Exam (elaborations)
CNA Written Exam
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Exam of 72 pages for the course CNA Written at CNA Written (CNA Written Exam)
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CNA Written Exam*What should a CNA do if he or she sees a small fire in an unoccupied patient room?
*
A. Extinguish the fire.
B. Rescue residents in the rooms next door.
C. Activate the fire alarm.
D. Close all fire doors. - ANSWER C. Activate the fire alarm.
When encountering a fire use the acronym RACE (Rescue, Activate the alarm,
Confine
the fire, Extinguish the fire). Since no residents are in immediate danger, the CNA
should activate the alarm.
*Before entering a patient's room, a CNA should:*
A. Knock on the resident's door before entering.
B. Check the resident's care plan.
C. Make sure that the supplies are stocked for the unit.
D. All of the above. - ANSWER A. Knock on the resident's door before entering.
It is important to remember that the residents live in the facility. This is their home.
Thus,
it is important to knock on the door of a resident's room before walking in.
Understanding
the care plan is very important, but the CNA may not need to read this document
before
entering a resident's room on each and every occasion during a shift. Restocking the
resident's room is also important, but the CNA may not need to do this each and
every
time that they walk into a resident's room.
*What needs are found on the lowest level of Maslow's hierarchy of needs?*
A. Love and belonging
B. Self-esteem
C. Safety and security
D. Physical - ANSWER D. Physical
All humans must meet their basic physical needs for survival first (which means food,
water, shelter, etc.). Once those are met, people need safety and security, followed
by love and belonging, self-esteem, and finally, self-actualization.
A patient's family asks the CNA caring for a loved one about the results of a recent
blood test. What should the CNA say?
A. I think everything is normal, which is great!
B. Let me find the nurse to talk to you about the results.
C. Oh, he had a blood test? That is news to me.
,D. I cannot comment on patient treatment. Sorry. - ANSWER B. Let me find the
nurse to talk to you about the results.
The CNA should not comment on medical procedures or diagnostic information. The
patient has a right to privacy. When a family member asks about a patient's care or
health, help the family and ask the nurse on duty to speak with them about a
procedure of this kind.
A patient is refusing to drink fluids even though he is beginning to show signs of
dehydration (concentrated urine, headache, sunken eyes, low energy). What should
the CNA do?
A. Tell the patient to go home because he knows what is best for his care.
B. Explain the risks of dehydration, respect his decision, and inform the nurse about
his condition.
C. Request an IV for the patient so that the patient can get fluids without drinking
anything.
D. Force him to drink water immediately, because dehydration is dangerous. -
ANSWER B. Explain the risks of dehydration, respect his decision, and inform the
nurse about his condition.
A patient has the right to refuse treatment even if this is not in his best interest. In
this
situation, the CNA should explain that being hydrated is very important for a person's
health, and then let the nurse know that the patient is refusing treatment. Forcing a
patient to drink water is abuse. A CNA should NEVER hook up an IV and the CNA
has
no authority to discharge a patient.
If a patient refuses treatment and the CNA performs this care on the patient anyway,
what could happen to the CNA?
A. Nothing. CNAs should always perform care on patients regardless of patient
wishes.
B. The CNA could be given an award for performing care under challenging
conditions.
C. The CNA could be promoted as leader on the floor because he can get things
done.
D. The CNA could be charged with assault or battery. - ANSWER D. The CNA
could be charged with assault or battery.
A CNA can be charged with assault for threatening to perform care or battery for
touching a patient (providing care) without the patient's consent. A patient must give
consent for treatment. Treating a patient without the patient's consent violates the
patient's rights. A CNA could be fired or arrested for this kind of behavior.
Which is NOT a reason why a CNA should refuse an assignment?
A. The CNA is upset because of a personal conflict with the patient's family.
B. The CNA believes the task is unethical.
C. The task is outside of the CNA's standard of care.
D. Performing the task could be harmful to the CNA. - ANSWER A. The CNA is
upset because of a personal conflict with the patient's family.
,A personal disagreement with a patient's family is not a valid reason for refusing to
undertake a task. If the task is outside of the CNA's standard of care, the task is
dangerous, or if the CNA believes it is unethical, then the CNA should explain to the
nurse, in a calm professional manner, why she is refusing to undertake the task.
Which should the CNA NOT do as a healthcare professional?
A. Arrive to work on time, or even 5-10 minutes early.
B. Work single-handedly to take care of patients.
C. Eat well and get plenty of exercise and sleep.
D. Arrive at work well groomed in a clean uniform. - ANSWER B. Work single-
handedly to take care of patients.
A professional CNA is well groomed, arrives on time, and takes care of himself or
herself
outside of work. A CNA must be part of the healthcare team and not do the job
alone.
While standing in the elevator, a CNA overhears his colleagues speaking about a
resident's care. What is this a violation of?
A. The patient's right to medical care.
B. A DNR order
C. Patient confidentiality
D. It is not a violation of anything as professionals are discussing resident care. -
ANSWER C. Patient confidentiality
Discussing a resident's care in a public space, like an elevator, is a violation of the
patient's right to confidentiality under the HIPAA guidelines. DNR stands for do not
resuscitate, which is when a patient does not want to receive care if he or she stops
breathing. Patients have the right to receive medical care, but they also have the
right to
refuse medical care if they wish.
10. How is residential nursing care paid for?
A. Medicare
B. Medicaid
C. Private health insurance
D. All of the above - ANSWER D. All of the above
Residential nursing care is paid for in a variety of ways including Medicare, Medicaid,
private insurance and/or family savings depending on the resident's unique
circumstances.
While helping a resident sip hot tea, the CNA slips and accidentally spills hot tea on
the resident causing a burn. This is an example of:
A. Battery
B. Abuse
C. Negligence
D. Assault - ANSWER C. Negligence
, Accidentally burning a resident with hot tea is an example of negligence because the
CNA
did not take appropriate safety measures and the resident was injured as a result of
this.
Abuse, assault, and battery are all intentional acts that cause harm to residents.
A CNA falsely reports that one of his colleagues accepted an expensive gift from the
family of a resident. This is an example of:
A. Defamation
B. Insubordination
C. Negligence
D. Malpractice - ANSWER A. Defamation
Lying about a colleague's behavior is considered defamation of character.
Negligence
and malpractice are legal terms relating to health care providers; work with residents
(not
co-workers), and insubordination is a term used to describe someone who does not
follow orders.
Which of the following is NOT a normal part of changes in all older adults?
A. Bones become more brittle and can break more easily
B. The person is confused all the time
C. Night vision decreases
D. The skin becomes more fragile - ANSWER B. The person is confused all the
time
Not all older adults are confused or suffer from dementia. Older adults have more
brittle
and weaker bones than younger adults. The skin of older adults is more fragile than
the
skin of younger adults. Older adults will not see as well as night as younger adults.
When speaking with a resident, the CNA should NOT:
A. Listen to what the resident is saying
B. Address the resident by Mr. Mrs. or Ms. and his or her last name
C. Speak loudly and clearly so that the resident can hear the CNA
D. Share intimate or personal details of his or her life - ANSWER D. Share intimate
or personal details of his or her life
A CNA should not share intimate personal details of his or her private life. This is a
violation of professional boundaries. A CNA should address a resident using Mr.,
Mrs. or
Ms. and the resident's last name. A CNA should speak loudly and clearly enough so
that
the resident can hear the CNA. The CNA should listen closely to what the resident
says.
A CNA should NOT:
A. Delegate a task to another CNA
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