Question 1 of 60
A resident’s daughter asks you about the health of another resident who shares the room. What should you do?
You cannot share medical information with anyone except the care team due to HIPAA privacy laws. Family members must talk to the nurse or doctor for updates.
Question 2 of 60
A resident tells you they do not want to take a shower today. What is the best thing to do?
Residents have the legal right to refuse care. Forcing them is considered abuse; you must respect their choice and report it.
Question 3 of 60
You see a coworker hit a resident. What must you do immediately?
You are a mandated reporter. Any sign of physical abuse must be reported to the charge nurse immediately to protect the resident.
Question 4 of 60
A resident is hard of hearing. What is the best way to talk to them?
Facing them allows them to read lips and see facial expressions. Shouting distorts sound and can be painful if they use hearing aids.
Question 5 of 60
A call light turns on in a room that is not assigned to you. What should you do?
Safety and care are everyone's responsibility. You should answer the light to ensure the resident is not in danger.
Question 6 of 60
The nurse asks you to give a resident their heart pill. What should you say?
Administering medication is outside the CNA scope of practice. You must refuse the task legally and politely.
Question 7 of 60
A resident receives a piece of mail. What should you do with it?
Residents have the right to privacy in their correspondence. Mail must be delivered unopened unless they ask for help.
Question 8 of 60
You are assigned to care for a resident who speaks a different language. What should you do?
Using pictures and gestures helps bridge language barriers and respects their communication needs. Ignoring them is neglectful.
Question 9 of 60
A resident is crying because they miss their home. What is the best response?
Listening provides emotional support and empathy, which are crucial for a resident's psychosocial well-being.
Question 10 of 60
Which of these is an example of "objective data" you can observe?
Objective data is something you can see, measure, or feel (like a rash). Subjective data is what the resident tells you they feel.
Question 11 of 60
Your shift is over, but the next aide has not arrived yet. What must you do?
Leaving a shift before your replacement arrives or without notifying the nurse is considered abandonment, which is illegal.
Question 12 of 60
A resident asks you to pray with them, but you have different beliefs. What should you do?
You must respect their spiritual needs even if they differ from yours. Finding someone who can help fulfills their right to spiritual care.
Question 13 of 60
What is the single most important thing you can do to stop germs from spreading?
Handwashing is the number one way to prevent the spread of infection. Masks and air fresheners do not remove germs from hands.
Question 14 of 60
You walk into a room and see smoke coming from the trash can. According to the RACE rule, what do you do first?
In the RACE fire acronym, R stands for Remove/Rescue. Getting the resident away from immediate danger is always the first step.
Question 15 of 60
A resident is choking, grabbing their throat, and cannot cough or speak. What should you do?
A person who cannot speak or cough has a severe airway block. Abdominal thrusts are required to dislodge the object.
Question 16 of 60
You are emptying a resident's bedpan. What personal protective equipment (PPE) must you wear?
Standard precautions require wearing gloves whenever you might come into contact with body fluids, like urine or feces.
Question 17 of 60
You notice the cord on a resident’s TV is frayed and the wires are showing. What should you do?
Frayed cords are a fire and shock hazard. They must be unplugged and reported immediately to ensure a safe environment.
Question 18 of 60
You spill water on the floor in the hallway. What is the first thing you should do?
Wet floors are a major fall hazard. A CNA must clean up spills immediately to protect residents and staff from injury.
Question 19 of 60
You are moving a resident from their bed to a wheelchair. What is the most important safety step?
Locking the wheels prevents the chair from rolling backward when the resident sits down, which could cause a severe fall.
Question 20 of 60
Before giving a resident a food tray, how do you make sure it is the right person?
Always verify identity using two methods (ID band and asking their name) to prevent giving the wrong food or care.
Question 21 of 60
Where should you put used needles or sharp objects?
Sharps must go in a hard, puncture-proof biohazard container to prevent needle-stick injuries and the spread of bloodborne diseases.
Question 22 of 60
When lifting a heavy box off the floor, how should you protect your back?
Proper body mechanics require using the strong muscles of your legs (knees bent) rather than the weak muscles of your back.
Question 23 of 60
A resident is on Airborne Precautions for tuberculosis (TB). What PPE must you wear before entering?
Airborne precautions require a special N95 mask to filter out tiny airborne pathogens like tuberculosis.
Question 24 of 60
A resident has a doctor's order for a physical restraint. How often must you release the restraint to check their skin and offer care?
Federal law requires restraints to be removed at least every 2 hours to provide skin care, toileting, and range of motion.
Question 25 of 60
A resident starts having a seizure while in bed. What should you do?
Moving objects away protects their head from hitting hard surfaces. You should never hold them down or put anything in their mouth.
Question 26 of 60
Why do we help residents do Range of Motion (ROM) exercises?
ROM exercises keep joints flexible and prevent contractures (permanent shortening of the muscle).
Question 27 of 60
A resident cannot move themselves in bed. How often must you help them turn to prevent bedsores?
Immobile residents must be turned at least every 2 hours to relieve pressure on bony areas and prevent bedsores.
Question 28 of 60
A resident takes a long time to dress themselves. What should you do?
Encouraging independence maintains the resident's physical function and self-esteem, even if it takes longer.
Question 29 of 60
A resident uses a cane to walk. Which side should they hold the cane on?
The cane should be held on the strong side to provide balance and support the opposite weak leg during walking.
Question 30 of 60
You are feeding a resident who is blind. How can you explain where the food is on their plate?
Using a clock face describes the location of food clearly, allowing the blind resident to eat independently and with dignity.
Question 31 of 60
How can you help prevent a resident from getting dehydrated?
Offering fluids frequently encourages drinking and prevents dangerous dehydration in older adults.
Question 32 of 60
A resident enjoys knitting but has stopped doing it lately. What should you do?
Encouraging participation in activities they enjoy promotes psychosocial health and prevents depression and isolation.
Question 33 of 60
You are about to give a resident a bed bath. How do you protect their dignity?
Closing the curtain and using a bath blanket ensures the resident is not exposed, protecting their right to privacy and dignity.
Question 34 of 60
A resident had a stroke and has a weak left side. When walking them, where should you stand?
Standing on the weak side allows you to provide support exactly where the resident is most likely to lose balance or fall.
Question 35 of 60
Where is a bedsore (pressure ulcer) most likely to form?
Pressure from body weight against the bed cuts off blood flow, causing sores primarily over bony prominences.
Question 36 of 60
A resident asks for the bedpan. How should you position the bed after placing the bedpan under them?
Sitting the bed up into Fowler's position mimics the natural posture for elimination and makes it easier for the resident to go.
Question 37 of 60
A resident is having trouble sleeping at night. What can you do to help?
A warm bath or back rub relaxes the muscles and promotes rest. Caffeine and bright lights are stimulants.
Question 38 of 60
What is the normal resting pulse rate for an adult?
The normal adult pulse rate is 60 to 100 beats per minute. Anything outside this range should be reported.
Question 39 of 60
When counting a resident's respirations (breaths), what is the best method?
If a person knows you are watching their breathing, they usually change their breathing pattern. Counting secretly gives an accurate rate.
Question 40 of 60
You take a resident's blood pressure and it is 180/100. What should you do?
A reading of 180/100 is severe hypertension (high blood pressure) and is a medical emergency that the nurse must handle immediately.
Question 41 of 60
When weighing a resident on a standing scale, what should they do before stepping on?
Shoes and heavy clothing add inaccurate weight. For a true measurement, they should be removed.
Question 42 of 60
A resident drank an 8-ounce cup of coffee. How many milliliters (mL) or cubic centimeters (cc) is this? (1 ounce = 30 mL)
1 ounce equals 30 mL. Therefore, 8 ounces multiplied by 30 mL equals 240 mL.
Question 43 of 60
What is the safest water temperature for bathing a resident?
Bath water should be warm and comfortable, typically around 105 degrees F, to prevent burns on fragile elderly skin.
Question 44 of 60
How should you store a resident's dentures when they are not wearing them?
Dentures must be kept wet in cool water so they do not dry out or warp. Hot water will melt or distort the plastic.
Question 45 of 60
When providing perineal care to a female resident, how must you wash?
Washing front to back prevents pulling bacteria from the rectal area into the urinary tract, which causes infections.
Question 46 of 60
A resident is on oxygen therapy and needs a shave. Which razor should you NOT use?
Oxygen is highly flammable. An electric razor can create a spark, causing a fire. Only manual razors should be used.
Question 47 of 60
A resident has diabetes. Who should cut their toenails?
Diabetics have poor circulation and heal slowly. A CNA is not allowed to cut their nails because a small nick could lead to amputation.
Question 48 of 60
A resident has a weak right arm. How do you help them put on a shirt?
You always dress the weak side first to prevent stretching or injuring the affected arm. (Remember: Dress weak, Undress strong).
Question 49 of 60
When emptying a urinary drainage bag, where should the measuring container be placed?
Placing the container on a paper towel prevents contamination from the floor. The bag itself must always remain below the bladder.
Question 50 of 60
You are doing mouth care for an unconscious resident. How should their head be positioned?
Turning the head to the side allows fluids to drain out of the mouth, preventing the unconscious person from choking or aspirating into the lungs.
Question 51 of 60
You are making a bed while the resident is still in it. What must you do to keep them safe from falling?
The side rail must be raised on the side the resident rolls toward so they do not fall out of bed while you work on the other side.
Question 52 of 60
The nurse asks you to put anti-embolism (TED) stockings on a resident. When is the best time to put them on?
TED stockings should be applied in the morning before the resident gets out of bed, before swelling builds up in the legs.
Question 53 of 60
A resident with Alzheimer's disease is packing a bag and says they need to go feed their babies. What is the best validation response?
Validation therapy accepts the resident's reality rather than arguing with them. Asking about the babies keeps them calm and engaged.
Question 54 of 60
A resident with dementia gets very confused and restless in the late afternoon. What is this called?
Sundowning is a common condition in dementia where confusion and agitation worsen as daylight fades in the late afternoon.
Question 55 of 60
A resident with memory loss likes to wander around the facility. How can you keep them safe?
Wandering cannot be stopped by force or restraints. Providing a safe, secure area for them to walk protects their health and rights.
Question 56 of 60
A resident had a stroke and has expressive aphasia (trouble speaking). What should you do?
Expressive aphasia means they know what they want to say but cannot form words. Picture boards help them communicate without frustration.
Question 57 of 60
A resident has Parkinson's disease. What symptom are you most likely to see?
Parkinson's is a neurological disease that causes stiff muscles, tremors (shaking), and a shuffling gait.
Question 58 of 60
A resident with diabetes is suddenly shaking, sweating, and confused. What is likely happening?
Sweating, shaking, and confusion are classic signs of hypoglycemia (low blood sugar), which requires immediate nursing intervention.
Question 59 of 60
A resident is at the end of their life. Which sense is usually the last to go before death?
Hearing is widely considered the last sense to be lost before death. Staff should continue to speak kindly to the resident.
Question 60 of 60
A resident’s husband just passed away. She is very angry and yelling at the staff. What stage of grief is this?
Yelling and expressing frustration is a typical response in the Anger stage of Dr. Elisabeth Kübler-Ross's stages of grief.
0%
Your Score
Test Complete!
0
Correct
0
Incorrect
60
Total