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Question 1 of 60
1. Question
1. Hospice Care can be provided:
CorrectIncorrectHint
Consider the various environments where patients may receive end-of-life care, focusing on comfort and support, rather than just a medical facility.
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Question 2 of 60
2. Question
2. Caring for a patient on hospice involves:
CorrectIncorrectHint
Consider the significance of family involvement and support in end-of-life care, focusing on collaboration and honoring the patient’s and family’s wishes.
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Question 3 of 60
3. Question
3. The sacrament of the sick is a ritual practiced by which religion?
CorrectIncorrectHint
Consider a faith that emphasizes sacraments and has a rich tradition surrounding healing and compassion during illness.
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Question 4 of 60
4. Question
4. Mr Duffy died of cancer at the age of 32. He did not have an organ donation designation. Can he be an organ donor?
CorrectIncorrectHint
Consider the role of family consent when there is no formal organ donation designation, and keep in mind that certain organs can still be viable despite the cause of death.
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Question 5 of 60
5. Question
5. You are providing postmortem care to a resident who was receiving oxygen through a nasal canula connected to an oxygen tank. The family will be viewing the body. You should:
CorrectIncorrectHint
Ensure the body is prepared with dignity by removing all medical equipment, including the nasal cannula and oxygen tank, to create a serene environment for family viewing.
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Question 6 of 60
6. Question
6. Mr Dale has insomnia. You can assist him in managing this condition by:
CorrectIncorrectHint
Consider ways to create a peaceful bedtime routine that minimizes distractions and promotes relaxation.
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Question 7 of 60
7. Question
7. Patients in the hospital will usually sleep for briefer periods and feel less well rested.
CorrectIncorrectHint
Consider how external factors in a hospital setting, such as noise and lights, disrupt normal sleep patterns and impact overall restfulness.
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Question 8 of 60
8. Question
8. Which age group requires the most sleep?
CorrectIncorrectHint
Consider the life stage marked by significant physical and mental changes, where growth and development are at their peak. Think about the optimal sleep duration recommended for this age group.
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Question 9 of 60
9. Question
9. Your resident this morning asks you if she may rest for 15 minutes prior to her bath. You should:
CorrectIncorrectHint
Consider the importance of the resident’s comfort and well-being, and how honoring her request aligns with respect for her autonomy. A brief rest can help her feel more prepared for the bathing experience.
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Question 10 of 60
10. Question
10. Mr. Williams tells you he is experiencing pain; when you leave to notify the nurse, you hear him laughing while talking on the phone. You should:
CorrectIncorrectHint
Consider the difference between a patient’s verbal report of pain and their emotional expression. Focus on the importance of advocating for the patient based on their own statements rather than solely on their observed behavior.
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Question 11 of 60
11. Question
11. Mrs. Garrison has chronic pain. This means her pain:
CorrectIncorrectHint
Consider the duration and nature of the pain. It’s not just about feeling discomfort; think about how long it has been affecting Mrs. Garrison and how it differs from short-term pain.
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Question 12 of 60
12. Question
12. You notice your resident has increasing difficulty in swallowing. You notify the nurse. Which type of rehabilitation therapy is most appropriate for this resident?
CorrectIncorrectHint
Consider which therapy focuses specifically on communication and swallowing challenges, particularly for conditions like dysphagia.
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Question 13 of 60
13. Question
13. A state survey is being conducted at your facility. A surveyor asks you a question about how you would perform a procedure. You should:
CorrectIncorrectHint
Focus on articulating your understanding of the procedure, referencing your training and the facility’s guidelines. Stay confident and direct in your response, demonstrating your competence and commitment to quality care.
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Question 14 of 60
14. Question
14. Which department in the hospital prepares and provides medications?
CorrectIncorrectHint
Think of the department that focuses on managing and dispelling medications, ensuring patients receive the right treatments.
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Question 15 of 60
15. Question
15. A type of health insurance payment that is prepaid by the consumer is:
CorrectIncorrectHint
Think about a health insurance model that requires a fixed monthly fee for access to a network of providers, focusing on preventive care and cost management.
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Question 16 of 60
16. Question
16. You are a CNA in a long-term care facility, and a resident physician asks you to perform a procedure upon which you have not been trained. Your response should be:
CorrectIncorrectHint
Prioritize patient safety and follow your training limits; communicate your lack of training and seek guidance from a qualified professional.
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Question 17 of 60
17. Question
17. A friend asks you to explain the role of the CNA in long-term care. You should tell her:
CorrectIncorrectHint
Consider the primary responsibilities of CNAs in supporting daily living activities, providing emotional support, and monitoring resident health while being mindful of their scope of practice.
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Question 18 of 60
18. Question
18. Miz WR frequently attempts to remove her clothing. An effective intervention is:
CorrectIncorrectHint
Consider the environmental factors that might make her uncomfortable; addressing her comfort could reduce the behavior effectively.
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Question 19 of 60
19. Question
19. The diagnosis of a developmental disability must be made before a person reaches what age?
CorrectIncorrectHint
Consider the age when educational and developmental support systems shift significantly, often marking a transition into adulthood.
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Question 20 of 60
20. Question
20. This organ of the body utilizes 25% of the circulatory system more than any other organ.
CorrectIncorrectHint
Think of the control center of the body that processes thoughts, emotions, and vital functions; it relies heavily on blood flow to maintain its activity.
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Question 21 of 60
21. Question
21. Mrs Evans has a diagnosis of diverticulitis which foods should she avoid eating?
CorrectIncorrectHint
Consider foods that may irritate your intestines or contain small particles that could get trapped. Focus on avoiding items with seeds or tough skins.
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Question 22 of 60
22. Question
22. Which of the following may be caused by or made worse by a compromised immune system?
CorrectIncorrectHint
Consider health conditions that are known to be linked to immune function, especially those involving inflammation or autoimmunity. Think about how a weakened immune system might alter the body’s response to both infections and chronic diseases.
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Question 23 of 60
23. Question
23. The nurse directs you to assist in opening the airway of a resident in respiratory failure. In what position should the resident be placed?
CorrectIncorrectHint
Consider a position that promotes airway alignment and minimizes obstruction, keeping the head and neck in a neutral position to facilitate breathing.
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Question 24 of 60
24. Question
24. The most common cause of a blocked airway is
CorrectIncorrectHint
Think about the position of the body and how natural muscle relaxation can lead to an airway obstruction, especially in unconscious individuals.
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Question 25 of 60
25. Question
25. The nurse directs you to place the resident in the recovery position. This means you should:
CorrectIncorrectHint
Think about positioning someone on their side to keep the airway clear and prevent choking. Remember to support their body properly to avoid putting pressure on their chest or arm.
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Question 26 of 60
26. Question
26. Your resident during lunch cannot speak, appears panicked, and is gasping and coughing weakly. What should you do?
CorrectIncorrectHint
Focus on helping the resident clear their airway safely, remembering that their ability to cough indicates some airflow. Avoid invasive measures unless absolutely necessary.
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Question 27 of 60
27. Question
27. A patient on the unit, Miss Owens, is diagnosed with shingles. When will her shingle lesions no longer be infectious?
CorrectIncorrectHint
Consider when the blisters from shingles typically dry out and crust over, marking the end of infectiousness.
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Question 28 of 60
28. Question
28. Hepatitis is an inflammation of the:
CorrectIncorrectHint
Consider the organ responsible for detoxification and producing bile. It’s vital for digestion and overall metabolism.
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Question 29 of 60
29. Question
29. The form of hepatitis for which there is a vaccine available for protection is:
CorrectIncorrectHint
Consider which form of hepatitis has a well-established vaccine that is often given in a series of three doses, aimed especially at high-risk groups.
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Question 30 of 60
30. Question
30. While performing care, you observe a rash on Mrs. Mitchell; the rash is red, raised spots between her fingers, inside her wrists, and on her waist. You do not see any source of the rash. Mrs. Mitchell complains of severe itching. What does Mrs. Mitchell most likely have?
CorrectIncorrectHint
Consider conditions associated with intense itching and localized rashes, especially in areas where skin folds or is thinner. Look for common parasitic infestations that can cause similar symptoms.
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Question 31 of 60
31. Question
31. You are getting ready to provide care for Mrs. Mitchell. What personal protective equipment should you wear?
CorrectIncorrectHint
Consider the specific nature of the condition you’re addressing and focus on both barriers for hands and body to ensure safety and prevent transmission. Remember to minimize any contact with skin and hair as an extra precaution.
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Question 32 of 60
32. Question
32. A resident family member asks you to arrange your assignment so the family member is in your care assignment. You should tell the family:
CorrectIncorrectHint
Remember to prioritize professionalism and ensure that all care assignments are handled through the appropriate channels. Communicating with your charge nurse is key in this situation.
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Question 33 of 60
33. Question
33 Hippa rules on protecting identifiable health care information apply to information on A) flow sheets B) verbal information such as shift report C) electronic communication including email, tweets, and texts D) all of the above.
CorrectIncorrectHint
Consider how HIPAA emphasizes the protection of identifiable health information across different formats—written, verbal, and electronic. Remember, if it can identify a patient, it must be protected.
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Question 34 of 60
34. Question
34. Teasing a coworker regarding his homosexuality is an example of:
CorrectIncorrectHint
Consider the implications of unwanted comments about someone’s sexual orientation in a workplace setting.
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Question 35 of 60
35. Question
35. Which of the following is an example of an invasion of privacy?
CorrectIncorrectHint
Consider situations where someone’s personal space or confidential information is breached without their consent, especially in sensitive contexts like personal care.
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Question 36 of 60
36. Question
36. The principle of HIPAA laws are based upon which concept?
CorrectIncorrectHint
Consider the importance of protecting patient privacy while ensuring that essential information is accessible to relevant healthcare professionals. Think about how access is determined by specific roles and responsibilities in patient care.
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Question 37 of 60
37. Question
37. You want to post a photo online of you and your resident. This may be done if:
CorrectIncorrectHint
Consider the importance of consent and facility policies regarding privacy before sharing any photos involving residents.
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Question 38 of 60
38. Question
38. Mr Delgado states he is having severe pain at his fracture site. You report this to the nurse. What type of information is this observation?
CorrectIncorrectHint
Consider whether the information involves personal feelings or experiences expressed by the patient that cannot be directly quantified or observed by others.
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Question 39 of 60
39. Question
39. Your resident’s care plan directs the resident to be out of bed. This means the resident is to be:
CorrectIncorrectHint
Consider the benefits of physical activity and social interaction when a resident is encouraged to be out of bed, as it often supports their overall well-being and daily routines.
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Question 40 of 60
40. Question
40. Mrs. Miller has a long list of medical diagnoses including type 2 DM and HTN. What does this mean?
CorrectIncorrectHint
Consider how both conditions affect the body’s functions and what lifestyle changes are often recommended to manage them effectively.
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Question 41 of 60
41. Question
41. Mr Golden’s chart has a notation on the spine that reads DNR this means a do not resuscitate.
CorrectIncorrectHint
Consider the implications of a patient’s choice regarding emergency medical intervention. Look for terms related to preferences for resuscitation in medical settings.
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Question 42 of 60
42. Question
42. A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?
CorrectIncorrectHint
Consider what life-saving device can assess heart rhythms and deliver shocks to restore normal function during a cardiac emergency.
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Question 43 of 60
43. Question
43. 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:
CorrectIncorrectHint
Ensure the resident’s safety first and prioritize notifying the appropriate medical professional for assessment.
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Question 44 of 60
44. Question
44. You are preparing to give Mr. Smith a bath in the whirlpool tub. Which of the following should not be done?
CorrectIncorrectHint
Consider the importance of safety and access in emergency situations when preparing the environment for bath time.
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Question 45 of 60
45. Question
45. You are preparing your new resident for a shower in the tub room and she begins yelling and becoming agitated. What should you do?
CorrectIncorrectHint
Prioritize the resident’s emotional well-being by stopping the current procedure and seeking alternative options that respect their feelings and comfort.
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Question 46 of 60
46. Question
46. When performing perianal care for a female, you should:
CorrectIncorrectHint
Use a front-to-back cleansing method to maintain hygiene and prevent bacterial spread. Prioritize the resident’s comfort and dignity throughout the care process.
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Question 47 of 60
47. Question
47. When performing perianal care for a male, you should:
CorrectIncorrectHint
Consider the sequence of cleaning: start at the least contaminated area and move towards the more contaminated regions to reduce infection risk.
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Question 48 of 60
48. Question
48. Miss Jones asks if you can wash her hair today while she is in bed what is the most important consideration?
CorrectIncorrectHint
Consider the need for medical authorization and the patient’s specific condition before proceeding with care activities.
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Question 49 of 60
49. Question
49. Carrot HS is best done when:
CorrectIncorrectHint
Think about the time of day that aligns with nighttime routines and promotes relaxation before rest.
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Question 50 of 60
50. Question
50. Routine oral hygiene for residents should be performed frequently:
CorrectIncorrectHint
Consider the key benefits of consistent oral care, such as preventing diseases, enhancing comfort and dignity, and reducing health risks associated with poor oral hygiene.
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Question 51 of 60
51. Question
51. Miss Jackson has a tube feeding and is NPO; she is unconscious. You should:
CorrectIncorrectHint
Consider the importance of oral hygiene in unconscious patients receiving tube feeding, especially in preventing aspiration and maintaining mucous membrane health.
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Question 52 of 60
52. Question
52. 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:
CorrectIncorrectHint
Consider the immediate needs of the resident and prioritize their comfort and dignity over other tasks. Communicate with your team for support after addressing the resident’s needs.
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Question 53 of 60
53. Question
53. You are feeding a dependent resident when you are asked by the nurse to change a resident who is incontinent and wet. What should you do?
CorrectIncorrectHint
Think about the balance of care for both residents. Communicate clearly with the nurse about your current task and ask for assistance to ensure both residents’ needs are addressed promptly and appropriately.
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Question 54 of 60
54. Question
54. You notice the floor in the hall is wet from a food tray spill; your next action should be to:
CorrectIncorrectHint
Consider the importance of maintaining a safe environment and acting quickly to prevent accidents.
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Question 55 of 60
55. Question
55. The resident’s vitals are 99 to 98 36. Which of these findings needs to be reported immediately to the nurse?
CorrectIncorrectHint
Pay close attention to the respiratory rate; anything above the normal range warrants immediate attention from the nurse.
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Question 56 of 60
56. Question
56. Your resident’s family brought in five new blouses. Your action should now be to:
CorrectIncorrectHint
Consider how to identify and protect the resident’s new clothing items to prevent any mix-ups or losses.
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Question 57 of 60
57. Question
57. Mr. Long ate very little breakfast today. Which of the following diagnoses would require that this information be reported promptly to the nurse?
CorrectIncorrectHint
Consider the critical relationship between food intake and blood sugar levels in certain medical conditions, particularly focusing on how reduced intake can influence medication adjustments.
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Question 58 of 60
58. Question
58. Mr. O’Brien, a confused resident, is agitated and wandering throughout the unit. Dinner trays have been served, but he does not want to sit and eat and keeps walking away. To encourage him to eat, you should:
CorrectIncorrectHint
Consider providing options that allow for mobility and independence during mealtime to reduce agitation and encourage nourishment.
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Question 59 of 60
59. Question
59. Mrs Johnson has refused her bed bath for 2 days what might help to convince her to accept a bath?
CorrectIncorrectHint
Consider discussing her feelings about the bath and addressing any specific concerns she may have.
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Question 60 of 60
60. Question
60. Mr. Allen can be combative during care; how do you respond if he attempts to strike you?
CorrectIncorrectHint
Prioritize safety and de-escalation by staying calm, communicating clearly, and allowing the resident a sense of control. Always report incidents to ensure proper care protocols are followed.