1. The grant family has just lost a loved one. A family member informs you that their culture does not permit a dead person to be left alone before burial. Hospital policy states that all bodies are to be stored in the hospital morgue. How would you best handle this situation?

2. Your patient Mr. Smith is elderly, has cancer, and has been told he has less than 4 months to live. He has decided to enter hospice care; his family disagrees with his decision and has asked you to talk him out of it. What should you do?

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

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

5. Your co-worker 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?

6. Which is a physical integumentary risk among the elderly population?

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

8. Mr Dale has insomnia; you can assist him in managing this condition by:

9. Mr Nick has a neck brace that he is supposed to wear when he is out of bed; he often takes it off or does not put it on when he gets up. He says it smells. How can you help in this situation?

10. What is a developmental disability?

11. Nursing assistants work in a lot of different places. One place that CNAs work is a Skilled Nursing Facility. This type of facility is also called a:

12. Which of the following tasks can the CNA legally perform?

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

14. You are assigned to give a bath to Mrs. Turner. She is an uncooperative 57-year-old woman who can sometimes be uncooperative. Mrs. Turner has trouble getting up and turning over on her own. How can you best perform this task?

15. As a CNA, you are assisting the EMTs move a new resident from the stretcher to the bed. You notice a skin rash and pustules around the resident’s scalp and ears. What should you do?

16. You are the CNA assigned to clean Mrs. James’ 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 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?

17. Your patient’s face is grimacing. What do you think your non-verbal patient is communicating to you?

18. A sign of depression is:

19. Alzheimer’s disease patients wander; the dangers associated with this wandering can be prevented with which of the following?

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

21. What sense does a retinal detachment affect?

22. A fire needs which of the following?

23. Your resident’s clothing catches fire. You must:

24. The nurse directs you to assist in opening the airway of a resident in respiratory failure. In what position should the resident be placed?

25. When your patient Mr. Loader walks up to you to tell you he has a severe headache, you notice his speech is slurred and he is weak on one side. You notify the nurse. Which condition do his symptoms suggest?

26. Mary T was admitted to the nursing home on May 1st; on July 4th, she was diagnosed with a skin infection. This infection is considered a(n) __________ infection.

27. The spread of infection in healthcare facilities occurs for many reasons, including the fact that patients and residents are:

28. Which disease is most like AIDS?

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

30. Why is mouth care important?

31. A CNA who does not give care with the same level of skill that they learned in school can be found guilty of underscore when this leads to an injury or damage to the person?

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

33. Teasing a coworker regarding his homosexuality is an example of:

34. Mr. Miller keeps calling out loudly and banging on his wheelchair tray; another nursing assistant pushes him into his room, locks the wheelchair brakes, and closes the door. You come to his aid, knowing this action is considered a:

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

36. The tray serving cart has leaked on the hallway floor. What should you do about the possibility of a resulting slip and fall accident?

37. CNAs are responsible for observation and reporting. The primary purpose of observation is to:

38. You are the CNA taking care of Lorraine; she has a urinary drainage bag. You notice that her urinary output is scant and it is dark. What should you do?

39. You are giving care to a 76-year-old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. The sense that you have used to smell the fruity mouth odor in the above scenario is the underscore sense.

40. You enter Miss Diamond’s room and observe she is having difficulty speaking after she awoke from a nap. What should you do next?

41. Your resident care plan directs the resident is to be out of bed three times a day before meals. What does this mean for the resident?

42. You are making rounds at the beginning of your shift and you see a resident lying on the floor. Your first action should be to:

43. Your resident had a stroke or CVA 5 years ago. The resident still has right-sided weakness. You are ready to transfer the resident from the bed to the wheelchair. The wheelchair should be positioned at the:

44. You are getting the patient ready to eat. The patient is on complete bed rest. You will put the head of the bed up at underscore degree or more.

45. You have been asked to record the amount of food that the person has eaten during each meal. What kinds of words or numbers would you use to record this food intake?

46. Mr. Thomas is a well-groomed 68-year-old male patient who had prostate surgery 2 days ago. He has an indwelling catheter and a urinary drainage bag. You have weighed him at 9:00 a.m. each morning for three mornings in a row. Today on the fourth day, his morning weight is 3 lb more than it was the day before. Why could he have gained these three lbs in one day on a 1,000 calorie diet?

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

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

49. Your resident has essential tremors in her hands. How can you assist her at mealtime?

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

51. Which of Maslow’s needs is the least priority?

52. You are taking care of 12 residents today. One of your residents wants water, another needs help walking to the bathroom, another just stated that they have chest pain, and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first?

53. The resident who is asking for help to walk to the bathroom is expressing a(n) _____ need according to Maslow.

54. You have six beds to strip and make. The nurse tells you one of your residents needs to be taken to the bathroom. You should:

55. When giving care to a resident, which of his rights are you enforcing when you close the door or curtain before starting?

56. You will be escorting a patient to the operating room on a stretcher. In order to prevent this patient from falling, you must do which of the following?

57. There are different kinds of poor behaviors. Some of the types of poor behavior include underscore behaviors.

58. Which person is most likely capable of workplace violence?

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

60. The nurse informs you Mr. Flores has started taking anti-hypertensive medication. How will this information affect your care?