell

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C. Balance

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D. Vision

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26. Once CPR is started, how long does it continue?

A. Until a physician pronounces the person dead

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B. Until you determine the person is dead

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C. Until you have permission from a physician to stop

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D. Until everyone feels that they have done as much as possible

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27. There is a severe storm while you are at work and you are informed that you are in the path of several possible tornadoes. Where are your patients safest?

A. In their rooms with the windows closed and their curtains drawn

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B. In their beds next to the wall in the hallway

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C. In chairs in the hall.

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D. As a group in the waiting rooms where they can be together but see the storm

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28. In your facility, the sewer backs up and the bathrooms and hall flood with dirty sewer water. What is your primary role in this disaster?

A. Help housekeeping mop up and contain the water

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B. Let the supervisor know which rooms are affected and help move the residents.

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C. Be sure none of your residents slip on the water in their rooms

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D. On your own initiative, move the residents to the activity room.

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29. 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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30. The body has natural defenses against infection; all of the following are included except:

A. Red blood cells

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B. Vaginal mucosa

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C. Red blood cells

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D. Nasal passage cilia

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31. Which of the following is not a supportive device?

A. Pillow

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B. Tranter roll

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C. Bed cradle

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D. Neck cradle

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32. You are a member of AA; your new coworker is a member also. What is your obligation to your employer regarding this?

A. You are ethically barred from disclosure by AA.

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B. You have no obligation of disclosure to your employer because your coworker may no longer have an ongoing problem.

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C. You are required ethically to disclose this to your employer.

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D. You should ask your coworker to disclose it and if not you have a duty to the employer to disclose it.

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33. You have worked for 3 days and have not seen the physician in the facility. The Physician comes to you, the bedside CNA caregiver, and asks you how this resident is doing. Then she goes to the chart and you observe her charting 3 days’ visits based on your report. She writes an order for skin cream which you suggest and backdates the order to yesterday. What is your ethical obligation in this scenario?

A. Point the order out to the nurse and tell her what has occurred.

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B. You should report this to the administration to not be involved in potential Medicare fraud

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C. Write an incident report

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D. Ignore the event because the physician is the responsible party.

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34. The vericella virus causes shingles who can develop shingles?

A. Anyone who has had chickenpox

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B. Only people who have not had chickenpox

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C. Anyone who touches a person who has shingles by direct contact

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D. Only people over 60 who have had chickenpox

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35. What items are included in standard precautions?

A. Mask

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B. Gown

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C. Gloves

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D. All of the above

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36. Which of the following is not a sexually transmitted disease?

A. Scabies

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B. Gara

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C. Herpes saer

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D. Genital herpes

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37. 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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38. You are a CNA working in an adult day care center. A woman brings her elderly mother in for the day. You notice bruising on the mother’s wrists; she seems withdrawn and frightened when the daughter is there, but is noticeably more relaxed when she leaves. What should you do?

A. You should confront the mother who is your client and ask her directly if she is being physically abused.

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B. You should not do anything beyond your basic tasks as the bruises may be from blood thinner medication.

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C. You should report your observations to your supervisor and let her take appropriate action.

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D. You should call the anonymous abuse tip line and Report the incident

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39. You are a CNA on the way to work you arrive on the scene of a car accident with injured person’s inside a flipped vehicle what should you do first?

A. Assess the scene for your own safety

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B. Try to get the injured person out of the vehicle

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C. Direct cars around the accident.

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D. Dial 911 to let them know what is going on.

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40. You are a CNA at the hospital. The phlebotomist has left an uncapped needle on the bed and you have punctured your finger. What should you do first?

A. Put on a Band-Aid

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B. Pick up the needle and discard it in the sharps container

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C. Report to your supervisor

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D. Wash your hands.

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41 A chronic illness a requires immediate treatment B cannot become acute and does not require hospitalization C lasts 6 months or less D lasts a long time but can have acute phases which require hospitalization

A. Chronic illness a requires immediate treatment

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B. Cannot become acute and does not require hospitalization

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C. Lasts 6 months or less

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D. Lasts a long time but can have acute phases which require hospitalization.

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42. You are a CNA in a skilled facility; a resident’s attorney is there having the resident sign papers and asks you to witness the proceeding. What should you do?

A. Get the resident CNA. to act as witness because she knows the resident better.

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B. Decline because you do not know if this resident is mentally competent.

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C. Refer the attorney to the nurse for a proper witness to be provided.

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D. Sign as a witness because all you are witnessing is the signature

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43. Your favorite resident has passed away. She told you several times in the past year that she wanted you to have her silver Rosary when she died. What should you do about the rosary while you are packing her belongings?

A. Place the rosary with her belongings and list it with all of the rest of her belongings to be given to the family.

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B. Keep the rosary separate from her other belongings, inform the family of her stated intention, and ask them if you can keep it.

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C. Place the rosary aside and see if the family asks for it; if not, it is yours because that is what she wanted.

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D. Place the rosary with the rest of her belongings but do not list it until you have a chance to approach the family about her intentions and ask to keep it.

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44. Define prejudice.

A. A learned dislike of a person or type of person

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B. A learned dislike of a person or type of person

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C. The behavior you display when you like a person

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D. A sin against a particular person

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45. Which of the following is a normal blood pressure charted correctly?

A. 119/68

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B. 118/50

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C. 120/70

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D. 210/110

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46. Your resident has peripheral neuropathy from her diabetes. How might you prevent her from harming herself because of this?

A. Test the bath water to be sure it is below 105° on the bath thermometer before you place her in it.

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B. Have her test the bath water to see if it feels okay

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C. Test the bath water to be sure it is below 105° on the bath thermometer before you place her in it.

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D. Help her dry her hair quickly by setting the hair dryer on high when you use it.

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47. When you are emptying your resident’s catheter, you notice the urine is cloudier and there are bloody streaks in it. What should you do with the urine?

A. Empty the urine and report your observation to the nurse.

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B. Show the nurse the bag so she can assess the urine and determine if a urine test needs to be sent

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C. Pour some of the urine in a test tube to send it to the lab for testing

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D. Catheter bags often get contaminated and catheters get tugged on, so these are not noteworthy observations.

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48. Your resident is a diabetic who is bedbound. When you do his bath, you notice white crusty material under his foreskin. What should you do?

A. Wash the area well with soap and water.

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B. Report your observation to the nurse in case this is the beginning of a fungal infection.

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C. Apply medication to stop any fungal infection.

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D. All of the above

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49. When doing HS (hour of sleep) care, what is the proper oral care with a patient that has dentures or bridges?

A: Have the patient remove them, then clean and soak them, and store them in a container.

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B. Have the patient brush his teeth with them in and rinse his mouth out, then take them out of the mouth and store them in a container.

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C. Have the patient remove them, then clean and soak them, and store them in a container.

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D. Mouth care is not part of regular HS care.

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50. Your resident has a history of skin allergies and needs to be careful about what soap she uses and what detergent she uses in her wash. You notice red bumps with no pus or oozing on her back when you bathe her. What is the proper term for these spots?

A. Wheals

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B. Vesicles

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C. Papules

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D. Purpura

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51. When in the process of getting your resident up, she complains of dizziness as she sits on the side of the bed. What should you report to the nurse?

A. The resident told me she had some dizziness

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B. The resident became dizzy when I got her out of bed

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C. The resident experienced orthostatic hypotension upon dangling

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D. The resident refuses to get up saying she’s dizzy

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52. Peripheral vascular disease (PVD) is very common and a CNA can perform certain functions that can help with it. What might you do in your daily care with this in mind?

A. Massage your resident’s legs when you bathe her

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B. Apply her TED hose early in the morning as she is getting up

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C. Apply her TED hose as she goes to bed to help her legs swelling to go down overnight.

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D. Give her an 81 mg baby aspirin to prevent blood clots

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53. Your patient has had a cardiopulmonary arrest and is being coded. After the code team arrives and you have given your report, what should you do for your other patient who is the roommate?

A. Remove the roommate to a quiet area and stay with her; ask the nurse to try to find a new room for her.

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B. Remove the roommate to a quiet area and stay with her; ask the nurse to try to find a new room for her.

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C. Close the roommate’s curtain so she does not see the code.

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D. Escort the roommate to a waiting room and return her when the code is over.

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54. A stage three pressure ulcer has a full thickness with all layers of skin involved as well as bone or tendon.

A. Skin intact with discoloration not relieved in 15 to 30 minutes.

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B. Skin intact with discoloration not relieved in 15 to 30 minutes

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C. Full thickness skin damage with yellow tissue at the bottom of a crater

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D. Partial thickness damage with a shallow crater or blister

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55. Your resident is a very skinny malnourished woman who refuses to eat and lies on her back all the time. When you give her a bath, you notice a red area on her coccyx. Your best action is to:

A. Report your observation to the nurse and see if a donut can be ordered for her to sit on.

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B. Tell the resident that she cannot lie on her back or she will get a bed sore then prop her on her side with a pillow.

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C. Pass your findings on to the oncoming shift in a report so they will keep her off her back, then document your observations and your actions.

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D. All of the above

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56. Which of the following is not a social barrier to communication?

A. Bad breath

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B. Foreign language

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C. Noisy environment

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D. Being an obvious minority

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57. Which of the following is not an example of a moist application?

A. Cooling blanket

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B. Ice packs

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C. Cooling blanket

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D. Tub bath

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58. What color is the cornea in a blue-eyed person?

A. White

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B. Blue

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C. Slightly yellow

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D. It is clear

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59. How can you best assist a vision-impaired resident to eat?

A. Feed him but tell him what is available on the plate so he can choose

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B. Describe the location of food and utensil items on the tray or table using the face of a clock

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C. Give him finger food so he can feel them and know what they are

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D. Provide a magnifying glass with the utensils

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60. Your resident is actively dying. You want to stay with her, but you have other residents and two call lights on. How should you handle this?

A. Let your co-workers know what is happening and solicit their aid to sit with her or answer lights.

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B. Stay with her as often as possible but continue your routine tasks.

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C. Let your co-workers know what is happening and solicit their aid to sit with her or answer lights.

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D. Let your co-workers know what is happening and solicit their aid to sit with her or answer lights.

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61. You are the CNA on the first floor. You have been informed in a report that you will be receiving three new residents from the hospital this morning. Each resident is reported to be able to feed themselves, needing assistance to the bathroom, and being admitted for rehabilitation. How can you best prepare for these admissions?

A. Decreased risk of pressure ulcers

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B. Set up the new rooms first after that begin your routine duties despite the fact that they may be late

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C. Increased muscle strength

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D. Decreased muscle mass and strength

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62. Mr. Gomez is a diabetic resident who has heavy stubble and cannot shave himself. He wants you to use a disposable safety razor to shave him instead of his electric razor. Can you use a disposable safety razor on this patient?

A. No you can only use the electric shaver as he is a diabetic

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B. No he must make an appointment with the barber

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C. Yes but you must report any Nicks to the nurse

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D. Yes as long as the nurse gives approval

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63. 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 would clean her up again, ensuring she is presentable before proceeding with the shrouding.

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B. Set up the new rooms first after that begin your routine duties despite the fact that they may be late

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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. Dispose of any soiled materials appropriately, clean the resident again as needed, and ensure that she is properly wrapped in the shroud before notifying the nurse for further instructions.

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64. An intervention is a way to change or manage a behavior. As a CNA, what is your responsibility in developing and implementing interventions?

A. As part of the care team, you may have suggestions and observations which might contribute to the care plan for interventions.

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B. Other more qualified Health Care Professionals such as nurses psychologists and Physicians are responsible for the therapeutic interventions not CNAs

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C. Allow the family to assist in cleaning their loved one, ensuring that all necessary precautions are taken and that the process is respectful and dignified.

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D. Explain to the family that while their desire to help is appreciated, it is important that trained staff handle the cleaning process to ensure proper procedures are followed. Invite them to stay close by if they wish, and assure them that you will keep them informed throughout the process.

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65 you are caring for an advanced Alzheimer’s resident whom you have just gotten up to the wheelchair when you go to the back of the wheelchair to straighten her up and remove the gate belt she screams that you are trying to choke her and strikes out hitting you in the arm and chest how should you react to this outburst

A. You should approach her with empathy and understanding, offer your support, and encourage her to share her feelings while assuring her that you or other team members are there to help during her transition back to work.

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B. You should ignore the outburst and finish what you are doing

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C. Offer support and understanding, allowing her to express her feelings and concerns while reassuring her that the team is there for her during this transition.

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D. Offer your support by checking in with her regularly, encouraging open communication about her feelings, and suggesting resources available for new mothers, while also fostering a team atmosphere where everyone feels comfortable sharing their challenges and receiving help.

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66 you are at work in a skilled facility when you notice two female visitors without name tags walking from room to room you do not recognize the women what do you do

A. Assess the client's immediate needs and prioritize tasks based on their urgency and importance.

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B. Confront them and escort them out of the wing

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C. Introduce yourself, ask who they are, and which resident they are visiting, and guide them to the correct room to verify.

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D. Call security to handle the matter.

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67. You enter your resident room and she asks you who the new nurses are. She is able to describe them to you and states that they came to pack some of her belongings for safekeeping. She seems upset by this. What is your appropriate action?

A. Do nothing as this patient is having a delusion

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B. Tell the charged nurse what you are experiencing and ask for further instructions on how to proceed with the resident's post-mortem care.

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C. Go looking for the new staff to check out the resident story

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D. Document the situation and inform the nurse in charge about the resident's teeth and your inability to place them back in.

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68. You are the CNA scheduled to be on duty at night when a hurricane is predicted to hit your area. What should you do?

A. Perform passive range of motion exercises on her left side to maintain joint flexibility and prevent contractures.

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B. Perform passive range of motion exercises to help maintain mobility and prevent stiffness in her left side.

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C: Assist with passive range of motion exercises for the left side, moving each joint through its full range to maintain mobility and prevent stiffness.

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D. Perform passive range of motion exercises on the left side, moving the joints gently through their full range of motion to prevent stiffness and maintain mobility.

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69. Which of the following is accurate with regards to restraints both physical and chemical which restrict voluntary movement or behavior?

A. A. stool sample for O (occult blood) is a test used to check for hidden (occult) blood in the stool, which may indicate bleeding in the gastrointestinal tract. The sample is typically collected in a specific container, and special precautions are taken to ensure that it is not contaminated, such as avoiding certain foods and medications prior to collection.

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B. A stool sample for O (Occult blood) is collected to test for hidden blood in the stool, which can indicate various health issues. The sample should be handled carefully to avoid contamination and usually requires special preservatives to be added for accurate testing.

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C. A stool sample for O is typically collected to test for the presence of occult blood, which may indicate gastrointestinal bleeding. The sample is usually treated with a special preservative to maintain its integrity until it is analyzed in the laboratory.

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D. A stool sample for O is a specimen collected to test for the presence of occult blood, and it is treated with special care to ensure accurate results, often requiring specific collection containers and preservation conditions to prevent degradation or contamination before analysis.

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70. You are in the dining room at your facility and you observe a resident displaying the universal sign of choking, the hands in a V at the throat. What should you do?

A. Restorative care refers to a type of healthcare that focuses on helping individuals regain their independence and improve their functional abilities after an illness, injury, or surgery. It involves a holistic approach that includes physical, occupational, and speech therapies, as well as strategies to enhance overall well-being and quality of life.

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B. Restorative care is a type of care focused on helping individuals regain their independence and improve their functional abilities after experiencing an illness or injury. It typically includes services such as rehabilitation, physical therapy, and occupational therapy that aim to enhance the quality of life and promote the highest level of self-sufficiency in daily activities.

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C. Restorative care is a type of care focused on helping individuals regain their highest possible level of functioning and independence after experiencing a setback, such as an illness, injury, or surgery. It involves a personalized plan that may include therapy, rehabilitation, and assistance to support recovery and enhance quality of life.

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D. Restorative care refers to a range of services designed to help individuals regain their independence and improve their functional abilities after illness or injury. This type of care focuses on rehabilitation and supports the individual in achieving their highest level of functioning through various therapies and support systems.

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CNA Practice Test – Part 13

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