CNA Practice Exam

2025 Edition

Take this free CNA practice test to get a sample of the types of questions on an actual Nursing Assistant certification exam.

A CNA exam typically has two parts, a written part and a skills part. The written part of the test is typically in a multiple choice format and evaluates your knowledge of the subjects that CNAs are expected to know. Subjects that will be included in the test are: CNA Roles, Observation, Reporting and Abbreviations, Safety and Managing Behavior, Emergencies, Personal Care Skills, Infection Control and Blood Borne Pathogens, Caring for All Ages, Common Physical and Emotional Problems, Care of the Dying Person at the End of Life and Legal and Ethical Issues. All of these topics, or subjects, are covered in a CNA training program. The test will typically have 50 to 70 multiple choice questions, like the ones you will see in our CNA Practice Test.

For complete practice, try the CNA Practice Exam Kit with 750 questions, fully explained answers, instant scoring, review and flash cards.

CNA Roles, Roles of Others and Teamwork

1.	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. hospital
A skilled nursing facility is also called a nursing home or long term care facility. A hospital, while having skilled nursing positions, is not considered a skilled nursing facility, or SNF. A rehab center would be a short term facility where patients can go to recover strength after surgeries. Hospice is the term for when a patient does not wish for any life-saving measures to be performed, such as CPR or intubation. A patient can be on hospice while residing in a hospital, rehab center, or nursing home. Incorrect answer. Please choose another answer.
		b. rehab center
A skilled nursing facility is also called a nursing home or long term care facility. A hospital, while having skilled nursing positions, is not considered a skilled nursing facility, or SNF. A rehab center would be a short term facility where patients can go to recover strength after surgeries. Hospice is the term for when a patient does not wish for any life-saving measures to be performed, such as CPR or intubation. A patient can be on hospice while residing in a hospital, rehab center, or nursing home. Incorrect answer. Please choose another answer.
		c. hospice
A skilled nursing facility is also called a nursing home or long term care facility. A hospital, while having skilled nursing positions, is not considered a skilled nursing facility, or SNF. A rehab center would be a short term facility where patients can go to recover strength after surgeries. Hospice is the term for when a patient does not wish for any life-saving measures to be performed, such as CPR or intubation. A patient can be on hospice while residing in a hospital, rehab center, or nursing home. Incorrect answer. Please choose another answer.
		d. nursing home
A skilled nursing facility is also called a nursing home or long term care facility. A hospital, while having skilled nursing positions, is not considered a skilled nursing facility, or SNF. A rehab center would be a short term facility where patients can go to recover strength after surgeries. Hospice is the term for when a patient does not wish for any life-saving measures to be performed, such as CPR or intubation. A patient can be on hospice while residing in a hospital, rehab center, or nursing home. Incorrect answer. Please choose another answer.

CNA Roles, Roles of Others and Teamwork

2.	Many people, particularly older people, go to what kind of healthcare facility after they are discharged from a hospital after a stroke?
		a. A subacute care center
Many elderly people who have had a stroke go to a subacute care center after they are discharged from a hospital. Subacute care centers, or medical rehabilitation care centers, provide stroke patients with rehabilitation and restorative care and services after a stroke. CNAs work in subacute care and they can also work in the other healthcare settings that are above. A hospice (center) would be a location in which patients are cared for when nearing death. A respite center would be a temporary emergency location where a patient can receive care. A group home would be a long-term care living arrangement. A patient would be more likely to go to a sub-acute care center to regain strength prior to being discharged to their long-term home. Incorrect answer. Please choose another answer.
		b. A hospice
Many elderly people who have had a stroke go to a subacute care center after they are discharged from a hospital. Subacute care centers, or medical rehabilitation care centers, provide stroke patients with rehabilitation and restorative care and services after a stroke. CNAs work in subacute care and they can also work in the other healthcare settings that are above. A hospice (center) would be a location in which patients are cared for when nearing death. A respite center would be a temporary emergency location where a patient can receive care. A group home would be a long-term care living arrangement. A patient would be more likely to go to a sub-acute care center to regain strength prior to being discharged to their long-term home. Incorrect answer. Please choose another answer.
		c. A respite center
Many elderly people who have had a stroke go to a subacute care center after they are discharged from a hospital. Subacute care centers, or medical rehabilitation care centers, provide stroke patients with rehabilitation and restorative care and services after a stroke. CNAs work in subacute care and they can also work in the other healthcare settings that are above. A hospice (center) would be a location in which patients are cared for when nearing death. A respite center would be a temporary emergency location where a patient can receive care. A group home would be a long-term care living arrangement. A patient would be more likely to go to a sub-acute care center to regain strength prior to being discharged to their long-term home. Incorrect answer. Please choose another answer.
		d. A group home
Many elderly people who have had a stroke go to a subacute care center after they are discharged from a hospital. Subacute care centers, or medical rehabilitation care centers, provide stroke patients with rehabilitation and restorative care and services after a stroke. CNAs work in subacute care and they can also work in the other healthcare settings that are above. A hospice (center) would be a location in which patients are cared for when nearing death. A respite center would be a temporary emergency location where a patient can receive care. A group home would be a long-term care living arrangement. A patient would be more likely to go to a sub-acute care center to regain strength prior to being discharged to their long-term home. Incorrect answer. Please choose another answer.

CNA Roles, Roles of Others and Teamwork

3.	A CNA, MA, and RN all provide care for 10 patients in a sub-acute facility. What is the term for this collaborative approach to patient care?
		a. Group Care
Team nursing involves multiple staff members providing different tasks in the care of the same group of patients. CNAs work in the team nursing setting, such as a sub-acute setting. The nurse and medical assistant would be necessary to provide some tasks such as medication administration and assessment, which are not within the CNA scope of practice. Primary care involves one staff member caring for all the needs of the patient. Primary care nursing is usually implemented in a hospital floor setting. Group Care and Rehab are terms that usually indicate the location where a patient or resident may reside. Incorrect answer. Please choose another answer.
		b. Primary Care
Team nursing involves multiple staff members providing different tasks in the care of the same group of patients. CNAs work in the team nursing setting, such as a sub-acute setting. The nurse and medical assistant would be necessary to provide some tasks such as medication administration and assessment, which are not within the CNA scope of practice. Primary care involves one staff member caring for all the needs of the patient. Primary care nursing is usually implemented in a hospital floor setting. Group Care and Rehab are terms that usually indicate the location where a patient or resident may reside. Incorrect answer. Please choose another answer.
		c. Team Nursing
Team nursing involves multiple staff members providing different tasks in the care of the same group of patients. CNAs work in the team nursing setting, such as a sub-acute setting. The nurse and medical assistant would be necessary to provide some tasks such as medication administration and assessment, which are not within the CNA scope of practice. Primary care involves one staff member caring for all the needs of the patient. Primary care nursing is usually implemented in a hospital floor setting. Group Care and Rehab are terms that usually indicate the location where a patient or resident may reside. Incorrect answer. Please choose another answer.
		d. Rehab
Team nursing involves multiple staff members providing different tasks in the care of the same group of patients. CNAs work in the team nursing setting, such as a sub-acute setting. The nurse and medical assistant would be necessary to provide some tasks such as medication administration and assessment, which are not within the CNA scope of practice. Primary care involves one staff member caring for all the needs of the patient. Primary care nursing is usually implemented in a hospital floor setting. Group Care and Rehab are terms that usually indicate the location where a patient or resident may reside. Incorrect answer. Please choose another answer.

CNA Roles, Roles of Others and Teamwork

4.	A CNA is covering another CNA's lunch break on another floor. She answers the light for a patient who complains of chest pain. Who should the CNA report this finding to?
		a. Nurse
The finding should be reported to the nurse as the next step in the chain of command. The nurse will be able to assess the patient and report the findings to the provider. The nurse should be notified prior to the provider. The CNA should not go directly to the provider as this does not demonstrate good teamwork or appropriate action. The Director of Nursing may be involved later if necessary, but the finding should currently be reported to the patient's nurse. It would not be appropriate to report the finding to the other CNA or delay the finding to report it after the CNA comes back from lunch. The nurse should be notified immediately as the patient may be having a heart attack. Incorrect answer. Please choose another answer.
		b. Provider
The finding should be reported to the nurse as the next step in the chain of command. The nurse will be able to assess the patient and report the findings to the provider. The nurse should be notified prior to the provider. The CNA should not go directly to the provider as this does not demonstrate good teamwork or appropriate action. The Director of Nursing may be involved later if necessary, but the finding should currently be reported to the patient's nurse. It would not be appropriate to report the finding to the other CNA or delay the finding to report it after the CNA comes back from lunch. The nurse should be notified immediately as the patient may be having a heart attack. Incorrect answer. Please choose another answer.
		c. Director of Nursing
The finding should be reported to the nurse as the next step in the chain of command. The nurse will be able to assess the patient and report the findings to the provider. The nurse should be notified prior to the provider. The CNA should not go directly to the provider as this does not demonstrate good teamwork or appropriate action. The Director of Nursing may be involved later if necessary, but the finding should currently be reported to the patient's nurse. It would not be appropriate to report the finding to the other CNA or delay the finding to report it after the CNA comes back from lunch. The nurse should be notified immediately as the patient may be having a heart attack. Incorrect answer. Please choose another answer.
		d. The other CNA when back from lunch break
The finding should be reported to the nurse as the next step in the chain of command. The nurse will be able to assess the patient and report the findings to the provider. The nurse should be notified prior to the provider. The CNA should not go directly to the provider as this does not demonstrate good teamwork or appropriate action. The Director of Nursing may be involved later if necessary, but the finding should currently be reported to the patient's nurse. It would not be appropriate to report the finding to the other CNA or delay the finding to report it after the CNA comes back from lunch. The nurse should be notified immediately as the patient may be having a heart attack. Incorrect answer. Please choose another answer.

CNA Roles, Roles of Others and Teamwork

5.	You are asked to complete a bed change for a 300 lb. patient who is immobile and difficult to turn. You feel uncomfortable changing the bed yourself. What is your next course of action?
		a. Schedule a time with another nurse or CNA to have assistance during the bed change.
If you are uncomfortable making a bed change, it is appropriate to ask for assistance, especially with an obese or immobile patient. If there is a risk of improper body mechanics, it would be appropriate to consider a two-person bed change. If you attempt to change the bed yourself, you may be at risk to strain your back or use other improper body mechanics. The patient may also be put in improper positions to accommodate trying to change the bed. If possible, it is best not to push off tasks onto the next shift. If the patient has requested a bed change, they may be incontinent. The CNA should change the bed when asked within a reasonable time frame. Incorrect answer. Please choose another answer.
		b. Complete the bed change yourself even though you are uncomfortable.
If you are uncomfortable making a bed change, it is appropriate to ask for assistance, especially with an obese or immobile patient. If there is a risk of improper body mechanics, it would be appropriate to consider a two-person bed change. If you attempt to change the bed yourself, you may be at risk to strain your back or use other improper body mechanics. The patient may also be put in improper positions to accommodate trying to change the bed. If possible, it is best not to push off tasks onto the next shift. If the patient has requested a bed change, they may be incontinent. The CNA should change the bed when asked within a reasonable time frame. Incorrect answer. Please choose another answer.
		c. Wait until shift change to let the next shift take care of it.
If you are uncomfortable making a bed change, it is appropriate to ask for assistance, especially with an obese or immobile patient. If there is a risk of improper body mechanics, it would be appropriate to consider a two-person bed change. If you attempt to change the bed yourself, you may be at risk to strain your back or use other improper body mechanics. The patient may also be put in improper positions to accommodate trying to change the bed. If possible, it is best not to push off tasks onto the next shift. If the patient has requested a bed change, they may be incontinent. The CNA should change the bed when asked within a reasonable time frame. Incorrect answer. Please choose another answer.
		d. Tell the patient that they do not need a bed change.
If you are uncomfortable making a bed change, it is appropriate to ask for assistance, especially with an obese or immobile patient. If there is a risk of improper body mechanics, it would be appropriate to consider a two-person bed change. If you attempt to change the bed yourself, you may be at risk to strain your back or use other improper body mechanics. The patient may also be put in improper positions to accommodate trying to change the bed. If possible, it is best not to push off tasks onto the next shift. If the patient has requested a bed change, they may be incontinent. The CNA should change the bed when asked within a reasonable time frame. Incorrect answer. Please choose another answer.

CNA Roles, Roles of Others and Teamwork

6.	Which duties would be performed by a CNA in team nursing?
		a. Assessment of the heart and lungs
Taking vital signs and blood sugars readings would fall under a CNA's scope of practice and responsibilities in a team nursing setting. Assessments can only be performed by an RN or LPN. Physical therapy exercise teaching should be performed by a physical therapist. Incorrect answer. Please choose another answer.
		b. Teaching physical therapy exercises
Taking vital signs and blood sugars readings would fall under a CNA's scope of practice and responsibilities in a team nursing setting. Assessments can only be performed by an RN or LPN. Physical therapy exercise teaching should be performed by a physical therapist. Incorrect answer. Please choose another answer.
		c. Taking Vital Signs and Blood Sugars Readings
Taking vital signs and blood sugars readings would fall under a CNA's scope of practice and responsibilities in a team nursing setting. Assessments can only be performed by an RN or LPN. Physical therapy exercise teaching should be performed by a physical therapist. Incorrect answer. Please choose another answer.
		d. All of the above.
Taking vital signs and blood sugars readings would fall under a CNA's scope of practice and responsibilities in a team nursing setting. Assessments can only be performed by an RN or LPN. Physical therapy exercise teaching should be performed by a physical therapist. Incorrect answer. Please choose another answer.

Legal and Ethical Aspects of the CNA Role

7.	The CNA can legally ____________.
		a. supervise other CNAs
While it is appropriate for a CNA to orient another CNA to the responsibilities of the job, a CNAs cannot legally supervise, teach or mentor other CNAs. This is the role of the nurse, not the CNA. Incorrect answer. Please choose another answer.
		b. teach other CNAs
While it is appropriate for a CNA to orient another CNA to the responsibilities of the job, a CNAs cannot legally supervise, teach or mentor other CNAs. This is the role of the nurse, not the CNA. Incorrect answer. Please choose another answer.
		c. mentor other CNAs
While it is appropriate for a CNA to orient another CNA to the responsibilities of the job, a CNAs cannot legally supervise, teach or mentor other CNAs. This is the role of the nurse, not the CNA. Incorrect answer. Please choose another answer.
		d. None of the above
While it is appropriate for a CNA to orient another CNA to the responsibilities of the job, a CNAs cannot legally supervise, teach or mentor other CNAs. This is the role of the nurse, not the CNA. Incorrect answer. Please choose another answer.

Legal and Ethical Aspects of the CNA Role

8.	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
You must refuse to do the assignment. Supervision is not legally a part of the CNA role. You can be legally charged with unlicensed activity if you accept a job that is not within your legal scope of practice. Supervision is not within the scope of practice for a CNA. The CNA should not even consider asking about the details. This is not within your scope of practice. You should notify the next person in the chain of command above the director of nursing if that staff member continues to pressure you to take the job. Incorrect answer. Please choose another answer.
		b. Do the best you can do
You must refuse to do the assignment. Supervision is not legally a part of the CNA role. You can be legally charged with unlicensed activity if you accept a job that is not within your legal scope of practice. Supervision is not within the scope of practice for a CNA. The CNA should not even consider asking about the details. This is not within your scope of practice. You should notify the next person in the chain of command above the director of nursing if that staff member continues to pressure you to take the job. Incorrect answer. Please choose another answer.
		c. Ask about the details
You must refuse to do the assignment. Supervision is not legally a part of the CNA role. You can be legally charged with unlicensed activity if you accept a job that is not within your legal scope of practice. Supervision is not within the scope of practice for a CNA. The CNA should not even consider asking about the details. This is not within your scope of practice. You should notify the next person in the chain of command above the director of nursing if that staff member continues to pressure you to take the job. Incorrect answer. Please choose another answer.
		d. Call the owner
You must refuse to do the assignment. Supervision is not legally a part of the CNA role. You can be legally charged with unlicensed activity if you accept a job that is not within your legal scope of practice. Supervision is not within the scope of practice for a CNA. The CNA should not even consider asking about the details. This is not within your scope of practice. You should notify the next person in the chain of command above the director of nursing if that staff member continues to pressure you to take the job. Incorrect answer. Please choose another answer.

Legal and Ethical Aspects of the CNA Role

9.	Which of the following actions is ethically wrong in the care of nursing home residents?
		a. The CNA remains right outside the bathroom door and instructs the patient to pull the call light when they have finished urinating.
Waiting to change the patient every 4 hours can cause skin breakdown if the patient is incontinent every hour. Changes should happen every 2 hours at the most, and a trained CNA should be aware of these standards. It is appropriate for a CNA to wait right outside the bathroom door to give the patient privacy while urinating, wipe the patient's finger with an alcohol swab when taking a blood glucose level to get an accurate reading and to make sure the high-fall risk patient walks only with assistance in the hallways. Incorrect answer. Please choose another answer.
		b.The CNA wipes the patient's finger with an alcohol swab prior to taking a blood glucose level.
Waiting to change the patient every 4 hours can cause skin breakdown if the patient is incontinent every hour. Changes should happen every 2 hours at the most, and a trained CNA should be aware of these standards. It is appropriate for a CNA to wait right outside the bathroom door to give the patient privacy while urinating, wipe the patient's finger with an alcohol swab when taking a blood glucose level to get an accurate reading and to make sure the high-fall risk patient walks only with assistance in the hallways. Incorrect answer. Please choose another answer.
		c. The CNA does not let a confused high-fall risk patient ambulate in the halls without assistance.
Waiting to change the patient every 4 hours can cause skin breakdown if the patient is incontinent every hour. Changes should happen every 2 hours at the most, and a trained CNA should be aware of these standards. It is appropriate for a CNA to wait right outside the bathroom door to give the patient privacy while urinating, wipe the patient's finger with an alcohol swab when taking a blood glucose level to get an accurate reading and to make sure the high-fall risk patient walks only with assistance in the hallways. Incorrect answer. Please choose another answer.
		d. The CNA chooses to complete an incontinence change every 4 hours on a patient who is incontinent every hour.
Waiting to change the patient every 4 hours can cause skin breakdown if the patient is incontinent every hour. Changes should happen every 2 hours at the most, and a trained CNA should be aware of these standards. It is appropriate for a CNA to wait right outside the bathroom door to give the patient privacy while urinating, wipe the patient's finger with an alcohol swab when taking a blood glucose level to get an accurate reading and to make sure the high-fall risk patient walks only with assistance in the hallways. Incorrect answer. Please choose another answer.

Legal and Ethical Aspects of the CNA Role

10.	A patient requires a dressing change for the first time after surgery. Which of the following staff cannot legally change the patient's dressing immediately after surgery?
		a. CNA
A CNA cannot change a patient's dressing immediately after surgery as this requires an assessment of the condition of the wound. A physician, RN or LPN can legally make an assessment of the patient's incision and complete the dressing change. Incorrect answer. Please choose another answer.
		b. LPN
A CNA cannot change a patient's dressing immediately after surgery as this requires an assessment of the condition of the wound. A physician, RN or LPN can legally make an assessment of the patient's incision and complete the dressing change. Incorrect answer. Please choose another answer.
		c. RN
A CNA cannot change a patient's dressing immediately after surgery as this requires an assessment of the condition of the wound. A physician, RN or LPN can legally make an assessment of the patient's incision and complete the dressing change. Incorrect answer. Please choose another answer.
		d. MD
A CNA cannot change a patient's dressing immediately after surgery as this requires an assessment of the condition of the wound. A physician, RN or LPN can legally make an assessment of the patient's incision and complete the dressing change. Incorrect answer. Please choose another answer.

Legal and Ethical Aspects of the CNA Role

11.	Which of the following is now the minimal requirement to be able to legally record and document data, such as vital signs and blood sugar readings, within a hospital setting?
		a. Experience
Holding a certification, such as a Nursing Assistant Certification, is the minimal requirement to make a legal record of patient information. A nursing or medical license would allow the person to make a legal record of patient data; however, a certification can be obtained prior to licensure. A college degree does not legally allow a person to record patient data. Incorrect answer. Please choose another answer.
		b. Certification
Holding a certification, such as a Nursing Assistant Certification, is the minimal requirement to make a legal record of patient information. A nursing or medical license would allow the person to make a legal record of patient data; however, a certification can be obtained prior to licensure. A college degree does not legally allow a person to record patient data. Incorrect answer. Please choose another answer.
		c. Licensure
Holding a certification, such as a Nursing Assistant Certification, is the minimal requirement to make a legal record of patient information. A nursing or medical license would allow the person to make a legal record of patient data; however, a certification can be obtained prior to licensure. A college degree does not legally allow a person to record patient data. Incorrect answer. Please choose another answer.
		d. College Degree
Holding a certification, such as a Nursing Assistant Certification, is the minimal requirement to make a legal record of patient information. A nursing or medical license would allow the person to make a legal record of patient data; however, a certification can be obtained prior to licensure. A college degree does not legally allow a person to record patient data. Incorrect answer. Please choose another answer.

Priorities and Priority Setting

12.	Who developed the Hierarchy of Needs?
		a. Erikson
Abraham Maslow developed the Hierarchy of Needs. Erik Erikson developed a framework of development tasks; Jean Piaget describes the thinking development of people, and Florence Nightingale is referred to as the Mother of Nursing. Incorrect answer. Please choose another answer.
		b. Piaget
Abraham Maslow developed the Hierarchy of Needs. Erik Erikson developed a framework of development tasks; Jean Piaget describes the thinking development of people, and Florence Nightingale is referred to as the Mother of Nursing. Incorrect answer. Please choose another answer.
		c. Maslow
Abraham Maslow developed the Hierarchy of Needs. Erik Erikson developed a framework of development tasks; Jean Piaget describes the thinking development of people, and Florence Nightingale is referred to as the Mother of Nursing. Incorrect answer. Please choose another answer.
		d. Nightingale
Abraham Maslow developed the Hierarchy of Needs. Erik Erikson developed a framework of development tasks; Jean Piaget describes the thinking development of people, and Florence Nightingale is referred to as the Mother of Nursing. Incorrect answer. Please choose another answer.

Priorities and Priority Setting

13.	The levels of the Hierarchy of Needs are ___________________.
		a. physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization
The levels of Maslow' hierarchy are the physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization. Assessment, planning, implementation and evaluation are phases of the nursing process. Subjective data, objective data, data analysis, open ended questions and close ended questions are parts and aspects of the interview process. Lastly, the integumentary, respiratory, nervous and cardiac systems are a few of our bodily systems. Incorrect answer. Please choose another answer.
		b. need for freedom, need for resources, needs of self and needs of others
The levels of Maslow' hierarchy are the physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization. Assessment, planning, implementation and evaluation are phases of the nursing process. Subjective data, objective data, data analysis, open ended questions and close ended questions are parts and aspects of the interview process. Lastly, the integumentary, respiratory, nervous and cardiac systems are a few of our bodily systems. Incorrect answer. Please choose another answer.
		c. subjective needs, objective needs, data analysis and needs for resolution
The levels of Maslow' hierarchy are the physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization. Assessment, planning, implementation and evaluation are phases of the nursing process. Subjective data, objective data, data analysis, open ended questions and close ended questions are parts and aspects of the interview process. Lastly, the integumentary, respiratory, nervous and cardiac systems are a few of our bodily systems. Incorrect answer. Please choose another answer.
		d. integumentary system, respiratory system, nervous system and cardiac system
The levels of Maslow' hierarchy are the physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization. Assessment, planning, implementation and evaluation are phases of the nursing process. Subjective data, objective data, data analysis, open ended questions and close ended questions are parts and aspects of the interview process. Lastly, the integumentary, respiratory, nervous and cardiac systems are a few of our bodily systems. Incorrect answer. Please choose another answer.

Priorities and Priority Setting

14.	The CNA is working on a busy med-surg hospital floor and is caring for 10 patients. Vital signs are taken every 4 hours, with meals delivered at 0730, 12:30 and 5:30. It is currently 0900 and all patients have received their breakfast trays. Last vital signs were taken at 0400. Which of the following is the highest priority?
		a. A patient is requesting a full bed bath right now.
A patient complaining of chest pain is the highest priority and should be reported to the nurse immediately. A patient requesting a bed bath would be a low priority. Vital signs should be started as soon as the CNA reports the patient complaining of chest pain to the nurse. The CNA can start collecting trays as possible when entering patient rooms to complete other higher priority tasks. Incorrect answer. Please choose another answer.
		b. Taking vitals on all patients since they were not taken at 0800.
A patient complaining of chest pain is the highest priority and should be reported to the nurse immediately. A patient requesting a bed bath would be a low priority. Vital signs should be started as soon as the CNA reports the patient complaining of chest pain to the nurse. The CNA can start collecting trays as possible when entering patient rooms to complete other higher priority tasks. Incorrect answer. Please choose another answer.
		c. The patients have finished their meals and are requesting the trays to be taken from the room.
A patient complaining of chest pain is the highest priority and should be reported to the nurse immediately. A patient requesting a bed bath would be a low priority. Vital signs should be started as soon as the CNA reports the patient complaining of chest pain to the nurse. The CNA can start collecting trays as possible when entering patient rooms to complete other higher priority tasks. Incorrect answer. Please choose another answer.
		d. A patient is complaining of chest pain after surgery and is requesting pain medicine.
A patient complaining of chest pain is the highest priority and should be reported to the nurse immediately. A patient requesting a bed bath would be a low priority. Vital signs should be started as soon as the CNA reports the patient complaining of chest pain to the nurse. The CNA can start collecting trays as possible when entering patient rooms to complete other higher priority tasks. Incorrect answer. Please choose another answer.

Priorities and Priority Setting

15.	It is nearly time for your lunch break. A nurse is requesting assistance with an incontinence bed change. Which of the following is not a proper response?
		a. Gather supplies and assist the nurse with the bed change
It is not appropriate to refuse assistance to care for a patient within reason. The CNA should assist the nurse as much as possible prior to taking her lunch or request another staff member to assist with the patient's needs. It is appropriate to delay your lunch if needed to assist the nurse. If getting a full lunch period becomes difficult, it should be discussed with the Director of Nursing. It is appropriate to ask for assistance from other staff members to meet a patient's needs. Incorrect answer. Please choose another answer.
		b. Tell the nurse you cannot help as you are going on lunch
It is not appropriate to refuse assistance to care for a patient within reason. The CNA should assist the nurse as much as possible prior to taking her lunch or request another staff member to assist with the patient's needs. It is appropriate to delay your lunch if needed to assist the nurse. If getting a full lunch period becomes difficult, it should be discussed with the Director of Nursing. It is appropriate to ask for assistance from other staff members to meet a patient's needs. Incorrect answer. Please choose another answer.
		c. Delay your lunch if needed to assist the nurse as possible
It is not appropriate to refuse assistance to care for a patient within reason. The CNA should assist the nurse as much as possible prior to taking her lunch or request another staff member to assist with the patient's needs. It is appropriate to delay your lunch if needed to assist the nurse. If getting a full lunch period becomes difficult, it should be discussed with the Director of Nursing. It is appropriate to ask for assistance from other staff members to meet a patient's needs. Incorrect answer. Please choose another answer.
		d. Request the CNA covering your lunch to assist the nurse
It is not appropriate to refuse assistance to care for a patient within reason. The CNA should assist the nurse as much as possible prior to taking her lunch or request another staff member to assist with the patient's needs. It is appropriate to delay your lunch if needed to assist the nurse. If getting a full lunch period becomes difficult, it should be discussed with the Director of Nursing. It is appropriate to ask for assistance from other staff members to meet a patient's needs. Incorrect answer. Please choose another answer.

Acceptable and Unacceptable Abbreviations

16.	You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid". This patient will be assisted with ambulation at which of the following times?
		a. 10 am
Qid is the acceptable abbreviation for four times per day. These times, in most facilities, are 10 am, 2 pm, 6 pm and 10 pm. Once per day is QD. Twice a day is BID. Three times a day is TID. Incorrect answer. Please choose another answer.
		b. 10 am and 2 pm
Qid is the acceptable abbreviation for four times per day. These times, in most facilities, are 10 am, 2 pm, 6 pm and 10 pm. Once per day is QD. Twice a day is BID. Three times a day is TID. Incorrect answer. Please choose another answer.
		c. 10 am, 2 pm and 6 pm
Qid is the acceptable abbreviation for four times per day. These times, in most facilities, are 10 am, 2 pm, 6 pm and 10 pm. Once per day is QD. Twice a day is BID. Three times a day is TID. Incorrect answer. Please choose another answer.
		d. 10 am, 2 pm, 6 pm and 10 pm
Qid is the acceptable abbreviation for four times per day. These times, in most facilities, are 10 am, 2 pm, 6 pm and 10 pm. Once per day is QD. Twice a day is BID. Three times a day is TID. Incorrect answer. Please choose another answer.

Acceptable and Unacceptable Abbreviations

17.	The RN asks you to bring the unit's collected lab specimens to the lab "stat". You should ______________.
		a. not do this errand because CNAs do not do "stats".
Stat is the acceptable abbreviation for immediately and without any delay. Doing errands, like bringing lab specimens to the lab, can be done by CNAs. Incorrect answer. Please choose another answer.
		b. run this errand as soon as you can.
Stat is the acceptable abbreviation for immediately and without any delay. Doing errands, like bringing lab specimens to the lab, can be done by CNAs. Incorrect answer. Please choose another answer.
		c. run this errand immediately and without delay.
Stat is the acceptable abbreviation for immediately and without any delay. Doing errands, like bringing lab specimens to the lab, can be done by CNAs. Incorrect answer. Please choose another answer.
		d. Before the end of your shift or after your lunch.
Stat is the acceptable abbreviation for immediately and without any delay. Doing errands, like bringing lab specimens to the lab, can be done by CNAs. Incorrect answer. Please choose another answer.

Acceptable and Unacceptable Abbreviations

18.	Hospital policy states that patients on the medical floor should have vital signs taken every 4 hours. Which of the following is an appropriate abbreviation for this order?
		a. V. Signs QID
This is the appropriate abbreviation for vital signs every 4 hours. Vital Signs QID indicates take vital signs four times a day but does not specify the time interval. QOD indicates to take vital signs every other day. QOD is also not recommended as an abbreviation. Vitals QD x 4 indicates take vital signs every day for four days, not every 4 hours. Incorrect answer. Please choose another answer.
		b. VS q4 hrs
This is the appropriate abbreviation for vital signs every 4 hours. Vital Signs QID indicates take vital signs four times a day but does not specify the time interval. QOD indicates to take vital signs every other day. QOD is also not recommended as an abbreviation. Vitals QD x 4 indicates take vital signs every day for four days, not every 4 hours. Incorrect answer. Please choose another answer.
		c. Vital signs QOD
This is the appropriate abbreviation for vital signs every 4 hours. Vital Signs QID indicates take vital signs four times a day but does not specify the time interval. QOD indicates to take vital signs every other day. QOD is also not recommended as an abbreviation. Vitals QD x 4 indicates take vital signs every day for four days, not every 4 hours. Incorrect answer. Please choose another answer.
		d. Vitals QD x 4
This is the appropriate abbreviation for vital signs every 4 hours. Vital Signs QID indicates take vital signs four times a day but does not specify the time interval. QOD indicates to take vital signs every other day. QOD is also not recommended as an abbreviation. Vitals QD x 4 indicates take vital signs every day for four days, not every 4 hours. Incorrect answer. Please choose another answer.

Acceptable and Unacceptable Abbreviations

19.	What does the medical abbreviation ADL stand for?
		a. Activities of Daily Living
The medical abbreviation ADL stands for Activities of Daily living. Incorrect answer. Please choose another answer.
		b. Advantages of Disability and Life Insurance
The medical abbreviation ADL stands for Activities of Daily living. Incorrect answer. Please choose another answer.
		c. Assessment of Depth and Length
The medical abbreviation ADL stands for Activities of Daily living. Incorrect answer. Please choose another answer.
		d. All Day Long
The medical abbreviation ADL stands for Activities of Daily living. Incorrect answer. Please choose another answer.

Acceptable and Unacceptable Abbreviations

20.	You are caring for a patient with a BKA. What do you expect to see when entering the patient's room related to this abbreviation when working with the patient?
		a. A patient with an amputation below the knee
In medical terminology, BKA means below the knee amputation. A BKA would be missing a lower limb below the knee. A patient with tubes coming out of both kidneys has bilateral nephrostomies. A BKA would not indicate an elevated blood sugar. (This may indicate DKA, a medical diagnosis.). A patient with edematous legs may be suffering from CHF, or congestive heart failure. Incorrect answer. Please choose another answer.
		b. A patient with tubes coming out of both kidneys
In medical terminology, BKA means below the knee amputation. A BKA would be missing a lower limb below the knee. A patient with tubes coming out of both kidneys has bilateral nephrostomies. A BKA would not indicate an elevated blood sugar. (This may indicate DKA, a medical diagnosis.). A patient with edematous legs may be suffering from CHF, or congestive heart failure. Incorrect answer. Please choose another answer.
		c. A blood sugar of 600 once you take a finger stick glucose
In medical terminology, BKA means below the knee amputation. A BKA would be missing a lower limb below the knee. A patient with tubes coming out of both kidneys has bilateral nephrostomies. A BKA would not indicate an elevated blood sugar. (This may indicate DKA, a medical diagnosis.). A patient with edematous legs may be suffering from CHF, or congestive heart failure. Incorrect answer. Please choose another answer.
		d. A patient with swollen legs from heart failure
In medical terminology, BKA means below the knee amputation. A BKA would be missing a lower limb below the knee. A patient with tubes coming out of both kidneys has bilateral nephrostomies. A BKA would not indicate an elevated blood sugar. (This may indicate DKA, a medical diagnosis.). A patient with edematous legs may be suffering from CHF, or congestive heart failure. Incorrect answer. Please choose another answer.

Observation, Reporting and Abbreviations

21.	Which of the following lists the five senses?
		a. sight, hearing, taste, smell and common sense.
The five senses are hearing, smell, taste, sight and touch. Auditory is the same as hearing and visual is the same as seeing. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.
		b. hearing, taste, smell, common sense and auditory.
The five senses are hearing, smell, taste, sight and touch. Auditory is the same as hearing and visual is the same as seeing. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.
		c. sight, taste, smell, auditory and visual.
The five senses are hearing, smell, taste, sight and touch. Auditory is the same as hearing and visual is the same as seeing. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.
		d. hearing, smell, taste, sight and touch.
The five senses are hearing, smell, taste, sight and touch. Auditory is the same as hearing and visual is the same as seeing. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.

Observation, Reporting and Abbreviations

22.	What senses do nursing assistants use to observe patients and residents?
		a. Sight, hearing and touch
The five senses are sight, hearing, smell, taste and touch. Nursing assistants use sight, hearing and touch to observe their patients and residents. They use sight to read blood pressures and to see if the person is sleeping. They use hearing when they listen to the patient and hear their concerns. They use touch when they touch the patient's skin and feel that it is warm or wet. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.
		b. Sight and hearing only
The five senses are sight, hearing, smell, taste and touch. Nursing assistants use sight, hearing and touch to observe their patients and residents. They use sight to read blood pressures and to see if the person is sleeping. They use hearing when they listen to the patient and hear their concerns. They use touch when they touch the patient's skin and feel that it is warm or wet. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.
		c. Sight and common sense only
The five senses are sight, hearing, smell, taste and touch. Nursing assistants use sight, hearing and touch to observe their patients and residents. They use sight to read blood pressures and to see if the person is sleeping. They use hearing when they listen to the patient and hear their concerns. They use touch when they touch the patient's skin and feel that it is warm or wet. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.
		d. Taste and hearing only
The five senses are sight, hearing, smell, taste and touch. Nursing assistants use sight, hearing and touch to observe their patients and residents. They use sight to read blood pressures and to see if the person is sleeping. They use hearing when they listen to the patient and hear their concerns. They use touch when they touch the patient's skin and feel that it is warm or wet. Common sense is not one of the five senses. Incorrect answer. Please choose another answer.

Observation, Reporting and Abbreviations

23.	A CNA is caring for an immobile patient and notices a new open sore to the patient's sacrum. What should the CNA do?
		a. Report this finding to the nurse.
She should report the finding to the nurse. Only nurses can make assessments of a new open area on the skin. The sore should be reported to the nurse prior to applying barrier cream or any other intervention. Because this appears to be a pressure ulcer, it is unlikely the patient is aware it is there. Incorrect answer. Please choose another answer.
		b. Place barrier cream over the sore.
She should report the finding to the nurse. Only nurses can make assessments of a new open area on the skin. The sore should be reported to the nurse prior to applying barrier cream or any other intervention. Because this appears to be a pressure ulcer, it is unlikely the patient is aware it is there. Incorrect answer. Please choose another answer.
		c. Ask the patient how they got the sore.
She should report the finding to the nurse. Only nurses can make assessments of a new open area on the skin. The sore should be reported to the nurse prior to applying barrier cream or any other intervention. Because this appears to be a pressure ulcer, it is unlikely the patient is aware it is there. Incorrect answer. Please choose another answer.
		d. Do nothing.
She should report the finding to the nurse. Only nurses can make assessments of a new open area on the skin. The sore should be reported to the nurse prior to applying barrier cream or any other intervention. Because this appears to be a pressure ulcer, it is unlikely the patient is aware it is there. Incorrect answer. Please choose another answer.

Observation, Reporting and Abbreviations

24.	A CNA is working in the resident dining hall and notices a resident grabbing at her throat without making any noise. What should the CNA's response be?
		a. Perform the Heimlich maneuver
If the resident is choking with no sound, the best response is to perform the Heimlich maneuver. Chest compressions are only appropriate if the resident does not have a pulse and is unresponsive. Slapping the residents back may cause the aspirate to move farther into the resident's airway. It is better to perform the Heimlich sooner. If possible, call for help prior to approaching the resident. Incorrect answer. Please choose another answer.
		b. Start chest compressions
If the resident is choking with no sound, the best response is to perform the Heimlich maneuver. Chest compressions are only appropriate if the resident does not have a pulse and is unresponsive. Slapping the residents back may cause the aspirate to move farther into the resident's airway. It is better to perform the Heimlich sooner. If possible, call for help prior to approaching the resident. Incorrect answer. Please choose another answer.
		c. Slap the residents back
If the resident is choking with no sound, the best response is to perform the Heimlich maneuver. Chest compressions are only appropriate if the resident does not have a pulse and is unresponsive. Slapping the residents back may cause the aspirate to move farther into the resident's airway. It is better to perform the Heimlich sooner. If possible, call for help prior to approaching the resident. Incorrect answer. Please choose another answer.
		d. Call for help and wait
If the resident is choking with no sound, the best response is to perform the Heimlich maneuver. Chest compressions are only appropriate if the resident does not have a pulse and is unresponsive. Slapping the residents back may cause the aspirate to move farther into the resident's airway. It is better to perform the Heimlich sooner. If possible, call for help prior to approaching the resident. Incorrect answer. Please choose another answer.

Observation, Reporting and Abbreviations

25.	A CNA is bathing a child on a Pediatric hospital unit. She notices the child has bruising to his arms and legs. What should be the CNA's first response be?
		a. Call Child Protective Services
The first response should be to alert the nursing staff on the floor so they can make a documented assessment of the findings, then the correct personnel should be notified following the hospital protocol in reporting child abuse. Unless the CNA feels she is not getting an appropriate response from other hospital staff, the CNA should follow the chain of command and the hospital protocol prior to getting Child Protective Services involved. The CNA should not question the child or confront the parents. This should be left to personnel trained specifically to handle domestic violence. Incorrect answer. Please choose another answer.
		b. Ask the child what happened
The first response should be to alert the nursing staff on the floor so they can make a documented assessment of the findings, then the correct personnel should be notified following the hospital protocol in reporting child abuse. Unless the CNA feels she is not getting an appropriate response from other hospital staff, the CNA should follow the chain of command and the hospital protocol prior to getting Child Protective Services involved. The CNA should not question the child or confront the parents. This should be left to personnel trained specifically to handle domestic violence. Incorrect answer. Please choose another answer.
		c. Confront the parents
The first response should be to alert the nursing staff on the floor so they can make a documented assessment of the findings, then the correct personnel should be notified following the hospital protocol in reporting child abuse. Unless the CNA feels she is not getting an appropriate response from other hospital staff, the CNA should follow the chain of command and the hospital protocol prior to getting Child Protective Services involved. The CNA should not question the child or confront the parents. This should be left to personnel trained specifically to handle domestic violence. Incorrect answer. Please choose another answer.
		d. Report the finding to the charge nurse per hospital protocol
The first response should be to alert the nursing staff on the floor so they can make a documented assessment of the findings, then the correct personnel should be notified following the hospital protocol in reporting child abuse. Unless the CNA feels she is not getting an appropriate response from other hospital staff, the CNA should follow the chain of command and the hospital protocol prior to getting Child Protective Services involved. The CNA should not question the child or confront the parents. This should be left to personnel trained specifically to handle domestic violence. Incorrect answer. Please choose another answer.

Safety and Managing Behavior

26.	Which risk factor places patients and residents at the greatest risk for falls?
		a. Old age
The elderly are at great risk for falls. Those in middle years are less at risk than the elderly population. COPD and pneumonia are not risk factors associated with falls. Incorrect answer. Please choose another answer.
		b. Middle years
The elderly are at great risk for falls. Those in middle years are less at risk than the elderly population. COPD and pneumonia are not risk factors associated with falls. Incorrect answer. Please choose another answer.
		c. Pneumonia
The elderly are at great risk for falls. Those in middle years are less at risk than the elderly population. COPD and pneumonia are not risk factors associated with falls. Incorrect answer. Please choose another answer.
		d. COPD
The elderly are at great risk for falls. Those in middle years are less at risk than the elderly population. COPD and pneumonia are not risk factors associated with falls. Incorrect answer. Please choose another answer.

Safety and Managing Behavior

27.	Which sensory impairment places residents and patients at risk for falls?
		a. Blindness
Blindness is a sensory, visual impairment. Visual impairments, such as low vision and blindness, place patients and residents at risk for falls because they cannot see hazards as well as those who have good vision. Confusion is a thinking, or emotional problem that places people at risk for falls. However, it is not a sensory impairment. Muscle weakness is also a risk factor for falls, but it is not a sensory impairment. Aging is not a sensory impairment. Incorrect answer. Please choose another answer.
		b. Confusion
Blindness is a sensory, visual impairment. Visual impairments, such as low vision and blindness, place patients and residents at risk for falls because they cannot see hazards as well as those who have good vision. Confusion is a thinking, or emotional problem that places people at risk for falls. However, it is not a sensory impairment. Muscle weakness is also a risk factor for falls, but it is not a sensory impairment. Aging is not a sensory impairment. Incorrect answer. Please choose another answer.
		c. Weakness
Blindness is a sensory, visual impairment. Visual impairments, such as low vision and blindness, place patients and residents at risk for falls because they cannot see hazards as well as those who have good vision. Confusion is a thinking, or emotional problem that places people at risk for falls. However, it is not a sensory impairment. Muscle weakness is also a risk factor for falls, but it is not a sensory impairment. Aging is not a sensory impairment. Incorrect answer. Please choose another answer.
		d. Aging
Blindness is a sensory, visual impairment. Visual impairments, such as low vision and blindness, place patients and residents at risk for falls because they cannot see hazards as well as those who have good vision. Confusion is a thinking, or emotional problem that places people at risk for falls. However, it is not a sensory impairment. Muscle weakness is also a risk factor for falls, but it is not a sensory impairment. Aging is not a sensory impairment. Incorrect answer. Please choose another answer.
		e. A and c only
Blindness is a sensory, visual impairment. Visual impairments, such as low vision and blindness, place patients and residents at risk for falls because they cannot see hazards as well as those who have good vision. Confusion is a thinking, or emotional problem that places people at risk for falls. However, it is not a sensory impairment. Muscle weakness is also a risk factor for falls, but it is not a sensory impairment. Aging is not a sensory impairment. Incorrect answer. Please choose another answer.

Safety and Managing Behavior

28.	You are caring for a resident in an Alzheimer's unit in a nursing home. The resident is repeatedly pushing on the locked door trying to exit the building. Which of the following would be your first response?
		a. Unlock the door and allow the resident to exit the building
Approaching the resident calmly and trying to verbally reorient and redirect the resident back to their room would be the first response. If the resident refuses to return to their room or becomes verbally or physically aggressive, it would then be appropriate to notify the nurse. While physically touching the resident may be a secondary response, this would not be the best initial response as it may cause the resident to become physically or verbally aggressive. This could escalate into a unsafe situation for the resident. Unlocking a locked door in an Alzheimer's unit to allow the resident through would not be appropriate. The resident may become lost or could fall in an unfamiliar environment. It is appropriate to assist the resident back to their room; however restraints should only be applied by a nurse and with a provider's order. Other interventions should always be tried first. Incorrect answer. Please choose another answer.
		b.Take hold of the resident's elbow and direct them toward the room
Approaching the resident calmly and trying to verbally reorient and redirect the resident back to their room would be the first response. If the resident refuses to return to their room or becomes verbally or physically aggressive, it would then be appropriate to notify the nurse. While physically touching the resident may be a secondary response, this would not be the best initial response as it may cause the resident to become physically or verbally aggressive. This could escalate into a unsafe situation for the resident. Unlocking a locked door in an Alzheimer's unit to allow the resident through would not be appropriate. The resident may become lost or could fall in an unfamiliar environment. It is appropriate to assist the resident back to their room; however restraints should only be applied by a nurse and with a provider's order. Other interventions should always be tried first. Incorrect answer. Please choose another answer.
		c. Attempt to verbally reorient or redirect the resident back to their room
Approaching the resident calmly and trying to verbally reorient and redirect the resident back to their room would be the first response. If the resident refuses to return to their room or becomes verbally or physically aggressive, it would then be appropriate to notify the nurse. While physically touching the resident may be a secondary response, this would not be the best initial response as it may cause the resident to become physically or verbally aggressive. This could escalate into a unsafe situation for the resident. Unlocking a locked door in an Alzheimer's unit to allow the resident through would not be appropriate. The resident may become lost or could fall in an unfamiliar environment. It is appropriate to assist the resident back to their room; however restraints should only be applied by a nurse and with a provider's order. Other interventions should always be tried first. Incorrect answer. Please choose another answer.
		d. Assist the resident to their room and apply restraints to prevent her from leaving
Approaching the resident calmly and trying to verbally reorient and redirect the resident back to their room would be the first response. If the resident refuses to return to their room or becomes verbally or physically aggressive, it would then be appropriate to notify the nurse. While physically touching the resident may be a secondary response, this would not be the best initial response as it may cause the resident to become physically or verbally aggressive. This could escalate into a unsafe situation for the resident. Unlocking a locked door in an Alzheimer's unit to allow the resident through would not be appropriate. The resident may become lost or could fall in an unfamiliar environment. It is appropriate to assist the resident back to their room; however restraints should only be applied by a nurse and with a provider's order. Other interventions should always be tried first. Incorrect answer. Please choose another answer.

Safety and Managing Behavior

29.	You are working in a dual occupancy room in a long-term care facility when the residents start arguing back and forth from their beds. What is the best response?
		a. Tell the residents they must stop arguing
It is best to notify the nurse or care manager as soon as possible as more experienced staff members may be necessary to prevent the situation from escalating further. Telling the residents to stop arguing may exacerbate the argument and the CNA needs to remain impartial to the resident's conversation. A resident should not be moved to another room without instruction from the care manager or nursing supervisor. Pulling the curtain can help, but the residents will still argue with the curtain in place. Incorrect answer. Please choose another answer.
		b. Notify the nurse or resident care manager
It is best to notify the nurse or care manager as soon as possible as more experienced staff members may be necessary to prevent the situation from escalating further. Telling the residents to stop arguing may exacerbate the argument and the CNA needs to remain impartial to the resident's conversation. A resident should not be moved to another room without instruction from the care manager or nursing supervisor. Pulling the curtain can help, but the residents will still argue with the curtain in place. Incorrect answer. Please choose another answer.
		c. Change the room for one resident
It is best to notify the nurse or care manager as soon as possible as more experienced staff members may be necessary to prevent the situation from escalating further. Telling the residents to stop arguing may exacerbate the argument and the CNA needs to remain impartial to the resident's conversation. A resident should not be moved to another room without instruction from the care manager or nursing supervisor. Pulling the curtain can help, but the residents will still argue with the curtain in place. Incorrect answer. Please choose another answer.
		d. Pull the curtain between the two residents
It is best to notify the nurse or care manager as soon as possible as more experienced staff members may be necessary to prevent the situation from escalating further. Telling the residents to stop arguing may exacerbate the argument and the CNA needs to remain impartial to the resident's conversation. A resident should not be moved to another room without instruction from the care manager or nursing supervisor. Pulling the curtain can help, but the residents will still argue with the curtain in place. Incorrect answer. Please choose another answer.

Safety and Managing Behavior

30.	Which of the following is most likely to de-escalate a disoriented patient who is starting to become verbally abusive?
		a. Address their concerns in a slow and calm manner
The best way to de-escalate an agitated patient is to talk in a slow and calm manner. Physically engaging with them or shouting may agitate the patient further. Closing the door to the room may not be safe in a disoriented patient, who is at risk for falls. It is best to not physically touch the patient who is agitated unless they accept your assistance. Incorrect answer. Please choose another answer.
		b. Shout at them to snap out of it
The best way to de-escalate an agitated patient is to talk in a slow and calm manner. Physically engaging with them or shouting may agitate the patient further. Closing the door to the room may not be safe in a disoriented patient, who is at risk for falls. It is best to not physically touch the patient who is agitated unless they accept your assistance. Incorrect answer. Please choose another answer.
		c. Close the door to their room
The best way to de-escalate an agitated patient is to talk in a slow and calm manner. Physically engaging with them or shouting may agitate the patient further. Closing the door to the room may not be safe in a disoriented patient, who is at risk for falls. It is best to not physically touch the patient who is agitated unless they accept your assistance. Incorrect answer. Please choose another answer.
		d. Physically assist the patient back into a supine position in bed
The best way to de-escalate an agitated patient is to talk in a slow and calm manner. Physically engaging with them or shouting may agitate the patient further. Closing the door to the room may not be safe in a disoriented patient, who is at risk for falls. It is best to not physically touch the patient who is agitated unless they accept your assistance. Incorrect answer. Please choose another answer.

Safety and Managing Behavior

31.	A CNA notices an uncapped syringe lying on the floor in the patient's room. What is the CNA's response?
		a. Safely pick up the syringe and place in the sharps container, then report it to the nurse.
It is best to remove the syringe and place in an appropriate disposal container for sharps as soon as possible, note the patient's room that you found it in, and then report to the nurse as soon as possible. You should not ignore the syringe; cleaning staff should not handle free syringes. Leaving the syringe also increases the risk for needle sticks. The syringe should be placed in the sharps container, not the trash can. Incorrect answer. Please choose another answer.
		b. Ignore the syringe, the cleaning staff will find it and dispose of it.
It is best to remove the syringe and place in an appropriate disposal container for sharps as soon as possible, note the patient's room that you found it in, and then report to the nurse as soon as possible. You should not ignore the syringe; cleaning staff should not handle free syringes. Leaving the syringe also increases the risk for needle sticks. The syringe should be placed in the sharps container, not the trash can. Incorrect answer. Please choose another answer.
		c. Safely pick up the syringe and place it in the trash can.
It is best to remove the syringe and place in an appropriate disposal container for sharps as soon as possible, note the patient's room that you found it in, and then report to the nurse as soon as possible. You should not ignore the syringe; cleaning staff should not handle free syringes. Leaving the syringe also increases the risk for needle sticks. The syringe should be placed in the sharps container, not the trash can. Incorrect answer. Please choose another answer.
		d. Leave the syringe in place and report it to the nurse.
It is best to remove the syringe and place in an appropriate disposal container for sharps as soon as possible, note the patient's room that you found it in, and then report to the nurse as soon as possible. You should not ignore the syringe; cleaning staff should not handle free syringes. Leaving the syringe also increases the risk for needle sticks. The syringe should be placed in the sharps container, not the trash can. Incorrect answer. Please choose another answer.

Disasters and Emergencies

32.	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.
You should close the patient doors to prevent smoke from entering the rooms. You do not evacuate patients until you are instructed to do so. The RACE procedure states that the first thing you must do in the case of a fire is R, or rescue patients in immediate danger. There are no patients on your unit in danger. The next thing you do is A, or pull the alarm. The alarm was already pulled because you hear the alarms ringing. So, the next step, C, or contain the fire is done. You close the doors to contain the fire and smoke, not open them. Incorrect answer. Please choose another answer.
		b. evacuate the patients vertically.
You should close the patient doors to prevent smoke from entering the rooms. You do not evacuate patients until you are instructed to do so. The RACE procedure states that the first thing you must do in the case of a fire is R, or rescue patients in immediate danger. There are no patients on your unit in danger. The next thing you do is A, or pull the alarm. The alarm was already pulled because you hear the alarms ringing. So, the next step, C, or contain the fire is done. You close the doors to contain the fire and smoke, not open them. Incorrect answer. Please choose another answer.
		c. close the patient doors.
You should close the patient doors to prevent smoke from entering the rooms. You do not evacuate patients until you are instructed to do so. The RACE procedure states that the first thing you must do in the case of a fire is R, or rescue patients in immediate danger. There are no patients on your unit in danger. The next thing you do is A, or pull the alarm. The alarm was already pulled because you hear the alarms ringing. So, the next step, C, or contain the fire is done. You close the doors to contain the fire and smoke, not open them. Incorrect answer. Please choose another answer.
		d. open the patient doors.
You should close the patient doors to prevent smoke from entering the rooms. You do not evacuate patients until you are instructed to do so. The RACE procedure states that the first thing you must do in the case of a fire is R, or rescue patients in immediate danger. There are no patients on your unit in danger. The next thing you do is A, or pull the alarm. The alarm was already pulled because you hear the alarms ringing. So, the next step, C, or contain the fire is done. You close the doors to contain the fire and smoke, not open them. Incorrect answer. Please choose another answer.

Disasters and Emergencies

33.	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.
RACE is the procedure that tells you what you do in case of a fire. R is the first priority; A is the second thing you do; C is the third thing to do; and E is the last thing you do when the RAC of RACE are done. R stands for Rescue. A stands for Alarm. C means Contain the fire and E indicates that you should Extinguish the fire only if you can do so safely and the fire is small and contained. You will extinguish the fire if you can do so safely and without harm, because the RAC of RACE is already done. Nobody is in danger; you have pulled the alarm and the fire is small and contained. You should never open windows or cover a trash can fire with all materials, like a blanket that will likely burn. Incorrect answer. Please choose another answer.
		b. Run away from the fire.
RACE is the procedure that tells you what you do in case of a fire. R is the first priority; A is the second thing you do; C is the third thing to do; and E is the last thing you do when the RAC of RACE are done. R stands for Rescue. A stands for Alarm. C means Contain the fire and E indicates that you should Extinguish the fire only if you can do so safely and the fire is small and contained. You will extinguish the fire if you can do so safely and without harm, because the RAC of RACE is already done. Nobody is in danger; you have pulled the alarm and the fire is small and contained. You should never open windows or cover a trash can fire with all materials, like a blanket that will likely burn. Incorrect answer. Please choose another answer.
		c. Cover the fire with a blanket.
RACE is the procedure that tells you what you do in case of a fire. R is the first priority; A is the second thing you do; C is the third thing to do; and E is the last thing you do when the RAC of RACE are done. R stands for Rescue. A stands for Alarm. C means Contain the fire and E indicates that you should Extinguish the fire only if you can do so safely and the fire is small and contained. You will extinguish the fire if you can do so safely and without harm, because the RAC of RACE is already done. Nobody is in danger; you have pulled the alarm and the fire is small and contained. You should never open windows or cover a trash can fire with all materials, like a blanket that will likely burn. Incorrect answer. Please choose another answer.
		d. Open the windows and exit the floor.
RACE is the procedure that tells you what you do in case of a fire. R is the first priority; A is the second thing you do; C is the third thing to do; and E is the last thing you do when the RAC of RACE are done. R stands for Rescue. A stands for Alarm. C means Contain the fire and E indicates that you should Extinguish the fire only if you can do so safely and the fire is small and contained. You will extinguish the fire if you can do so safely and without harm, because the RAC of RACE is already done. Nobody is in danger; you have pulled the alarm and the fire is small and contained. You should never open windows or cover a trash can fire with all materials, like a blanket that will likely burn. Incorrect answer. Please choose another answer.

Disasters and Emergencies

34.	Which of the following locations would provide you with the most up-to-date information on how to respond to a disaster within your facility?
		a. Google Search
A facility's Policy and Procedures Manuals need to obtain the most up-to-date procedures for responding to disasters, such as a fire, tornado, or winter storm. Google Search may provide you with generic information, but not the most up-to-date procedure for the facility you are in. It is the duty of the CNA to be aware of the procedures themselves without having to rely on other staff members in the event of a disaster. The Human Resources handbook will provide information pertaining to pay grades, benefits, and interactions with other personnel. Incorrect answer. Please choose another answer.
		b. Ask another CNA
A facility's Policy and Procedures Manuals need to obtain the most up-to-date procedures for responding to disasters, such as a fire, tornado, or winter storm. Google Search may provide you with generic information, but not the most up-to-date procedure for the facility you are in. It is the duty of the CNA to be aware of the procedures themselves without having to rely on other staff members in the event of a disaster. The Human Resources handbook will provide information pertaining to pay grades, benefits, and interactions with other personnel. Incorrect answer. Please choose another answer.
		c.The Facility's Policy and Procedures Manual
A facility's Policy and Procedures Manuals need to obtain the most up-to-date procedures for responding to disasters, such as a fire, tornado, or winter storm. Google Search may provide you with generic information, but not the most up-to-date procedure for the facility you are in. It is the duty of the CNA to be aware of the procedures themselves without having to rely on other staff members in the event of a disaster. The Human Resources handbook will provide information pertaining to pay grades, benefits, and interactions with other personnel. Incorrect answer. Please choose another answer.
		d. Human Resources Handbook
A facility's Policy and Procedures Manuals need to obtain the most up-to-date procedures for responding to disasters, such as a fire, tornado, or winter storm. Google Search may provide you with generic information, but not the most up-to-date procedure for the facility you are in. It is the duty of the CNA to be aware of the procedures themselves without having to rely on other staff members in the event of a disaster. The Human Resources handbook will provide information pertaining to pay grades, benefits, and interactions with other personnel. Incorrect answer. Please choose another answer.

Disasters and Emergencies

35.	In the event of a tornado spotting near the proximity of the building, what is the CNA's response to maintain patient safety?
		a. Move patients as far away from windows as possible.
Move patients away from outside windows to prevent debris and shattering glass from injuring the patient. All persons in the building should remain within the building and stay away from outside walls, doors, and windows. Appropriate actions should be taken to ensure patient safety; the building itself is not secure. The elevator should not be used during emergencies. Incorrect answer. Please choose another answer.
		b. Assist ambulatory patients to exit the building.
Move patients away from outside windows to prevent debris and shattering glass from injuring the patient. All persons in the building should remain within the building and stay away from outside walls, doors, and windows. Appropriate actions should be taken to ensure patient safety; the building itself is not secure. The elevator should not be used during emergencies. Incorrect answer. Please choose another answer.
		c. Do nothing, the building is secure.
Move patients away from outside windows to prevent debris and shattering glass from injuring the patient. All persons in the building should remain within the building and stay away from outside walls, doors, and windows. Appropriate actions should be taken to ensure patient safety; the building itself is not secure. The elevator should not be used during emergencies. Incorrect answer. Please choose another answer.
		d. Take patients down to the basement using the elevator.
Move patients away from outside windows to prevent debris and shattering glass from injuring the patient. All persons in the building should remain within the building and stay away from outside walls, doors, and windows. Appropriate actions should be taken to ensure patient safety; the building itself is not secure. The elevator should not be used during emergencies. Incorrect answer. Please choose another answer.