CNA Practice Test - Part 7

1. Which is considered a normal or healthy type of grief?

A. Anticipatory grief

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B. Complicated grief

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C. Unresolved grief

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D. Inhibited grief

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2. The grand 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?

A. Gently explain the policy to the family and then implement it.

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B. Notify the nurse about this cultural concern.

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C. Call the deceased patient’s primary care provider for advice.

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D. Move the deceased patient to an empty room and stay with the body yourself

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3. The gradual decrease of the body’s temperature after death is called:

A. Rigor mortis

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B. Algor mortis

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C. Liver mortis

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D. Shrouding

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4. Rigor mortis occurs about __ hours after death.

A. 0 to 1

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B. 3 to 4

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C. 5 to 7

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D. 9 to 12

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5. The total response to the loss experience is referred to as A. grief B. bereavement C. mourning D. death

A. Grief

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B. Bereavement

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C. Mourning

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D. Death

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6. The study of pediatric growth and development enables CNAs to understand:

A. Physical growth and skills changes as a child grows

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B. Different cultures and religions around the globe

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C. Environmental factors which impede growth

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D. Severe regressions while a child is ill or sick

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7. Johnny Tate, a 2-year-old boy, is hospitalized with pneumonia. This child will most likely:

A. Lie quietly as the nurse listens to his lungs

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B. Ask many questions about what the CNA is doing

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C. Fuss cry and push the CNA away

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D. Place cheerfully with a stethoscope

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8. At what age does a child begin to accept the fact that death is permanent?

A. Less than 5 years old

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B. 5 to 9 years old

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C. 9 to 12 years old

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D. 12 to 18 years old

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9. What term is used to describe the sexual response changes among middle-aged men?

A. Menopause

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B. Climacteric

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C. Generativity

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D. Maturity

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10. Identify the age group with the correct range of years.

A. Infancy up to 6 months of age

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B. Preschool child 3 to 6 years of age

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C. Adolescent 13 to 18 years of age

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D. Elderly over 60 years of age

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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:

A. Nursing home

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B. Rehab center

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C. Hospice

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D. Nursing home

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12. Many people, particularly older people, go to what kind of Health Care Facility after they are discharged from a hospital after a stroke?

A. A Subacute Care Center

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B. A hospice

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C. A respite Center

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D. A group home

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13. Nursing care plans are:

A. Written by CNAs before they provide care

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B. Guidelines of care that all nursing team members use

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C. Used by nurses but not by nursing assistants

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D. Used by nursing assistants but not by nurses

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14. Nursing care plans contain which of the following?

A. Nursing diagnosis

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B. Medical diagnosis

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C. MD orders

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D. Intake and output forms

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15. CNAs are not permitted to do which of the following tasks?

A. Newborn temperatures

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B. Blood pressures on toddlers

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C. Clipping toenails

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D. Dressing a wound

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16. You are working in a health care setting that cares for people with chronic physical health care problems. Which type of health care facility are you most likely working in?

A a hospital

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B. A nursing home

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C. A health department

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D. A physical rehabilitation center

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17. Your patient is saying that they have chest pain and a pounding heart. You touch the person’s arm and you feel moisture; the patient is sweating and you also see that the person’s lips are blue. These signs and symptoms indicate that the person is most likely:

A. Nervous and anxious

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B. Having a panic attack

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C. Having a heart attack

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D. Calling out for emotional attention

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18. You are caring for Thomas N. Thomas is 77 years old, he has edema or swelling in his legs, and he has a fluid restriction in terms of his fluid intake. Based on these symptoms and the care that he is being given, what disorder is he most likely affected with?

A. Diabetes

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B. Dementia

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C. Congestive heart failure

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D. Congestive heart disease

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19. The major difference between a grand mal and petite mal seizure is that a person with a grand mal seizure will have ___ and the person with a petite mal seizure will not.

A. Convulsive movements

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B. Sleep apnea

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C. Atonic movement

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D. Flexity

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20. Your patient has shown the following signs and symptoms: feeling very thirsty, large amount of water intake, dryness of the mouth, urinary frequency. What physical disorder does this patient most likely have?

A. Diabetes

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B. Angina

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C. Hypertension

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D. Hypotension

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21. Which fact about diabetes is true?

A. Only children get type 1 diabetes

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B. Only adults get type 2 diabetes

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C. Children and adults can have type 1 diabetes.

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D. Both A and B

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22. The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger. You must now:

A. Evacuate the patients laterally

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B. Evacuate the patients vertically

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C. Close the patient doors

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D. Open the patient doors

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23. A small contained fire breaks out in a small trash can near the lobby of the nursing home. No visitors or residents are in immediate danger. You have pulled the alarm. What should you do next?

A. Extinguish the fire if you can do so safely and without harm

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B. Run away from the fire

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C. Cover the fire with a blanket.

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D. Open the windows and exit the floor.

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24. A fire needs which of the following?

A. Gas air and heat

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B. Air heat and something to burn

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C. Something that burns gas and air

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D. Heat, air, and wind

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25. There are several different types of fire extinguishers; the best one to have in a private home is a class __ fire extinguisher.

A. A

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B. B

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C. C

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D. ABC

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26. The Chain of Infection includes the a germ agent Reservoir exit portal mode of transmission entry port and susceptible host

A. Germ agent Reservoir exit portal mode of transmission entry port and susceptible host

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B. Active natural active artificial passive natural and passive artificial

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C. Opportunism weakness immunity and colonization

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D. Intrinsic extrinsic internal and external transmission

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27. Asepsis is defined as:

A. The absence of all microorganisms

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B. The absence of disease-causing germs

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C. The absence of disease-causing germs

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D. A pathogenic infection

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28. Select the correct term and its definition or description.

A. Medical asepsis the absence of all microorganisms including spores

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B. Medical asepsis almost sterile

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C. Surgical asepsis: the absence of all pathogens

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D. Surgical asepsis sterile

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29. 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 ______ infection.

A. Nosocomial

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B. Nosocomial

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C. Resident flora

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D. Resident flora

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

A. Ambulatory

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B. Ill

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C. Immobile

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D. Minor

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31. The CNA can legally: A) supervise other CNAs B) teach other CNAs C) mentor other CNAs D) none of the above

A. Supervise other CNAs

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B. Teach other CNAs

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C. Mentor other CNAs

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D. None of the above.

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32. The director of nursing at your long-term care nursing home has assigned you to be in charge of the nursing home for the weekend because she is going away on a cruise vacation to the Caribbean. What should you do?

A. Refuse to do the assignment.

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B. Do the best you can do.

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C. Ask about the details

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D. Call the owner.

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33 CNAs are permitted to do which of the following tasks?

A. Newborn temperatures

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B. Toddler blood pressures

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C. Clipping toenails

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D. All of the above

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34. CNAs are personally responsible in terms of:

A. Patient outcomes

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B. Ethical actions

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C. The nurse Practice Act

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D. The Contin of care

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35. A CNA is with a patient who is ambulating down the hallway. The CNA sees a caution wet floors sign and red cones around the area. The CNA carefully looks and thinks that the floor is not wet anymore and that it is safe. Moments later, the patient slips and falls in the closed-off area. Who is responsible for this fall?

A. The CNA. is personally responsible

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B. The CNA’s employer is fully responsible

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C. Administration is responsible

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D. The patient because they slipped

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36. A CNA has failed to leave the patient’s bed in the low position after you having given care; the patient falls out of the bed and gets a concussion. Who is responsible for this fall?

A. The CNA. is personally responsible

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B. The cna’s employer is fully responsible

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C. Administration because of their policy

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D. The patient because they fell

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37. You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states ambulate at least 10 yards Q ID. This patient will be assisted with ambulation at which of the following times?

A. 10:00 a.m.

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B. 10:00 a.m. and 2:00 p.m.

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C. 10:00 a.m., 2:00 p.m., and 6:00 p.m.

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D. 10:00 a.m., 2:00 p.m., 6:00 p.m., and 10:00 p.m.

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38. The RN asks you to bring the units collected lab specimens to the lab stat. You should:

A. Not do this errand because CNAs do not do stats

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B. Run this errand as soon as you can

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C. Run this errand immediately and without delay

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D. Before the end of your shift or after your lunch

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39. You are working the 4:00 p.m. to 12:00 midnight evening shift. You are taking care of a group of patients. The RN identifies five patients who get a therapeutic backrub at HS. When will you give these therapeutic backrubs?

A. After the dinner meal

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B. Whenever requested

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C. At the patient's bedtime

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D. Before the end of the shift

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40. You are the CNA caring for Mr. Charles. You see a notation on the nursing care plan that states remind the patient to use the incentive spirometer TID. This patient will be reminded at which of the following times?

A. 10:00 a.m.

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B. 10:00 a.m. and 2:00 p.m.

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C. 10:00 a.m., 2:00 p.m., and 6:00 p.m.

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D. 10:00 a.m., 2:00 p.m., 6:00 p.m., and 10:00 p.m.

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41. The nurse has written a nursing order in John Taylor’s nursing care plan that states assist the patient to the bedside commode PRN. When will this patient get this assistance to the commode?

A. Whenever needed

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B. At bedtime

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C. During the night

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D. During the day

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42. You see a sign over Mary Jones’ bed when you arrive at 7:00 a.m. to begin your day shift. The sign says NPO. Miss Jones is on a regular diet. The patient asks for milk and some crackers. What should you do?

A. Can give her the milk but not the crackers

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B. Can give her both the milk and the crackers

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C. Can give her both the milk and the crackers

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D. Cannot give her anything to eat or drink

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43. When cleansing the genital area during perineal care, the nurse aide should:

A. Cleanse the penis with a circular motion starting from the base and moving toward the tip.

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B. Replace the foreskin after it has been pushed back to cleanse an uncircumcised penis

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C. Cleanse the rectal area first and then clean the patient’s genital area.

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D. Use the same area on the washcloth for each washing and rinsing stroke for a female resident.

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44. __________ may result when patients or residents ignore the urge to defecate.

A. Constipation

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B. Diarrhea

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C. Incontinence

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D. Hemorrhoids

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45. When giving a back rub, the nurse aide should:

A. Apply cool lotion to the back directly from the bottle

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B. Keep the resident completely covered

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C. Leave extra lotion on the skin when completing the procedure

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D. Have the resident lie on their side or prone

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46. You are ready to give your resident a complete bed bath. The temperature of this bath water should be which of the following?

A. Cooler than a tub bath

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B. Hotter than a tub bath

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C. About 106°

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D. Over 120°

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47. You are ready to wash your patient’s face. You would start by washing what area of the face?

A. The forehead

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B. The eyes

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C. The ears

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D. The cheeks

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48. The CNA should wash from the __________ when washing a patient’s eye area.

A. Outer canthus to the inner canthus

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B. Inner canthus to the outer canthus

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C. Internal naries to the external naries

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D. External naries to the internal naries

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49. 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:

A. Head of the bed on the patient’s right side

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B. Head of the bed on the patient’s left side

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C. Bottom of the bed on the patient’s right side

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D. Bottom of the bed on the patient’s left side

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50. Now you are ready to dress this resident who had the CVA 5 years ago. The resident chooses a long sleeve button shirt to wear. You should:

A. Put a short sleeve golf shirt on instead because it is easier and quicker for you to do this

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B. Put the shirt on yourself because the resident cannot do it because of the right-sided weakness

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C. Help the person to put on their chosen shirt while giving assistance only to the extent that this help is needed.

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D. Ask the nurse to help you because it is impossible to help this resident alone because of the right-sided weakness

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51. Who developed the hierarchy of needs?

A. Ericson

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B. Erikson

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C. Maslow

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D. Maslow

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52. The levels of Maslow’s hierarchy are:

A. The physical needs, Safety and Security needs, love and belonging needs, esteem needs, and self-actualization

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B. Assessment planning implementation and evaluation

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C. Subjective data, objective data, data analysis, open-ended questions, and close-ended questions

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D. Integumentary, respiratory, nervous, and cardiac systems

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53. Of all the patient needs, which one is the greatest priority?

A. An airway

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B. Breathing

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C. Safety

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D. Freedom

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54. Your patient is concerned about their life insurance and the costs of their burial. Which of Maslow’s needs is your patient expressing?

A. Security needs

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B. Security needs

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C. Self-actualization

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D. Self-esteem and the esteem of others

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

A. Physical needs

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B. Safety and Security needs

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C. Self-actualization

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D. Self-actualization

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56. Which risk factor places patients and residents at the greatest risk for Falls?

A. Old age

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B. Middle years

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C. Pneumonia

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D. COPD

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57. Which sensory impairment places residents and patients at risk for falls?

A. Blindness

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B. Confusion

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C. Weakness

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D. Aging

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58. You are taking care of Mary Eden; she is an elderly and frail 91-year-old resident. She gets confused during evening hours and at times she thinks that she hears her daughter calling her from the other side of the nursing home. Which physical problem places Mary Eden at risk for falls?

A. Her confus

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B. Her daughter

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C. Evening hours

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D. Her frailness

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59. What kind of preventive measures is most likely to be used to prevent Mary Eden from falling because of her muscular frailness?

A. Physical therapy for muscle strengthening exercises

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B. Physical therapy for range of motion exercises

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C. Occupational therapy to help her with confusion

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D. Medications in order to have her sleep more

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60. What other preventive measure will prevent Mary Eden from falling from her bed?

A. A low bed

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B. A gym mat

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C. Padded briefs

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D. Monitoring

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CNA Practice Test – Part 7

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