CNA Practice Test - Part 9

1. Which fact about the end of life is true?

A. All people at the end of life are religious

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B. All people at the end of life are spiritual

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C. Some people are not religious or spiritual

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D. Family members do not have spiritual needs.

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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.

A. Self-esteem

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B. Self-esteem

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C. Spiritual

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D. Self-absorption

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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:

A. Social worker

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B. Psychologist

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C. Social worker

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D. Family aid worker

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4. Your end of life patient goes into cardiac arrest; this patient has a do not resuscitate order. What should you do?

A. Report this to the nurse

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B. Begin CPR

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C. Nothing

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D. Walk away

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5. People at the end of life still need mouth care. Your unconscious patient has a dry mouth. What should you do?

A. Give the person small sips of water.

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B. Brush and rinse their mouth and teeth

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C. Use swabs for Oral Care

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D. Ask the nurse to provide oral care.

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6. Elderly patients are more prone to dehydration than younger people because the elderly:

A. Drink more coffee and tea

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B. Have more stomach mucus production

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C. Have less sense of thirst

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D. Have less sense of thirst

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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?

A. Lather her arms with copious amounts of lotion

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B. Lather her arms with petroleum jelly

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C. Get another person to help with the transfer.

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D. Grip her firmly so your fingers do not move.

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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?

A. Falls

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B. Skin breakdown

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C. Skin breakdown

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D. Lack of Mobility

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9. Select the age group that is coupled with an infectious disease that is most common in this age group.

A. Infants H billar Rubin

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B. Preschool and school-age children shingles

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C. Young adults and teenagers sexually transmitted diseases

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D. The elderly malaria

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10. Which age group has passive natural immunity?

A. Neonates

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B. Infants

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C. School-age children

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D. The elderly

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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?

A. On the graphic output form

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B. On the I and O form

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C. In the nurse’s notes

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D. On the front of the chart

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12. You have taken the vital signs for your patient; they are normal for the patient. What should you do next?

A. Report the vital signs to the nurse

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B. Write the vital signs on a scrap paper

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C. Document them on the graphic vs form

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D. Document them on the graphic VS form.

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13. What documentation is within the role of the CNA?

A. Heights and weights

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B. Admission assessments

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C. Ongoing assessments

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D. Nursing care plans

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14. Which healthcare professional is most involved with swallowing disorders?

A. A physical therapist

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B. A speech therapist

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C. The social worker

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D. An occupational therapist

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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?

A. A physical therapist

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B. The speech therapist

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C. The social worker

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D. An occupational therapist

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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?

A. A physical therapist

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B. The speech therapist

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C. The social worker

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D. An occupational therapist

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17. A sign of depression is: A) sleeping too much B) sleep loss C) aphasia D) both A and B

A. Sleeping too much

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B. Sleep loss

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C. Aphasia

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D. Both A and B

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18. Dementia is a loss of underscore function.

A. Cognitive

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B. Chronic

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C. Sensory

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D. Specific

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19. What kinds of exercise or therapy would be most helpful to the 85-year-old woman discussed above?

A. Speech therapy

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B. Range of motion exercises

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C. Range of motion exercises

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D. Balance training

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

A. Bed alarms

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B. Chair alarms

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C. Door alarms

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D. All of the above

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21. Mr. Golden has bilateral hand contractures. Contractures:

A. Can be reversed by daily range of motion exercises

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B. Can result from prolonged disuse and immobility

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C. Are not painful for the resident.

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D. Do not affect the resident’s activities of daily living

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22. The difference between a flood watch and a flood warning is that a flood warning means that flooding ____________.

A. Is possible and a flood watch means that flooding will occur

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B. Will occur shortly and a flood watch means that flooding is possible.

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C. Is possible an evacuation has already been carried out

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D. Will occur shortly and evacuation has already been carried out.

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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?

A. A hurricane

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B. A bomb

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C. A tornado

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D. A nuclear explosion

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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?

A. Move all residents into the hallway.

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B. Open all of the windows to decrease the air pressure.

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C. Pull the fire alarm so all the residents know that there is an emergency.

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D. Move all residents into the hallway.

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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?

A. Drive the car to an area surrounded by tall buildings so you can be protected and safe.

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B. Drive the car to the nearest police station so the police officers can help your patient

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C. Stop the car away from tall buildings and get the patient and yourself on the floor of the car.

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D. Stop the car regardless of where you are and call 911 about this emergency to ensure safety.

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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:

A. Report it to the nurse

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B. Quickly wash your hands with lots of soap and water

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C. Put a bandage on your finger

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D. Both A and B

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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?

A. Hepatitis C

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B. Hepatitis B

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C. Alzheimer's disease

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D. All of the above

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28. Your AIDS/HIV patient has just died. Should you still use standard precautions as you provide postmortem care?

A. Yes because the virus is still transmissible

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B. Yes because you must still treat them with respect

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C. No because the virus is no longer transmissible.

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D. No, because this is not respectful.

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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?

A. Yes, you still must use standard precautions.

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B. Yes, you still must use standard precautions.

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C. No because the patient had no infections

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D. No, because this is not respectful.

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30. Which disease is most like AIDS?

A. Salmonella

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B. Pneumonia

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C. Hepatitis

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D. Mumps

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31. Which of these actions is illegal in most states?

A. Abortion

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B. Euthanasia

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C. Health care proxy

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D. Inquest

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32. Which of the following is an example of physical neglect?

A. A slap to the person’s hand

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B. Threatening the person

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C. Ignoring and isolating a person

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D. Leaving a patient soiled for hours

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33. Which of the following is an example of emotional neglect?

A. Ignoring and isolating a person

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B. Threatening the person

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C. Ignoring and isolating a person

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D. Leaving a patient soiled for hours

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34. You suspect that another CNA on your unit may have pushed a patient. What should you do?

A. Do nothing because you are not sure

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B. Immediately report this to the nurse.

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C. Tell that CNA that they should go home.

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D. Call the patient’s family members.

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35. Which of the following is an example of physical abuse?

A. A slap to the person’s hand

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B. Threatening the person

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C. Ignoring and isolating a person

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D. Leaving a patient soiled for hours

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36. Which of the following is an example of emotional abuse?

A. A slap to the person’s hand

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B. Threatening the person

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C. Ignoring and isolating a person

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D. Leaving a patient soiled for hours

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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

A. 86/162

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B. Irregular and high

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C. 162/86

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D. Normal for people of all ages

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38. You use your underscore sense when you take Mr. D’s radial pulse.

A. Auditory

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B. Tactile

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C. Visual

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D. Olfactory

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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?

A. Report this to the nurse because Mrs. B is exhibiting dangerous behavior.

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B. Tell her to stop this behavior and walk out of the room until she calms down.

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C. Ignore it; most patients and residents try to hit staff because they are angry.

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D. Restrain Mrs. B; she is a danger to staff and other residents in the area.

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

A. Fulfill your job description and to ensure that all policies and procedures are strictly followed

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B. Help the CNA, the nurse, and other members of the healthcare team to provide quality care.

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C. Enable the CNA to understand the patients and to ensure that their patient education is good

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D. Inform the nurse other CNAs and other members of the healthcare team about the patient’s diagnosis

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41 CNAs are responsible for reporting; the primary purpose of reporting is to:

A. Inform the nurse about the patient’s condition and the patient needs when necessary

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B. Fulfill your job description and to ensure that all policies and procedures are strictly followed

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C. Help the CNA, the nurse, and other members of the healthcare team to teach the patient and family.

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D. Enable the CNA to understand the patients and to ensure that patient education is good

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42. Which should you document but not immediately report?

A. A urinary output of 30 cubic cm during your 8-hour shift

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B. A patient fall that did not lead to any apparent injury

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C. Some people are not religious or spiritual

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D. The fact that the patient drank 1,000 cubic cm of fluid during your 8-hour shift

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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?

A. Go to the nursing station before and after each patient contact.

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B. Go to the nursing station before and after each patient contact

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C. Use the hand sanitizer that is hanging on the wall of the dining room.

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D. Wear gloves because there is no sink in the dining room for hand washing.

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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.

A. Prone

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B. Left lateral

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C. Right lateral

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D. Fowers

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45. The Sims position is most similar to the underscore position.

A. Prone

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B. Lateral

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C. Supine

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D. Fowers

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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?

A. Lower the head of the bed and raise the foot of the bed.

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B. Raise the head of the bed up to about 60 to 75°.

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C. Raise the head of the bed up to about 75 to 90°.

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D. Raise the side rails and place the bed in the high position.

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47. You have been assigned to take an apical pulse for one of the patients in the nursing unit. How will you do this?

A. You will place the stethoscope over the heart and listen for any irregular beats.

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B. You will place the stethoscope over the heart and count the beats per minute

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C. You will place the stethoscope over the heart and count the beats per minute.

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D. You will place your fingertip over the patient’s wrist and count the beats per minute.

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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:

A. Report these blood pressures to the nurse immediately because these differences are not normal.

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B. Know that blood pressure differences like these are normal when a person rises from the bed.

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C. Report the blood pressure while in bed to the nurse immediately because it is too high

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D. Simply record and document these blood pressures on the patient’s flow sheet or graphic sheet.

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49. When CNAs do pulses, they should note which of the following?

A. Rate

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B. Rate and quality

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C. Rate, quality, and fullness

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D. Rate, quality, fullness, and regularity

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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?

A. Ask the patient to stand up straight and erect so their height is accurate.

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B. Tell the patient to see a physical therapist for posture training.

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C. Skip the height and just do the patient weight

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D. Both A and B

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51. Physical bullying among school-aged children threatens which of Maslow’s needs?

A. Physical needs

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B. Love and belonging needs

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C. Safety needs

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D. All of the above

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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:

A. Self-actualization

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B. Exploration

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C. Closeness

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D. Protection

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53. Which of these needs is the greatest priority?

A. A healthy and satisfying relationship

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B. Membership in a community group

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C. An award or a special recognition

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D. Family members do not have spiritual needs

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54. Which of the following needs has the least priority?

A. A healthy and satisfying relationship

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B. Membership in a community group

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C. An award or a special recognition

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D. Reaching one’s fullest potential

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55. Which of the following has the highest priority?

A. Unobstructed Airway

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B. Chest pain

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C. Some people are not religious or spiritual

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D. Family members do not have spiritual needs

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

A. Innate intrinsic and extrinsic

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B. Nomial and psychotic

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C. Disruptive and dangerous

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D. Legal and illegal

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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:

A. Disruptive

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B. Dangerous

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C. Illegal

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D. Unethical

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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:

A. Disruptive

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B. Dangerous

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C. Illegal

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D. Unethical

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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?

A. Remain calm and ask the resident what is upsetting them

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B. Remove all the other residents from the dining room.

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C. Scold the resident and tell the resident to leave the room.

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D. Take the resident’s fork and plate so there is nothing else to throw.

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60. Poor behaviors are provoked by triggers. An example of an environmental trigger for poor behavior is:

A. Excessive noise

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B. Loneliness

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C. An inability to express one’s needs

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D. A television or radio

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CNA Practice Test – Part 9

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