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Question 1 of 60
1. Question
1. Which fact about the end of life is true?
CorrectIncorrectHint
Consider the diversity of beliefs and needs people have at the end of life; not everyone seeks spiritual or religious support.
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Question 2 of 60
2. Question
2. You are taking care of Martin F at the end of life. He rarely has visitors and he has said, “I am of no use to anyone.” Martin is expressing a underscore need with this comment.
CorrectIncorrectHint
Consider the emotional impact of isolation and the need for affirmation and purpose in one’s life.
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Question 3 of 60
3. Question
3. You are taking care of Martin F at the end of life; he is very worried about his funeral expenses. Martin will most likely benefit from the help of a:
CorrectIncorrectHint
Consider the role of a professional who specializes in emotional support and resource allocation, especially in sensitive situations involving financial concerns and end-of-life planning.
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Question 4 of 60
4. Question
4. Your end of life patient goes into cardiac arrest; this patient has a do not resuscitate order. What should you do?
CorrectIncorrectHint
Remember to prioritize the patient’s documented wishes and communicate promptly with the nursing staff about the situation.
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Question 5 of 60
5. Question
5. People at the end of life still need mouth care. Your unconscious patient has a dry mouth. What should you do?
CorrectIncorrectHint
Consider a gentle approach to addressing oral care for the patient, focusing on hydration and comfort without the risk of aspiration.
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Question 6 of 60
6. Question
6. Elderly patients are more prone to dehydration than younger people because the elderly:
CorrectIncorrectHint
Consider the physiological changes that occur with aging and how these affect basic needs like hydration.
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Question 7 of 60
7. Question
7. You are caring for Mrs. Kay; she has fragile skin and she has had skin tears in the past. You are ready to assist her in order to transfer her from the bed to the chair. What should you do to prevent skin tears?
CorrectIncorrectHint
Ensure a gentle, non-pulling transfer by seeking assistance and using a two-person approach to support her fragility.
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Question 8 of 60
8. Question
8. You are turning your patient in bed and you see that this confused and lethargic patient had loose car keys and lipstick in the bed and had been lying on them. What is this person at risk for because of all three of these factors: the confusion, lethargy, and items in the bed?
CorrectIncorrectHint
Consider how the patient’s inability to respond to discomfort and the presence of unfamiliar objects in bed could affect their skin health and lead to injury.
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Question 9 of 60
9. Question
9. Select the age group that is coupled with an infectious disease that is most common in this age group.
CorrectIncorrectHint
Consider which age group is most involved in high-risk behaviors associated with sexually transmitted infections and where education and access to health resources may be limited.
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Question 10 of 60
10. Question
10. Which age group has passive natural immunity?
CorrectIncorrectHint
Consider the youngest stage of human development when thinking about immunity transferred from a mother.
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Question 11 of 60
11. Question
11. You are emptying urinary drainage bags for patients that need their output recorded. Where are you most likely to document the amount of urinary output?
CorrectIncorrectHint
Think about the best way to track both what the patient takes in and what they eliminate—look for a form dedicated to this purpose.
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Question 12 of 60
12. Question
12. You have taken the vital signs for your patient; they are normal for the patient. What should you do next?
CorrectIncorrectHint
Think about the importance of keeping accurate and complete records in patient care; this step is essential for continuity and communication within the healthcare team.
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Question 13 of 60
13. Question
13. What documentation is within the role of the CNA?
CorrectIncorrectHint
Consider the fundamental measurements and basic data CNAs are trained to document that are vital for patient care and contribute to medical records.
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Question 14 of 60
14. Question
14. Which healthcare professional is most involved with swallowing disorders?
CorrectIncorrectHint
Think of a professional who works on communication and may also help patients with eating difficulties.
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Question 15 of 60
15. Question
15. Your patient fell last week. They are now getting special exercises in order to improve their balance and their gait. Which person will most likely help this person with these exercises?
CorrectIncorrectHint
Think about who has specialized training in restoring movement and balance after injuries—this professional focuses on rehabilitation exercises tailored to individual needs.
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Question 16 of 60
16. Question
16. Penny Thoren has had a stroke (CVA). She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices?
CorrectIncorrectHint
Consider which healthcare professional specializes in enhancing daily living skills and can recommend tools to help patients regain independence in tasks like eating.
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Question 17 of 60
17. Question
17. A sign of depression is: A) sleeping too much B) sleep loss C) aphasia D) both A and B
CorrectIncorrectHint
Consider how changes in sleep, whether excessive or insufficient, can impact mood and daily functioning, as both may indicate an underlying issue.
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Question 18 of 60
18. Question
18. Dementia is a loss of underscore function.
CorrectIncorrectHint
Think about the mental abilities that allow us to process information and make decisions—what term describes this capacity?
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Question 19 of 60
19. Question
19. What kinds of exercise or therapy would be most helpful to the 85-year-old woman discussed above?
CorrectIncorrectHint
Consider emphasizing gentle movements that enhance flexibility and joint mobility while minimizing discomfort.
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Question 20 of 60
20. Question
20. Alzheimer’s disease patients wander; the dangers associated with this wandering can be prevented with which of the following?
CorrectIncorrectHint
Consider solutions that provide alerts or supervision to prevent patients from leaving designated safe areas without assistance.
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Question 21 of 60
21. Question
21. Mr. Golden has bilateral hand contractures. Contractures:
CorrectIncorrectHint
Consider the impact of prolonged immobility on joint function and the importance of early intervention strategies to maintain range of motion and prevent stiffness.
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Question 22 of 60
22. Question
22. The difference between a flood watch and a flood warning is that a flood warning means that flooding ____________.
CorrectIncorrectHint
Remember that a flood watch indicates potential flooding conditions, while a flood warning means flooding is imminent or happening now.
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Question 23 of 60
23. Question
23. You see a dark green sky and you hear a sound that reminds you of a train roaring down the tracks. What event is most likely occurring?
CorrectIncorrectHint
Think about weather phenomena associated with severe storms. Consider the visual and auditory clues that suggest a violent atmospheric event.
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Question 24 of 60
24. Question
24. You hear an announcement in your nursing home that states “Dr. Storm, Dr. Storm, Dr. Storm” is your nursing home’s code word for immediately implementing emergency tornado measures. What should you do?
CorrectIncorrectHint
Prioritize the safety of all residents by moving them to an interior space away from windows. Ensure all exits are secure and calm any residents during the process.
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Question 25 of 60
25. Question
25. You are a home health aide. You are driving your patient to the grocery store and the drug store for shopping. As you are driving, you feel the Earth shake. What is the first thing that you should do?
CorrectIncorrectHint
Prioritize safety by stopping the vehicle in a secure area, away from potential hazards like buildings, and ensure both you and your patient are protected from falling debris until the shaking subsides.
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Question 26 of 60
26. Question
26. As you are changing the linens on your patient’s bed, you accidentally get stuck with a needle that was left in the patient bed. You must:
CorrectIncorrectHint
Prioritize immediate reporting of the incident to ensure proper documentation and follow-up care, while also cleaning the wound thoroughly to reduce the risk of infection.
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Question 27 of 60
27. Question
27. AIDs/HIV is not the only disease that is spread with blood and body fluids. There are several other diseases that are spread in blood and other bodily fluids. What is another disease that is spread with blood and other bodily fluids?
CorrectIncorrectHint
Consider viral infections that affect the liver and are transmitted through blood, often linked to similar modes of transmission as HIV/AIDS.
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Question 28 of 60
28. Question
28. Your AIDS/HIV patient has just died. Should you still use standard precautions as you provide postmortem care?
CorrectIncorrectHint
Remember, standard precautions are essential for minimizing infection risk, even after death. Always treat the body as a potential source of infection due to the presence of bodily fluids.
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Question 29 of 60
29. Question
29. Your patient has just died from a massive heart attack. As far as you know, the patient had no other diseases, illnesses, or infections. Should you still use standard precautions as you provide postmortem care?
CorrectIncorrectHint
Always prioritize safety by adhering to standard precautions, even postmortem, as unseen risks may still be present.
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Question 30 of 60
30. Question
30. Which disease is most like AIDS?
CorrectIncorrectHint
Consider diseases that are transmitted through bodily fluids and have implications for immune system function. Look for options that share similar risk factors and preventive measures.
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Question 31 of 60
31. Question
31. Which of these actions is illegal in most states?
CorrectIncorrectHint
Consider the ethical and legal implications of ending a life, even with consent, as this action tends to be restricted or prohibited in many jurisdictions.
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Question 32 of 60
32. Question
32. Which of the following is an example of physical neglect?
CorrectIncorrectHint
Consider situations where a person’s basic needs for cleanliness, nutrition, or safety are not met, leading to potential harm or discomfort.
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Question 33 of 60
33. Question
33. Which of the following is an example of emotional neglect?
CorrectIncorrectHint
Consider how a lack of attention, support, or acknowledgment can impact someone’s feelings and sense of worth. Look for options that highlight the absence of emotional care or connection.
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Question 34 of 60
34. Question
34. You suspect that another CNA on your unit may have pushed a patient. What should you do?
CorrectIncorrectHint
Prioritize patient safety by reporting your suspicions to a nurse or supervisor immediately, as you are not required to have concrete proof before taking action.
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Question 35 of 60
35. Question
35. Which of the following is an example of physical abuse?
CorrectIncorrectHint
Consider actions that result in bodily harm or injury. Focus on violent physical contact intended to inflict pain or fear.
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Question 36 of 60
36. Question
36. Which of the following is an example of emotional abuse?
CorrectIncorrectHint
Consider actions that undermine a person’s self-esteem or well-being, such as threats, humiliation, or manipulation. Look for examples that involve psychological harm rather than physical harm.
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Question 37 of 60
37. Question
37 you are taking Mr D’s blood pressure the first sound that you hear is at 162 and the second sound that you hear is at 86 you should document and report that the blood pressure is
CorrectIncorrectHint
Remember, the first sound indicates systolic pressure and the second sound indicates diastolic pressure. Make sure to document both values clearly.
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Question 38 of 60
38. Question
38. You use your underscore sense when you take Mr. D’s radial pulse.
CorrectIncorrectHint
Think about the sense you engage when feeling the pulse with your fingertips on the wrist. It’s all about touch!
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Question 39 of 60
39. Question
39. Mrs. B curses at you and tries to strike you after you knock on the door to greet her at the beginning of the shift. What should you do?
CorrectIncorrectHint
Focus on ensuring safety for yourself and the patient. It’s essential to report any aggressive behavior to the nurse and follow facility protocols.
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Question 40 of 60
40. Question
40 CNAs are responsible for observation and reporting. The primary purpose of observation is to:
CorrectIncorrectHint
Consider how observations can influence care decisions and improve patient outcomes by identifying changes over time.
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Question 41 of 60
41. Question
41 CNAs are responsible for reporting; the primary purpose of reporting is to:
CorrectIncorrectHint
Think about how communication between team members can influence patient care and safety. What role do reports play in ensuring that everyone is aware of the patient’s current status?
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Question 42 of 60
42. Question
42. Which should you document but not immediately report?
CorrectIncorrectHint
Consider documentation for observations that fall within normal ranges, as they don’t require urgent reporting but are still important for record-keeping.
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Question 43 of 60
43. Question
43. You are feeding and monitoring a group of patients in the resident dining room. There is no sink in the dining room. What should you do?
CorrectIncorrectHint
Consider using hand sanitizer as a temporary measure for maintaining hygiene, especially when no sink is available. Ensure it’s effective by checking the alcohol content and remember to wash your hands with soap and water as soon as you can.
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Question 44 of 60
44. Question
44. Your patient has shortness of breath. After you report this shortness of breath to the nurse, you should position the patient in the underscore position.
CorrectIncorrectHint
Consider positioning the patient in a way that facilitates easier breathing and enhances lung expansion.
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Question 45 of 60
45. Question
45. The Sims position is most similar to the underscore position.
CorrectIncorrectHint
Think about body positioning during medical procedures and focus on how limb arrangement differs between these positions. One involves a bent leg, while the other tends to keep limbs more aligned.
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Question 46 of 60
46. Question
46. You take an adult’s blood pressure and it is 40/20. You immediately report this to the nurse. The nurse returns to the patient room with you. She instructs you to place the patient in a Trendelenburg position. How will you put the patient into the Trendelenburg position?
CorrectIncorrectHint
To achieve the Trendelenburg position, remember to lower the head of the bed while elevating the foot to promote blood flow toward the upper body.
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Question 47 of 60
47. Question
47. You have been assigned to take an apical pulse for one of the patients in the nursing unit. How will you do this?
CorrectIncorrectHint
Ensure you have a stethoscope, position the patient comfortably, and locate the correct area on the chest to listen for the heartbeat. Count for a full minute and note any irregularities.
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Question 48 of 60
48. Question
48. You take the blood pressure for your patient while they are in bed and then you take it as soon as they rise from the bed and stand. The patient’s blood pressure in bed was 152 over 85 and the blood pressure when standing was 96/46. You should:
CorrectIncorrectHint
Consider the significant change in blood pressure readings from supine to standing, which suggests a potential safety risk for the patient. Focus on the implications of this drop and the importance of addressing it promptly.
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Question 49 of 60
49. Question
49. When CNAs do pulses, they should note which of the following?
CorrectIncorrectHint
Remember to assess and document not only how fast the pulse is, but also its strength and fullness, as these factors give insight into the patient’s heart health.
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Question 50 of 60
50. Question
50. You are working in a community Primary Care Center and it is your job to get the heights and weights of all patients. You are trying to measure a patient’s height and you see that the patient is somewhat slouched. What should you do?
CorrectIncorrectHint
Ensure the patient stands straight to obtain an accurate height measurement, and communicate any difficulties they have in maintaining proper posture to the medical staff.
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Question 51 of 60
51. Question
51. Physical bullying among school-aged children threatens which of Maslow’s needs?
CorrectIncorrectHint
Consider how an environment characterized by intimidation and harm might impact a child’s feelings of safety and acceptance among peers.
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Question 52 of 60
52. Question
52. Your patient has had a very full and rewarding life; she has had a lot of success in her personal and professional life, she has achieved all of her goals, and she has maximized her potential. This patient can be best described as a person who has achieved:
CorrectIncorrectHint
Think about the highest level of psychological development where an individual realizes their full potential and capabilities, often marked by personal fulfillment and peak experiences.
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Question 53 of 60
53. Question
53. Which of these needs is the greatest priority?
CorrectIncorrectHint
Consider which needs form the foundation for overall well-being, as they must be fulfilled before moving on to higher-level aspirations.
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Question 54 of 60
54. Question
54. Which of the following needs has the least priority?
CorrectIncorrectHint
Consider the hierarchy of needs, where certain fundamental requirements must be met before pursuing personal growth and self-fulfillment.
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Question 55 of 60
55. Question
55. Which of the following has the highest priority?
CorrectIncorrectHint
Remember that in healthcare, life-threatening situations take precedence. Focus on the immediate physical needs that can lead to death or serious harm if not addressed quickly.
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Question 56 of 60
56. Question
56. There are different kinds of poor behaviors. Some of the types of poor behavior include underscore behaviors.
CorrectIncorrectHint
Consider the impact of behaviors on an environment and how they disrupt or pose risks to safety and well-being. Focus on the categories that interfere with harmony or threaten safety.
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Question 57 of 60
57. Question
57. Your patient is upsetting other residents because they are yelling and repeating the same thing over and over in a sing song manner. This behavior has to be managed because it is:
CorrectIncorrectHint
Consider how behaviors that detract from the overall atmosphere can impact both resident well-being and facility harmony. Focus on the importance of maintaining a calm and supportive environment.
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Question 58 of 60
58. Question
58. You walk into your female resident’s room and you see a male patient exposing his genitals to the female patient. This type of behavior has to be managed because it is:
CorrectIncorrectHint
Consider the legal and ethical implications of behavior that infringes on personal boundaries and safety in a healthcare setting.
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Question 59 of 60
59. Question
59. You are assigned to help residents in the group dining room during their lunchtime meal. A resident begins yelling and they throw a spoon at you. Your best response is to do which of the following?
CorrectIncorrectHint
Stay calm and focus on understanding the resident’s feelings to help de-escalate the situation.
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Question 60 of 60
60. Question
60. Poor behaviors are provoked by triggers. An example of an environmental trigger for poor behavior is:
CorrectIncorrectHint
Consider factors in the environment that can disrupt a person’s calmness or focus, potentially leading to negative actions.