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CNA Practice Test – Part 2

CNA Practice Test – Part 2

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Question 1 of 70

1. Question

1. Mrs. French is unconscious and breathing through her mouth. You have been assigned to perform her personal care today. Which of the following accurately states a consideration in her personal care?

A. She will not need frequent mouth care because she does not eat and is breathing through her mouth
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B. She should be turned and repositioned once a day to prevent skin breakdown
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C. She should have a complete bath once a week.
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D. You should talk to her as you do your personal care tasks
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Hint

Consider the importance of communication and mouth care when providing personal care to an unconscious patient, as well as the need for proper positioning to prevent complications.
Question 2 of 70

2. Question

2. Mr. Dean is confused and disoriented. What are three possible medical reasons for this?

A. Low blood sugar, a TIA, Alzheimer’s dementia.
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B. Alcohol being in a strange place being a foreign language speaker
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C. Alzheimer’s dementia, high blood sugar, alcohol
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D. High blood sugar, new surroundings, anxiety
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Hint

Consider factors that impair brain function or disrupt blood flow. Look into metabolic issues, temporary neurological events, and chronic cognitive disorders that could explain the symptoms.
Question 3 of 70

3. Question

3. What are the six links in the Chain of Infection?

A. Causative agent, pathogen, route of exit, transmission, route of infection, patient
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B. Causative agent, reservoir, portal of exit, contact with patient, route of entry, infection
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C. Pathogen, reservoir, portal of exit, mode of transmission, open wound, susceptible recipient
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D. Causative agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host
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Hint

Think of a sequence that starts with the cause of an infection and ends with a vulnerable individual. Each link in the chain involves a step in how the infection spreads, from source to potential host.
Question 4 of 70

4. Question

4. How should you help Mrs. Smith, who is very emotional and cries easily, and refuses to go to Chapel because she fears she will embarrass herself by crying?

A. Support her decision not to go to Chapel.
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B. Place her in the back of the chapel away from the other residents.
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C. Discuss why she is crying and engage her in a plan to counteract either the crying or the embarrassment.
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D. Talk to the nurse to see if any medication might keep her from crying.
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Hint

Consider offering a safe space for Mrs. Smith to express her emotions and reassure her that it’s okay to feel vulnerable. Encourage open communication about her fears and explore coping strategies for public situations together.
Question 5 of 70

5. Question

5. You are caring for a resident who has been told she is dying. She has accepted this, but her daughter says it is not true and that her mother is just confused. How should you help with this?

A. Allow the resident time to discuss her feelings with you and let her know that her daughter is not as accepting and suggests she try to talk to her.
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B. Discuss the resident’s feelings with the daughter.
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C. Get the daughter and the resident together and facilitate a discussion.
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D. Allow the resident time to discuss how she feels about her own dying and try to discuss this with the daughter when she visits.
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Hint

Focus on supporting the resident’s emotional needs while gently addressing the daughter’s concerns. Encourage open communication between them to foster understanding, and consider involving the healthcare team if conflicts persist.
Question 6 of 70

6. Question

6. You have three call lights on while you are serving trays. One is a resident who calls all the time for trivial things; one is a resident who has had diarrhea all night and probably wants to be cleaned; the third one is calling because her meal is cold and she wants you to microwave it for her. What do you do first?

A. Attend to the resident with diarrhea
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B. Microwave the meal because that can be done quickly
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C. Drop in on the frequent caller and let her know you will return in 10 minutes.
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D. Continue serving trays and handle the lights when trays have been passed
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Hint

Consider the urgency of each situation. Identify which issue could lead to immediate discomfort or health risks for the residents involved. Prioritize the one that requires timely intervention for their well-being.
Question 7 of 70

7. Question

7. You are taking your client to the bathroom during a home care service. She is elderly with dementia and is a risk to fall due to a hip replacement. The bathroom is down a long hall and the client has informed you she really has to go quick. When you get halfway there, she asks you to get her a clean blouse to change into. What should you do?

A. Get her to the bathroom then leave her alone to get the blouse
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B. Tell her you will get the blouse when she is safely back in her chair and get her to the bathroom.
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C. Stop where you are, go back with her, and get the blouse so you have it in the bathroom.
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D. Ask her which blouse it is and go get it, leaving her to make it to the bathroom alone.
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Hint

Prioritize immediate safety and urgent needs over other requests.
Question 8 of 70

8. Question

8. What is a developmental disability?

A. A young girl developing breast in her senior year of high school
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B. A young boy who has not gotten taller since his last annual checkup
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C. Type 1 diabetes
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D. Cerebral palsy
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Hint

Consider the age of onset and how these conditions can affect various areas of functioning throughout a person’s life.
Question 9 of 70

9. Question

9. Which of the following is a mental illness?

A. Autism
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B. Cerebral palsy
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C. Alzheimer’s
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D. Schizophrenia
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Hint

Consider the option that involves significant distortions in thinking and perception, impacting daily functioning.
Question 10 of 70

10. Question

10. Based on Maslow’s hierarchy of needs, which of the following is the most important thing you as a CNA should do for a resident?

A. Make him feel secure
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B. Make him feel loved
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C. Feel feed him
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D. Dress him neatly and give him self-esteem
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Hint

Prioritize addressing the most basic physical needs first, as they are essential for the resident’s overall well-being and ability to engage with higher-level needs.
Question 11 of 70

11. Question

11. When you take a resident to the activity room for Bingo, which of Maslow’s hierarchy of needs are you addressing?

A. Physical needs
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B. Need for love
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C. Need for safety
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D. Need for self-esteem
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Hint

Consider the social and emotional benefits associated with participating in group activities, and how they might contribute to a sense of achievement and belonging.
Question 12 of 70

12. Question

12. What is the difference between an EMT and a paramedic?

A. An EMT has more training than a paramedic and can perform more functions in an emergency
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B. A paramedic has more training than an EMT and can perform more functions in an emergency.
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C. Only a paramedic can perform CPR in the field
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D. There is no difference between a paramedic and an EMT
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Hint

Consider the levels of training and the types of medical procedures each role is certified to perform. One has basic skills, while the other has advanced capabilities.
Question 13 of 70

13. Question

13. Which of the following is not a normal age-related change in the cardiovascular system?

A. The heart muscle pumps less efficiently
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B. The blood vessels narrow
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C. Myocardial esea occurs
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D. Blood vessels become less elastic
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Hint

Consider what constitutes a typical adaptation versus a pathological issue within the cardiovascular system as one ages.
Question 14 of 70

14. Question

14. You are the CNA assigned to clean Mrs. James’s room. While you are doing this, you start to clean her clothes closet. In the closet, you discover several articles of clothing with other residents’ names on them. You have been informed in a report that articles of clothing are missing from other residents’ rooms, and the families of those residents are suggesting that someone has stolen the clothing. What should you do?

A. Show the clothing to the resident and ask her if they belong to her. If she indicates that these are hers, hang them back in her closet.
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B. Remove the clothing from the room, turn them into the nurse, and notify the police.
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C. Remove the clothing without confrontation and turn them into the nurse for her to follow up on the problem.
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D. Remove the clothing without confrontation and turn them into the nurse for her to follow up on the problem.
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Hint

Consider the importance of maintaining confidentiality and the dignity of the residents involved. Seek the appropriate chain of command for reporting discrepancies in personal belongings without creating distress.
Question 15 of 70

15. Question

15. Where you work there is frequently a shortage of linen on your shift you are working with another CNA and you observe her at the beginning of the shift remove a large amount of linen from the cart and take it into one of the rooms she is responsible for as the shift proceeds you observe her taking linen from this room into her other rooms what should you do about this?

A. You should report this immediately to the nurse
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B. You should discuss this with her and ask her to please stop if she does not agree or becomes angry you discuss the problem with the nurse.
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C. When she is preoccupied, remove what you need from her assigned room.
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D. Do nothing as she is showing initiative to take care of her patients.
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Hint

Consider the potential implications of her actions on infection control and resource availability. Open communication can help address the issue effectively, but assess whether further action is needed if the behavior continues.
Question 16 of 70

16. Question

16. In your facility CNAs are assigned lunch hours so that patients’ meals will not be affected by staff breaks. Your co-worker Sue has been assigned 10:30 a.m. and you have been assigned 11:00 a.m. Sue does not want to go that early and if she asks you to switch, you would not want to as it’s too early for you too. Is there anything that could make this situation better?

A. You should switch with Sue anytime she asks.
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B. Let Sue know that you do not want to switch today but if it happens again you will switch.
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C. Encourage Sue to talk to the nurse who assigned the lunch hours and discuss her dissatisfaction.
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D. Do not interfere as you have the lunch time that you want.
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Hint

Consider having an open conversation with Sue about your lunch hour preferences. Encourage her to voice her concerns with the nurse responsible for scheduling. This collaborative approach can lead to a solution that respects both your needs and the requirements of patient care.
Question 17 of 70

17. Question

17. You are the CNA taking care of Mrs. Lee in room 232 bed 2. You are not assigned to take care of Mrs. Libs in 232 bed 1. The CNA who has been assigned to Mrs. Libs has asked you several times to perform care on her patient. Mrs. Libs is now asking you to perform care on her also. How should you address Mrs. Lib’s request for care?

A. Perform the care even if it interferes with your other duties as CNAs must work as a team.
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B. Tell Mrs. Lib that you will get her caregiver because she is not your patient
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C. Since you have to walk past her bed to reach your patient anyway, just take care of her needs as well.
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D. Perform the care if it does not interfere with your other duties, but tell the responsible CNA that you cannot care for her patient and inform the assigning nurse about the situation.
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Hint

Consider the importance of proper delegation and patient safety. Remember to respect your assigned responsibilities and communicate with both patients and colleagues about care limitations. Always keep the supervising nurse informed.
Question 18 of 70

18. Question

18. You are working with a CNA you have not worked with before; she is complaining that her lower back hurts and she cannot perform some of her duties because of this. You observe that she bends over a lot instead of squatting and uses her back muscles instead of her legs to lift and turn. How can you help this coworker?

A. You can discuss and demonstrate the ABCs of body mechanics.
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B. You can discuss and demonstrate the ABCs of body mechanics.
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C. You can discuss and demonstrate the ABCs of body mechanics.
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D. You can tell her you hope she feels better and do only your own work.
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Hint

Focus on teaching and demonstrating proper techniques for lifting and bending. Emphasize the importance of using legs rather than the back, and provide tips on maintaining good body alignment and minimizing twisting movements.
Question 19 of 70

19. Question

19. You need to get Mrs. Lee up from the wheelchair and back to the bed. The first step is to check to make sure the bed and wheelchair are in a safe position. Which of the following describes the safe position of the wheels on the bed and the wheelchair for a transfer?

A. Bed Wheels unlocked wheelchair Wheels locked
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B. Bed Wheels locked wheelchair Wheels unlocked
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C. Bed Wheels locked wheelchair Wheels locked
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D. Bed Wheels unlocked wheelchair Wheels unlocked
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Hint

Ensure that both the bed and wheelchair have their wheels locked to maintain stability during the transfer. This prevents movement and enhances safety for both the caregiver and the patient.
Question 20 of 70

20. Question

20. Your resident has severe stage four pressure ulcers on her heels and ankles. How would you chart these?

A. Chart your action in relieving pressure and positioning
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B. Chart any drainage or bleeding
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C. Document your care but not anything about your observations of the ulcers as that is the nurse’s responsibility
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D. Both A and B
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Hint

Focus on providing a comprehensive description of the ulcers, including their stage, size, and characteristics, as well as any interventions implemented to manage and prevent further deterioration. Accurate and thorough documentation is key.
Question 21 of 70

21. Question

21. Which of the following is an objective observation?

A. Mr. George's oral temperature is 98.6.
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B. Mr. George feels warm
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C. Mr George’s oral temperature is 98.6.
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D. Mr George’s oral temperature is 98.6
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Hint

Look for a statement that contains measurable data or specific facts verifiable by others, rather than personal feelings or interpretations.
Question 22 of 70

22. Question

22. How does dehydration affect the respiratory system?

A. Less mucus is produced in the nasal passages setting up a pathway for infection.
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B. The mucus content of the body increases and causes congestion
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C. The lower heart rate decreases compensatory respiration
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D. None of the above
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Hint

Consider how a lack of moisture in the body affects the natural defenses in the airways, particularly the role of mucus in trapping harmful particles and pathogens.
Question 23 of 70

23. Question

23. Which of the following is a HIPAA violation?

A. Sharing a patient’s PHI with an unauthorized person
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B. Trading patients names with the Avon lady in return for cosmetic discounts
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C. Telling your Bible study group how a fellow member is doing in the hospital
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D. Telling your Bible study group how a fellow member is doing in the hospital
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Hint

Consider scenarios where patient health information is shared without proper authorization or outside the healthcare setting. Focus on any instances of unauthorized disclosures or casual conversations that could compromise patient privacy.
Question 24 of 70

24. Question

24. Which of the following is the most common catastrophic emergency in children?

A. Cardiac arrest
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B. Dog bite
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C. Gunshot wound
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D. Respiratory arrest
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Hint

Consider the leading cause of life-threatening situations in pediatric cases, particularly those linked to their ability to breathe.
Question 25 of 70

25. Question

25. In most facilities, what is a code red?

A. A fire warning
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B. A Manpower call for patient out of control
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C. A fire warning
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D. A fire warning
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Hint

Think about emergency procedures related to fire safety in a facility. What signal would indicate a fire threat and prompt immediate action?
Question 26 of 70

26. Question

26. Your resident has fallen in between the wall and the toilet and he does not respond to your call calling his name. What should you do in this emergency?

A. Stay with the resident and call for help.
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B. Check for a pulse then dial 911 on your cell phone
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C. You know he is a DNR so leave him and get the nurse
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D. Pull him out flat on the floor and start CPR
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Hint

Focus on ensuring the resident’s safety and comfort while calling for professional help. It’s vital not to move him before assessment, as this could exacerbate any potential injuries.
Question 27 of 70

27. Question

27. Your resident has had a stroke on the right side of his brain which of the following residual symptoms would not be expected?

A. Right hemiplegia
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B. Right eye visual disturbances
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C. Left leg weakness
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D. Left-sided facial droop
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Hint

Remember that strokes affect the opposite side of the body from where they occur in the brain. Focus on which symptoms typically present on the side opposite to the stroke site.
Question 28 of 70

28. Question

28. In a disaster who has a right to a patient’s medical record?

A. The FEMA. representative
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B. The medical team transporting and evacuating patient
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C. The family or relative who has come to take the person home
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D. The staff at the emergency housing facility
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Hint

Consider who needs critical medical information for safe patient transport and care during emergencies.
Question 29 of 70

29. Question

29. You are caring for a resident who has been told her cancer has returned and she has a short time to live. You believe she is in denial. What behavior might reinforce this belief?

A. Planning a cruise next spring
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B. Making sure her will is in order
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C. Calling her pastor and praying more than usual.
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D. Asking her family to gather to say goodbye.
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Hint

Consider how planning for future events, especially those that require significant time and investment, might signal a refusal to confront current realities.
Question 30 of 70

30. Question

30. A resident in your facility has shortness of breath and has oxygen most of the time; he leaves his oxygen in his room to go out to have a cigarette. What should you do first?

A. Take the oxygen out to him
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B. Demand that he put out the cigarette and come in to wear his oxygen
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C. When he returns, take his pulse oximetry and report the situation to the nurse.
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D. You do not need to take any action; this is his normal behavior.
Correct Incorrect Correct answer

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Hint

Prioritize safety by assessing the resident’s current oxygen levels before addressing their smoking behavior.
Question 31 of 70

31. Question

31. You are the first person to arrive at the scene of a cardiac arrest in the mall after you have secured the scene, called 911, and started CPR. How long do you have to stay there?

A. Stay until the EMTs arrive
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B. Stay until the First Responders arrive
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C. Stay until the emergency crew tells you that you can go
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D. Stay until there are enough people trained to do CPR and you are not needed
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Hint

Remember, your role is vital; stay until the emergency responders arrive and take over. Your assistance could be crucial for the victim’s survival.
Question 32 of 70

32. Question

32. In an emergency, the power might go out in your building. How can you be sure most of your equipment will be powered by the emergency generator?

A. Place the plugs of necessary equipment into red plugs
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B. Place the plugs of necessary equipment into red plugs
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C. Unplug unnecessary equipment and leave everything else in their own plugs.
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D. Make a note of which equipment you will need and move it when the outage occurs and the generators come on.
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Hint

Ensure your critical equipment is plugged into designated power outlets that are marked to indicate they are supported by the emergency generator, often identified by a specific color. This will help maintain functionality during a power outage.
Question 33 of 70

33. Question

33. You observe that your resident’s left eye is red around the lid, bloodshot inside and slightly puffy. What should you do or report?

A. This is a mild eye irritation, so no further action is necessary.
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B. Give the resident some Visine.
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C. Tell the patient he has pink eyes and not to touch his eye.
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D. Report the symptoms you have observed to the nurse and instruct your resident not to wipe or scratch the eye.
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Hint

Think about the key characteristics or defining features related to the topic at hand. Consider how these aspects might connect to broader themes or concepts.
Question 34 of 70

34. Question

34. Mrs. Jones has been diagnosed with C. diff. Which of the following is a precaution that should be taken when performing personal care?

A. Wear a mask
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B. Use hand sanitizer
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C. Wear a gown and gloves
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D. Dispose of used linens appropriately to prevent contamination.
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Hint

Remember to always wear appropriate personal protective equipment, including gloves and gowns, and prioritize handwashing with soap and water after care to effectively prevent the spread of C. diff.
Question 35 of 70

35. Question

35. Which of the following is not a bodily fluid?

A. Tears
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B. Feces
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C. Sweat
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D. Emesis
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Hint

Consider the primary roles of the options provided; focus on those involved in physiological functions versus those that serve different purposes like temperature regulation.
Question 36 of 70

36. Question

36. Why is mouth care important?

A. Bad oral hygiene can lead to malnutrition.
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B. Bad oral hygiene can lead to malnutrition
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C. Infected teeth and gums can spread infection to other parts of the body and to the blood causing infections and sepsis
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D. You should talk to her as you do your personal care tasks
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Hint

Consider how oral health impacts social interactions, nutrition, and the risk of infections affecting overall health.
Question 37 of 70

37. Question

37 you are caring for Mrs Sanchez she has an order for for bladder training what is your role in bladder training

A. Discourage her from going to the bathroom to train her
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B. Take her to the bathroom as little as possible and have her wear a brief in between so she is not incontinent
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C. Take her to the bathroom at specific times and additional times if she feels she needs to go
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D. Take her to the bathroom before meals and activities but have her wear a brief at bedtime
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Hint

Focus on establishing and maintaining a consistent schedule for bathroom visits while being attentive to her needs and responses throughout the training process.
Question 38 of 70

38. Question

38. Which of the following is not a bacteria or virus infection?

A. HIV
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B. Shingles
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C. Trichomoniasis
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D. Trichomoniasis
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Hint

Consider the type of organism responsible for the infection in question; some infections are caused by protozoa rather than bacteria or viruses.
Question 39 of 70

39. Question

39. Which of the following cannot be treated with an antibiotic?

A. Syphilis
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B. Gonorrhea
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C. Shingles
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D. MRSA
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Hint

Consider the type of pathogen causing the condition. antibiotics target bacteria, while some common infections are viral and won’t respond to these medications.
Question 40 of 70

40. Question

40. 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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Hint

Consider the key elements that help protect healthcare workers and patients from infections, focusing on protective gear, hygiene practices, and safe handling of medical tools.
Question 41 of 70

41. Question

41. The facility where you work has the policy of telling CNAs to clock out on time and then return to finish their work which of the following is not an accurate statement regarding the situation?

A. If you have clocked out workman’s compensation does not cover you if you are injured
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B. It's all right to do this so you can finish your work at a reasonable pace and not worry about the time
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C. If you clock out you are not covered by the facility malpractice insurance if you drop or injure a resident
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D. It is against federal guidelines to require workers to clock out and continue working.
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Hint

Consider the legal and ethical implications of an employee working after clocking out. Focus on the idea that being off the clock means the employee is no longer officially on duty, which can lead to serious risks for both the employee and the employer.
Question 42 of 70

42. Question

42. You are caring for a resident with dementia who refuses to change her clothes or remove them at bedtime. How should you handle this?

A. Ask her why she won’t change her clothes.
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B. Tell her the clothes are dirty and they smell, so she has to change.
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C. Change her clothes through force of will.
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D. Take her to the shower and while she has her clothes off, remove them and put on new ones.
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Hint

Consider integrating the clothing change into a more familiar routine, such as showering, to reduce resistance while respecting her autonomy and dignity.
Question 43 of 70

43. Question

43. As a CNA in a Rehabilitation facility, which of the following may negatively affect the progress of the person’s Rehabilitation and need to be reported?

A. Signs of withdrawal from social activities and depression
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B. Increase in range of motion
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C. Refusal to use assistive devices
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D. All of the above
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Hint

Consider behaviors that indicate disengagement from rehabilitation efforts or refusal to use necessary assistive devices, as these can significantly impact a resident’s recovery progress.
Question 44 of 70

44. Question

44. You have been a CNA for 4 years, your license has expired, and you have been working outside of healthcare. How do you renew your license?

A. Take a CNA. refresher course and apply for state testing.
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B. Retake the CNA course because you are out of practice and pay your fees
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C. Apply for Renewal and pay your fees
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D. Retake your state test and pay your fees
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Correct

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Hint

Consider checking your state’s regulatory board for nursing assistants, as they provide guidelines on refresher courses, testing requirements, and any necessary documentation for renewing an expired license.
Question 45 of 70

45. Question

45. Your coworker has been accused of verbally abusing a resident. What will happen to him now?

A. His employment will be immediately terminated
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B. He will be escorted out of the building and suspended until an investigation has been held.
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C. He will be transferred to another hall until an investigation can be performed.
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D. Police will be called, charges filed, and he will be suspended pending resolution.
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Correct

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Hint

Consider the standard procedures for handling allegations of misconduct in healthcare environments, focusing on the immediate actions taken to protect residents and ensure an impartial investigation.
Question 46 of 70

46. Question

46. A CNA sees a former patient across the store the CNA cared for this former patient for 6 months and got to know her well based on that scenario which of the following is accurate with regards to HIPAA?

A. If the patient is with the company it is a HIPAA. violation to approach a former patient and ask how she is doing
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B. If the patient approaches you it is not a HIPAA violation to talk about her hospitalization or diagnosis
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C. If the patient is by herself, you can approach her and ask how she is doing and discuss her hospitalization and diagnosis.
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D. All of the above
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Correct

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Hint

Consider the importance of maintaining confidentiality even after the patient-provider relationship has ended. Think about how discussing or even acknowledging the patient’s past care in a public setting might violate privacy laws.
Question 47 of 70

47. Question

47. You have been taught that sodium control is important in your residents with congestive heart failure. What symptoms should you look out for and report?

A. Weight gain of 3 lbs since yesterday
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B. Increasingly swollen ankles
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C. Lower blood pressure
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D. All of the above
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Correct

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Hint

Pay close attention to signs of fluid retention, such as sudden weight gain, swelling in the legs or ankles, increased shortness of breath, and elevated blood pressure. These symptoms can indicate worsening heart failure and should be reported immediately for timely intervention.
Question 48 of 70

48. Question

48. How many milligrams of sodium are in 1 teaspoon of normal table salt?

A. 825 mgs
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B. 1,000 mgs
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C. 2,400 mgs
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D. 4,200 mgs
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Correct

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Hint

Consider the composition of table salt and its primary ingredient, and remember that it’s commonly used in cooking and seasoning foods. Think about how teaspoon measurements translate to milligram content for this specific substance.
Question 49 of 70

49. Question

49. Mrs Pope wants a shower and is demanding it right now. It is not her scheduled day or shift and you have others to shower. You hear her on the phone telling her daughter she has not had a shower in days and that you are refusing to do it. How should you handle this?

A. Talk to her about her scheduled shower routine and if you have an opportunity you will shower her, suggesting she talk to the nurse about the shower schedule.
Correct Incorrect Correct answer

B. Report the conversation between the daughter and the resident to the nurse.
Correct Incorrect Correct answer

C. Fit her into showering on your shift before you leave or ask the oncoming CNA to do the shower.
Correct Incorrect Correct answer

D. Talk to her about her scheduled shower routine and if you have an opportunity, you will shower her; suggest she talk to the nurse about the shower schedule.
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Correct

Incorrect

Hint

Consider engaging directly with Mrs. Pope to discuss her concerns and explain the shower schedule while showing empathy. This will help address her immediate needs and maintain professional communication about her care.
Question 50 of 70

50. Question

50. Mr. Johnson has a pressure ulcer classified as stage two what would you expect to see?

A. Discolored skin with a shallow crater and pain.
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B. Discolored skin with a shallow crater and pain
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C. Full thickness skin damage with bone or tendon at the bottom
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D. Intact skin with discoloration
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Correct

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Hint

Look for a shallow, open wound with a pink or red base, possibly presenting as a blister, and showing signs of skin damage without any full-thickness loss.
Question 51 of 70

51. Question

51. Your resident is terminally ill and on hospice care; this means:

A. She must die within 6 months or be dismissed from hospice care
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B. You do not need to do personal care because she is going to pass away shortly
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C. You do not need to turn her because she will not live long enough to get a pressure ulcer.
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D. She will probably live less than 6 months but you continue her care as usual until that time.
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Correct

Incorrect

Hint

Consider the primary focus of care during this time, emphasizing comfort and quality of life rather than seeking a cure. Think about how this affects the approach to treatment and daily care routines.
Question 52 of 70

52. Question

52. Your resident has a history of somnambulism. What is this?

A. Sleepwalking
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B. Nightmares
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C. Sleepwalking
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D. Sleepwalking
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Correct

Incorrect

Hint

Think about a condition where a person is active while still asleep, often involving walking or performing tasks, and occurring during deep sleep stages.
Question 53 of 70

53. Question

53. You are doing Mrs. Kips HS care; you know she wears bilateral hearing aids. How do you handle hearing aids at bedtime?

A. Remove them, turn them off, and place them in her bedside stand.
Correct Incorrect Correct answer

B. Remove them, remove the batteries to preserve them, and place them all in her bedside stand.
Correct Incorrect Correct answer

C. Ask her if she wants them removed; if so, remove them, turn them off, place them in a specially marked container, and place them in her bedside stand.
Correct Incorrect Correct answer

D. Tell her she needs to take them out and leave them on her bedside stand where she can reach them.
Correct Incorrect Correct answer

Correct

Incorrect

Hint

Consider Mrs. Kip’s personal preferences regarding her hearing aids at bedtime, and ensure their safe handling and storage to avoid damage. Communication with the rest of the care team is key in managing her devices effectively.
Question 54 of 70

54. Question

54. You have just arrived for the night shift. If a report you were told that Mrs. Kip kept her hearing aids in at bedtime, what action should you take?

A. When you make rounds, place a hearing aid container at bedside so she can remove them when she wakes up.
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B. When you make rounds place a hearing aid container at bedside so she can remove them when she wakes up
Correct Incorrect Correct answer

C. If they become dislodged during the night, place them in her nightstand.
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D. Take them out of her ears while she is sleeping
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Correct

Incorrect

Hint

Consider the importance of your patient’s hearing aids for her ability to communicate and engage. Think about how you can support her in managing them safely throughout the night.
Question 55 of 70

55. Question

55. You are expected to check diet cards when serving trays. Match the following correctly: NPO should be Nothing by mouth, CL should be clear liquids, FL should be full liquids, NAS should be no salt added, puree should be baby food consistency.

A. NPO should be Nothing by mouth.
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B. NPO should be Nothing by mouth.
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C. FL should be full liquids
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D. Puree should be baby food consistency.
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Correct

Incorrect

Hint

Remember to associate each abbreviation with its specific dietary restriction or allowance. Think about the level of consistency or type of food that each represents, as well as their intended purpose in patient care.
Question 56 of 70

56. Question

56. You have a new resident who has a history of frequent pneumonias and seems to be reluctant to eat; his voice is hoarse and he coughs a lot. How should you tailor your care for him to counteract these things?

A. You should sit him at a table or at a 90° angle, cut his food into small parts, and inquire from the nurse about thickening his liquids.
Correct Incorrect Correct answer

B. You need to keep his room warm and be sure he does not get chilled.
Correct Incorrect Correct answer

C. You should sit him up as high as possible in bed and feed him yourself so you can encourage him to eat more.
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D. You should not let him go to the dining room and inquire from the dietitian about a mechanical soft diet.
Correct Incorrect Correct answer

Correct

Incorrect

Hint

Consider prioritizing safety during meals by ensuring the resident is positioned correctly. Implement modifications to food and liquids to enhance swallowing efficiency and minimize the risk of aspiration.
Question 57 of 70

57. Question

57. Which of the following does not cause aspiration?

A. Poorly fitting dentures
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B. A stroke with right hemiparesis
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C. Lying flat with a tube feeding running
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D. None of the above
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Correct

Incorrect

Hint

Consider factors that typically contribute to aspiration, particularly focusing on conditions or situations that enhance the likelihood of inhalation of substances into the airway.
Question 58 of 70

58. Question

58. You are doing home care for a person on a high fiber diet which of the following are high fiber foods?

A. White bread baked beans steamed white rice pork chop
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B. Whole wheat bread, eggs, Cheerios, pasta
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C. Whole wheat bread, pasta, Wheaties, apples
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D. Whole wheat bread, apples, Wheaties, baked beans
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Correct

Incorrect

Hint

Look for foods that retain their natural parts and include whole grains, fresh fruits, and vegetables. Avoid refined or processed options, as they typically have less fiber.
Question 59 of 70

59. Question

59. You have a heart client who is on a 1,200 mg sodium restricted diet you are very very careful how you plan her meals to accommodate this what else can you do to ensure she remains in the 1,200 mg limit?

A. Include the sodium content in her medications into your planning
Correct Incorrect Correct answer

B. Plan the cereal she likes because there is no salt in cereal
Correct Incorrect Correct answer

C. Reduce her fresh fruit intake
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D. Attempt to increase the sodium restriction as a restriction of 1,200 mg is too low
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Correct

Incorrect

Hint

Consider all sources of sodium, including medications, and communicate with the nursing staff about their sodium content to manage overall intake effectively.
Question 60 of 70

60. Question

60. Your resident is complaining of chest pain. What should you do?

A. Take his vital signs, report to the nurse, and keep him NPO.
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B. Begin CPR and call 911
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C. Take his vital signs, report to the nurse, and give him something sugary to eat.
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D. Take his vital signs, report to the nurse, and keep him NPO.
Correct Incorrect Correct answer

Correct

Incorrect

Hint

Quickly assess vital signs and communicate findings to nursing staff; keep the resident NPO to prepare for potential interventions.
Question 61 of 70

61. Question

61. You are caring for a resident who is dying of cancer. He smells very bad and as a result, his room smells bad. His visitors have complained about the smell and blamed it on bad housekeeping and not being bathed. After you inform the nurse and ask her to talk to the family, what is your appropriate action?

A. Ask housekeeping for a biospray and use it often.
Correct Incorrect Correct answer

B. Provide each visitor a disposable respirator to block out the smell
Correct Incorrect Correct answer

C. Ask housekeeping for a biospray and use it often
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D. Tell the family the odor is caused by the cancer and nothing can be done.
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Correct

Incorrect

Hint

Consider actions that improve the resident’s environment while respecting their dignity and addressing the concerns of visitors. Focus on solutions that enhance cleanliness and minimize odors in a compassionate manner.
Question 62 of 70

62. Question

62. You are a CNA in a children’s home. While you are bathing a severely mentally challenged girl, you notice bruising in her perineal area. What should you do?

A. Report this immediately to the nurse and document a description of your observations.
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B. Report this to the nurse and document what you think caused it.
Correct Incorrect Correct answer

C. Report it to the proper authorities as a sign of abuse.
Correct Incorrect Correct answer

D. Document your observations and put it in the child’s file.
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Correct

Incorrect

Hint

Always prioritize the child’s safety and well-being by following the proper reporting procedures for any concerning findings. Documentation and timely communication with your supervisor are key steps to take in such situations.
Question 63 of 70

63. Question

63. In your facility, the patient charts are kept in a cabinet by the patient’s room. You see a family member go into the cabinet and read the patient’s chart. The family member has a medical power of attorney for the patient. What type of violation is this?

A. Hipp violation
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B. Hospital policy violation
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C. Privacy violation
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D. No violation
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Correct

Incorrect

Hint

Consider the legal implications of the family member’s authority to access medical records as granted by the medical power of attorney. Reflect on healthcare privacy regulations and authorized access rights.
Question 64 of 70

64. Question

64. Which of the following are signs of depression?

A. Not eating, not communicating, drinking alcohol
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B. Crying, singing
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C. Eating normally, going to work on time, not being social
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D. Drinking alcohol socializing overeating
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Correct

Incorrect

Hint

Consider emotional changes, physical symptoms, and shifts in behavior that indicate a lack of interest or motivation. Look for signs related to mood, energy levels, appetite, social interactions, and coping strategies.
Question 65 of 70

65. Question

65. You are doing home care and your client trips on an area rug and falls. She gets up and is apparently unhurt. This is the second time it’s occurred. How should you handle this emergency?

A. Since she says she’s okay there’s no need for further action
Correct Incorrect Correct answer

B. Move the rug and call your supervisor to come assess the patient
Correct Incorrect Correct answer

C. Tell the client to stay where she is and dial 911.
Correct Incorrect Correct answer

D. Leave the rug in place and suggest to the family that the client be placed in a Skilled Nursing Facility since this has happened twice.
Correct Incorrect Correct answer

Correct

Incorrect

Hint

Consider taking immediate action to eliminate hazards and ensure the client’s ongoing safety, while also reporting the incident for further evaluation and support.
Question 66 of 70

66. Question

66. You are a CNA in a facility with many Alzheimer residents. The doors to the parking lot are alarmed so residents cannot leave unnoticed. You become aware that many of the staff, including your nurse supervisor, go out to the parking lot and disable the alarm so they can get back in without going to the front door. What should you do?

A. Go straight up the chain of command to the administrator who manages the nurse supervisor
Correct Incorrect Correct answer

B. Assist your co-workers and watch the door carefully while they are out so the residents do not get out
Correct Incorrect Correct answer

C. Talk to your co-workers first about the problem to see if they stop doing this and if not, go up the chain of command.
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D. Ignore the problem as you know your co-workers will get you back.
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Correct

Incorrect

Hint

Consider the implications of safety for residents and prioritize reporting any actions that compromise their well-being. Remember to document your observations and address the issue with co-workers first, if possible.
Question 67 of 70

67. Question

67. You are a CNA on a medsurg floor and as you are admitting Mr. James you notice a handgun in his belongings bag what is your most appropriate action?

A. Confront Mr. James and tell him he must surrender the handgun as it is against Hospital policy for him to have a weapon.
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B. Do not confront Mr. James but immediately inform the nurse what you have observed.
Correct Incorrect Correct answer

C. Notify security about the handgun and let them handle it
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D. Ask Mr. James if he has a concealed carry permit and if so no action is required.
Correct Incorrect Correct answer

Correct

Incorrect

Hint

Consider prioritizing safety and following protocol when encountering potentially dangerous items in a patient’s belongings.
Question 68 of 70

68. Question

68. A catastrophic reaction by a patient is a sudden unpredicted overreaction to a situation. When this occurs, what should a CNA do?

A. Determine if possible what stimulated this Behavior
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B. Speak calmly to the resident and get assistance quickly to prevent escalation
Correct Incorrect Correct answer

C. Speak calmly to the resident and get assistance quickly to prevent escalation
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D. Both A and B
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Correct

Incorrect

Hint

Focus on ensuring safety: assess the situation, provide calm reassurance, and seek help from colleagues. Avoid leaving the patient alone.
Question 69 of 70

69. Question

69. You are caring for a resident who is hallucinating and seeing spiders on her wall. She points them out to you and wants you to kill them. What should you do?

A. Show her the spot on the wall and explain that it is just a spot, reassure her that if you find any spiders that you will take care of them.
Correct Incorrect Correct answer

B. Take a shoe and hit the spot and tell her the spider is dead
Correct Incorrect Correct answer

C. Give the resident a cold glass of water to give her a sense of security.
Correct Incorrect Correct answer

D. Ignore the patient request in order to not reinforce the delusion
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Correct

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Hint

Acknowledge the resident’s feelings while gently guiding her to a more accurate perception of reality. Reassure her and ensure her safety, while also communicating the situation to the nurse for further assessment.
Question 70 of 70

70. Question

70. As a CNA, you are working with 6 to 8-year-old children with mental disabilities. What should you do to prevent injury to them?

A. Keep the shampoo and soap in the bathroom at an accessible level
Correct Incorrect Correct answer

B. Check shower or bath water temperature to be sure it’s below 108f
Correct Incorrect Correct answer

C. Be sure beds are low to the ground and safety mats are in place
Correct Incorrect Correct answer

D. Turn out all the light at bedtime so the children will not try to get out of bed
Correct Incorrect Correct answer

Correct

Incorrect

Hint

Consider creating a safe sleeping space that minimizes the risk of falls, focusing on bed height and surrounding surfaces. Ensure that other safety hazards, like access to harmful items and environmental conditions, are also managed appropriately.

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