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?

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

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

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?

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?

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?

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?

8. What is a developmental disability?

9. Which of the following is a mental illness?

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?

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

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

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

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?

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?

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?

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?

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?

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?

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

21. Which of the following is an objective observation?

22. How does dehydration affect the respiratory system?

23. Which of the following is a HIPAA violation?

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

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

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?

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

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

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?

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?

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?

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?

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?

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

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

36. Why is mouth care important?

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

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

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

40. What items are included in standard precautions?

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?

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?

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?

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?

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

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?

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?

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

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?

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

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

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

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

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?

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.

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?

57. Which of the following does not cause aspiration?

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

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?

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

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?

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?

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?

64. Which of the following are signs of depression?

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?

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?

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?

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

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?

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?