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Question 1Resident Rights, Independence, and Client Care
A CNA is giving a resident a bed bath. Which action best protects the resident's dignity?
- Rushing through the bath so the resident is exposed for less time
- Closing the door and draping the resident with a towel Correct answer.
- Talking about the resident's body with a coworker in the room
- Keeping the door open so other staff can see in
Explanation
Resident rights include being treated with dignity and having privacy during personal care. Closing the door and keeping the resident covered limits exposure to only what the task requires. Care should be unhurried enough to be safe and respectful.
Question 2Resident Rights, Independence, and Client Care
A resident says they do not want a shower this morning. What should the CNA do?
- Report the resident to the charge nurse as uncooperative
- Tell the resident that facility policy requires a shower today
- Ask a coworker to talk the resident into showering
- Respect the refusal and offer the shower again later Correct answer.
Explanation
Residents have the right to refuse treatment and care, including a bath or shower. The CNA should accept the refusal, document it, and re-offer care later. Pressure or punishment for refusing violates resident rights.
Question 3Resident Rights, Independence, and Client Care
What should a CNA do before entering a resident's room?
- Call out the resident's name from the hallway
- Knock and wait for permission to enter Correct answer.
- Wait in the hall until the resident opens the door
- Enter quietly so the resident is not disturbed
Explanation
A resident's room is their home and is entitled to privacy. Knocking and waiting for an answer gives the resident control over who enters and when. Entering without permission, even quietly, intrudes on that privacy.
Question 4Resident Rights, Independence, and Client Care
A resident's neighbor telephones and asks why the resident is in the facility. How should the CNA respond?
- Ask the resident's family what they want shared
- Explain the resident's diagnosis in general terms
- Confirm only that the resident lives there
- Say that resident information cannot be shared Correct answer.
Explanation
Information about a resident's health and stay is confidential and may not be released to people outside the care team. Even confirming that someone lives there discloses protected information. The CNA should decline to share anything and can direct the caller to the resident.
Question 5Resident Rights, Independence, and Client Care
Which statement correctly describes a resident's right regarding mail?
- Staff open incoming mail first to check for contraband
- Residents may receive mail only from family members
- Mail is delivered only after the nurse has reviewed it
- Residents may send and receive unopened mail Correct answer.
Explanation
Federal resident rights guarantee the right to send and receive personal mail unopened. Staff may assist a resident who asks for help but may not screen or censor mail. Restricting who may write to a resident is also a rights violation.
Question 6Resident Rights, Independence, and Client Care
A resident's family brings in a framed photograph. What should the CNA do?
- Store it in the activity room for safekeeping
- Discourage the item because personal things get lost
- Help the resident place it where they want it Correct answer.
- Ask the nurse to hold it until the next room check
Explanation
Residents have the right to keep and use personal possessions in their living space. The CNA should help the resident display the photo where the resident chooses and label it if facility practice requires. Removing the item or discouraging it takes away the resident's control over their own belongings.
Question 7Resident Rights, Independence, and Client Care
Which statement reflects a resident's visitation rights?
- Visitors may come at times the resident chooses Correct answer.
- Visitors are limited to two at a time for safety
- Visitors must sign in and visit only during posted hours
- Visitors need staff approval before each visit
Explanation
Residents have the right to receive visitors of their choosing at times that suit the resident. Facilities may have reasonable, resident-centered rules but may not restrict visitation arbitrarily. The resident, not the staff, decides who visits and when.
Question 8Resident Rights, Independence, and Client Care
A resident wants to make a private telephone call. What should the CNA do?
- Ask the resident who they plan to call
- Provide privacy and a working telephone Correct answer.
- Limit the call to ten minutes
- Stay in the room to help with the dialing
Explanation
Residents have the right to private telephone communication. The CNA's role is to make sure a phone is available and to give the resident privacy. Listening in or setting limits on calls violates that right.
Question 9Resident Rights, Independence, and Client Care
A resident keeps sliding forward in a wheelchair. Which action is appropriate?
- Reposition the resident and check the chair fit Correct answer.
- Ask another aide to hold the chair still
- Tie a sheet around the resident's waist
- Use a lap buddy without a doctor's order
Explanation
Residents have the right to be free from unnecessary restraints. The CNA should address the cause, such as posture or wheelchair fit, and reposition the resident. Any device that limits movement requires a prescriber's order and must be the least restrictive option.
Question 10Resident Rights, Independence, and Client Care
A CNA notices a bruise on a resident that the resident cannot explain. What is the CNA's first action?
- Call the resident's family to ask what happened
- Wait until the next shift to see if the bruise fades
- Report it right away to the charge nurse Correct answer.
- Write it in the shift log and keep watching the area
Explanation
An unexplained injury may be a sign of abuse or neglect, and CNAs are mandatory reporters. Suspicion must be reported promptly through the chain of command, usually the charge nurse, and then to the administrator and the state as required. Investigation is not the CNA's responsibility.
Question 11Resident Rights, Independence, and Client Care
A resident who usually attends bingo says they would rather stay in their room this afternoon. The CNA should:
- Say the resident will be bored and lonely
- Ask the activity director to require attendance
- Respect the choice and offer other options Correct answer.
- Insist the resident attend to prevent isolation
Explanation
Residents have the right to choose how they spend their time and which activities to join. The CNA should honor the decision, check that the resident has what they need, and offer alternatives. Forcing participation or lecturing the resident overrides self-determination.
Question 12Resident Rights, Independence, and Client Care
How does a CNA best support a resident's right to take part in care planning?
- Report the resident's preferences to the team Correct answer.
- Make decisions for the resident when they seem unsure
- Share the plan only with the resident's family
- Tell the resident the plan is set by the doctor
Explanation
Residents have the right to participate in their own care planning, and CNAs are their voice at the table. Passing along what the resident likes, dislikes, and wants gives the team accurate information. The resident, not the staff or family, makes the decisions when they are able.
Question 13Resident Rights, Independence, and Client Care
When helping a resident get dressed, the CNA should:
- Pick out clothes that are fastest to put on
- Dress the resident fully to save time
- Let the resident choose the outfit and do what they can Correct answer.
- Ask the roommate to help choose clothes
Explanation
Promoting independence means letting residents make choices and do as much for themselves as they are able. Choosing clothing is a personal decision that supports dignity. Speed and staff convenience are not valid reasons to take over a task.
Question 14Resident Rights, Independence, and Client Care
A resident tells the CNA they want to file a complaint about a staff member. What should the CNA do?
- Discourage the complaint to keep peace on the unit
- Explain the grievance process and help them start it Correct answer.
- Ask the resident to speak to the staff member first
- Promise the resident the complaint will stay secret
Explanation
Residents have the right to voice grievances without fear of retaliation. The CNA should make sure the resident knows how to file and can help them begin the process. Promising secrecy or discouraging the complaint interferes with that right.
Question 15Resident Rights, Independence, and Client Care
A resident's adult daughter asks the CNA whether her mother has a living will. What is the CNA's best response?
- Refer the daughter to the nurse or social worker Correct answer.
- Say that living wills are not honored in this facility
- Read the resident's chart aloud with the daughter present
- Share what the CNA remembers hearing at shift report
Explanation
Advance directive information is confidential and should be discussed by the appropriate team member. The CNA should direct the question to the nurse or social worker rather than answer it. Giving out or guessing at this information risks violating confidentiality and giving wrong details.
Question 16Resident Rights, Independence, and Client Care
A restraint may be used only when:
- A licensed prescriber orders it for a specific need Correct answer.
- The resident is confused and wanders at night
- The family asks the staff to prevent falls
- The unit is short-staffed on that shift
Explanation
Restraints require a prescriber's order for a documented medical symptom, must be the least restrictive option, and need ongoing review. They are never used for staff convenience, discipline, or coercion. Family preference alone does not justify restraint use.
Question 17Resident Rights, Independence, and Client Care
A resident follows a religious practice that affects what they eat. What should the CNA do?
- Ask other residents whether the practice is allowed
- Ignore it because diets are set by the dietitian
- Tell the nurse so the diet can be adjusted Correct answer.
- Tell the resident to eat what is served
Explanation
Residents have the right to practice their religion and to have dietary needs accommodated. The CNA should report the request so the dietitian and nurse can adjust the tray. Dismissing the practice ignores an important part of the resident's identity and rights.
Question 18Resident Rights, Independence, and Client Care
Which situation is an example of neglect rather than abuse?
- A staff member yells at a resident during care
- A resident's money is taken by a worker
- A resident is left lying in urine for hours Correct answer.
- A staff member slaps a resident's hand
Explanation
Neglect is the failure to provide the care a resident needs, such as leaving someone in wet linens. Abuse is a deliberate act that harms or mistreats the resident. Verbal, physical, and financial mistreatment are forms of abuse.
Question 19Resident Rights, Independence, and Client Care
A resident can feed themselves but is slow and often drops food. The best way to promote independence is to:
- Allow self-feeding and offer adaptive utensils Correct answer.
- Sit the resident alone so others are not disturbed
- Feed the resident to keep meals on schedule
- Order a pureed diet so spills are reduced
Explanation
Independence is supported by letting residents do what they can and providing tools or setup that make success easier. Adaptive utensils and a calm, unhurried approach preserve self-feeding skills. Taking over the task or isolating the resident reduces dignity and function.
Question 20Resident Rights, Independence, and Client Care
A resident who understands their situation refuses a scheduled blood pressure medication. What should the CNA do?
- Hide the pill in applesauce so it is taken
- Ask the family to sign a consent for treatment
- Tell the resident they cannot refuse a doctor's order
- Accept the refusal and notify the charge nurse Correct answer.
Explanation
A resident with decision-making capacity may refuse any treatment, including medication. The CNA must not conceal medication in food or coerce the resident. The refusal should be accepted and reported so the nurse can follow up and document it.
Question 21Resident Rights, Independence, and Client Care
When a resident must be transferred or discharged from the facility, the resident must be given written notice that includes:
- Only the date, once the move has been arranged
- The estimated cost of the move to the resident
- The reason, the effective date, and appeal rights Correct answer.
- The name of the next resident assigned to the room
Explanation
Residents have the right to advance written notice of a transfer or discharge, including the reason, the effective date, and how to appeal. Notice requirements protect the resident from being moved without explanation or recourse. Information about the next occupant or moving costs is not part of that notice.
Question 22Resident Rights, Independence, and Client Care
What is the role of the long-term care ombudsman?
- Enforce facility staffing ratios
- Advocate for residents and help resolve complaints Correct answer.
- Inspect kitchen sanitation along with the dietitian
- Approve each resident's individual care plan
Explanation
The ombudsman program is an independent advocate for residents of long-term care facilities. Ombudsmen help residents voice concerns, understand their rights, and work through complaints. They do not manage facility operations or clinical planning.
Question 23Resident Rights, Independence, and Client Care
A resident is given an antipsychotic medication mainly to make them easier for staff to manage. This practice is:
- Acceptable if the nurse documents the reason
- Allowed when the resident is over 65
- Part of routine dementia care
- A chemical restraint and a violation of rights Correct answer.
Explanation
Using medication to control behavior for staff convenience, rather than to treat a diagnosed condition, is a chemical restraint. Residents have the right to be free from unnecessary drugs and restraints. Documentation or age does not make the practice acceptable.
Question 24Resident Rights, Independence, and Client Care
What is a resident council?
- A staff meeting about resident behavior problems
- A resident-run group that raises concerns Correct answer.
- A committee that sets facility visiting hours
- A group the charge nurse leads each week
Explanation
A resident council is organized and run by residents to discuss concerns and improve life in the facility. Staff attend only when invited, and the council supports the right to voice grievances. It is not a staff meeting or a facility committee.
Question 25Resident Rights, Independence, and Client Care
A married couple both live in the facility and want to share a room. Under resident rights, they:
- May share only if a doctor writes an order
- Must be housed separately according to policy
- May share a room if both agree and space allows Correct answer.
- May share only after paying a higher daily rate
Explanation
Residents have the right to share a room with their spouse when both consent and the facility can accommodate it. A blanket policy against spousal sharing is a rights violation. Consent and availability, not medical orders or extra fees, are the deciding factors.
Question 26Resident Rights, Independence, and Client Care
While a resident is undressing for a bath, which action best protects the resident's right to privacy?
- Leave the door open so other staff can watch.
- Close the door and pull the privacy curtain. Correct answer.
- Keep the curtain partly open in case help is needed.
- Ask the roommate to stay and observe the care.
Explanation
Residents have a right to personal privacy during bathing and dressing. Care should be given with the door closed and curtains drawn, and only the people needed for the task should be present.
Question 27Resident Rights, Independence, and Client Care
A caller who says she is a resident's neighbor asks the CNA how the resident's doctor visit went. What should the CNA do?
- Answer briefly so the neighbor does not worry.
- Ask the resident's roommate to explain the visit.
- Give her the resident's room number and aide's name.
- Say that resident information cannot be shared. Correct answer.
Explanation
A resident's health information may be shared only with people the resident authorizes or who need it to provide care. A neighbor has no such right. The CNA should politely decline and may offer to pass a message to the resident.
Question 28Resident Rights, Independence, and Client Care
A resident asks to be called "Mrs. Jones" rather than by her first name. What should the CNA do?
- Use her first name so care feels friendly.
- Call her Mrs. Jones as she has asked. Correct answer.
- Ask other staff what they usually call her.
- Explain that staff use first names with everyone.
Explanation
Residents have the right to be treated with dignity, which includes being addressed in the way they prefer. The CNA should honor the resident's stated preference consistently.
Question 29Resident Rights, Independence, and Client Care
A resident's sealed letter is sitting on the bedside table. What should the CNA do?
- Leave it sealed and help mail it. Correct answer.
- Open it to check for anything unsafe.
- Read it aloud to the resident.
- Ask the nurse whether it may be opened.
Explanation
Residents have the right to send and receive mail unopened and to have it kept private. The CNA should not open or read a resident's letter, even with helpful intentions.
Question 30Resident Rights, Independence, and Client Care
Before beginning a resident's morning care, what should the CNA do?
- Start with the easiest task and explain it later.
- Begin quickly so the resident is not kept waiting.
- Ask the roommate whether the resident wants care.
- Explain the care and ask if the resident agrees. Correct answer.
Explanation
Residents have the right to be informed about the care they receive and to agree to it. Telling the resident what will be done and checking for consent respects that right and reduces anxiety.
Question 31Resident Rights, Independence, and Client Care
A resident asks the CNA to take $20 from the resident's personal funds to buy a gift at the facility shop. What should the CNA do?
- Lend the resident the money and collect it later.
- Follow facility policy to help with the purchase. Correct answer.
- Ask another resident to buy the gift instead.
- Refuse, because residents may not keep money here.
Explanation
Residents have the right to manage and spend their own money. Facilities must keep personal funds safe and follow a written policy for withdrawals, so the CNA should use that process.
Question 32Resident Rights, Independence, and Client Care
A resident who is alert and oriented refuses a scheduled shower. What should the CNA do?
- Tell the resident they will lose privileges.
- Respect the refusal, report it, and document it. Correct answer.
- Ask the family to insist on the shower.
- Give the shower anyway because it is on the care plan.
Explanation
A resident with decision-making capacity may refuse care, including a shower. The CNA should accept the refusal, tell the nurse, and record what happened so the team can follow up.
Question 33Resident Rights, Independence, and Client Care
A resident has a signed do-not-resuscitate order in the chart. The CNA finds the resident unresponsive and not breathing. What should the CNA do?
- Begin chest compressions while calling for help.
- Wait for the family to decide what to do.
- Start CPR, because CNAs must always attempt it.
- Call the nurse and follow emergency policy. Correct answer.
Explanation
A do-not-resuscitate order means CPR should not be started. The CNA should stay with the resident, call the nurse right away, and follow the facility's emergency procedure.
Question 34Resident Rights, Independence, and Client Care
A resident tries to give the CNA $10 as a thank-you gift. What should the CNA do?
- Accept it and share it with the team.
- Keep it until the resident forgets about it.
- Accept it but report it to the nurse.
- Thank the resident and decline the money. Correct answer.
Explanation
Accepting money from a resident can be seen as taking advantage of the resident's dependence and is prohibited by facility policy. The CNA should respond warmly but refuse the cash.
Question 35Resident Rights, Independence, and Client Care
A resident wants to vote in an upcoming election but is afraid no one will help them get to the polls. What should the CNA do?
- Fill out the resident's ballot so it is done right.
- Suggest that the resident skip this election.
- Tell the resident voting is not allowed in facilities.
- Report the wish so staff can help arrange voting. Correct answer.
Explanation
Residents keep their rights as citizens, including the right to vote, and facilities must support that right. The CNA should notify the charge nurse or social worker so assistance can be arranged.
Question 36Resident Rights, Independence, and Client Care
A resident can walk to the dining room but needs extra time. What should the CNA do?
- Bring a wheelchair so the meal is not delayed.
- Carry the resident's tray to their room.
- Allow extra time and walk with the resident. Correct answer.
- Ask the resident to wait in their room for staff.
Explanation
Residents should be encouraged to do what they are able to do for themselves. Walking with the resident and allowing more time preserves strength and independence.
Question 37Resident Rights, Independence, and Client Care
A resident asks to look at their own medical record. What is the appropriate response?
- Read the record aloud if a doctor agrees.
- Explain that records belong to the staff only.
- Show the record to the family first.
- Help the resident request it per policy. Correct answer.
Explanation
Residents have the right to see the information in their own record. The CNA should help the resident make the request through the facility's established process.
Question 38Resident Rights, Independence, and Client Care
A resident who is alert and oriented tells the CNA they are leaving the facility to go home. What should the CNA do?
- Say nothing so the resident stays calm.
- Hide the resident's shoes and coat.
- Notify the nurse and follow facility policy. Correct answer.
- Stand in the doorway until the family arrives.
Explanation
A resident with capacity may choose to leave, but staff must notify the nurse and follow the facility's procedure for a resident leaving against advice. Physical blocking or trickery is not permitted.
Question 39Resident Rights, Independence, and Client Care
After it is first written, how often must a resident's comprehensive care plan be reviewed and revised?
- Every 3 months Correct answer.
- Once a year
- Only when the family asks for a review
- Every 6 months
Explanation
Federal nursing home rules require the care plan to be reviewed and revised by the interdisciplinary team at least every 3 months after it is completed. A review is also done when the resident's condition changes significantly.
Question 40Resident Rights, Independence, and Client Care
A resident asks the CNA for a different roommate. What should the CNA do?
- Move the resident's belongings into an empty room.
- Explain that nothing can be changed about rooms.
- Tell the resident roommates are assigned randomly.
- Report the request to the nurse or social worker. Correct answer.
Explanation
Residents may request a room or roommate change, and staff must take the request to the people who can act on it. The CNA does not decide room assignments but should pass the request along.
Question 41Safety and Emergency Procedures
A resident at high risk for falls needs to use the bathroom during the night. Which action best reduces the risk of a fall?
- Place the bed in the highest position for easier transfers
- Keep the call light within reach and answer it promptly Correct answer.
- Raise all four side rails so the resident cannot get out of bed
- Dim the lights and leave the room door closed
Explanation
Falls are prevented by making help easy to summon and responding quickly, so the resident does not attempt an unassisted transfer. Full side rails are considered a restraint and create a serious entrapment and fall hazard when residents climb over them. A high bed and poor lighting both increase the chance of injury.
Question 42Safety and Emergency Procedures
A fire breaks out and a resident in the room is in immediate danger. What should the nursing assistant do first?
- Find the fire extinguisher and put out the flames before moving the resident
- Open all windows to let the smoke out
- Finish the task currently being performed
- Move the resident to a safe area away from the fire Correct answer.
Explanation
Fire response follows the rescue-first principle: anyone in danger is removed from the immediate area before alarms, containment, or extinguishing efforts. Opening windows feeds the fire with oxygen and can spread smoke. Fighting a fire comes only after people are protected.
Question 43Safety and Emergency Procedures
A resident suddenly cannot speak or cough, and the face is turning blue. What should the nursing assistant do?
- Lay the resident flat and elevate the legs
- Perform abdominal thrusts (Heimlich maneuver) Correct answer.
- Give the resident a glass of water
- Wait a few minutes to see if the obstruction clears
Explanation
Silent inability to breathe or cough signals a complete airway obstruction, which is fatal within minutes without intervention. Abdominal thrusts force air out of the lungs to expel the object. Fluids cannot pass an obstructed airway and delay needed action.
Question 44Safety and Emergency Procedures
A resident begins having a seizure in the dining room. Which action should the nursing assistant take?
- Give the resident sips of water during the seizure
- Lower the resident to the floor and protect the head Correct answer.
- Place a spoon between the resident's teeth
- Hold the resident's arms and legs still until it stops
Explanation
The goal during a seizure is to prevent injury: ease the person to the floor, clear nearby objects, and cushion the head. Restraining the limbs can cause fractures or joint injury. Nothing is placed in the mouth, and fluids are withheld until the seizure ends and the resident is fully alert.
Question 45Safety and Emergency Procedures
When evacuating residents during a fire, the nursing assistant should:
- Wait for the fire department before moving anyone
- Use the stairway, never the elevator Correct answer.
- Use the elevator to move residents quickly
- Send ambulatory residents down alone in the elevator
Explanation
Elevators are unsafe in a fire because power can fail and the shaft acts as a chimney for smoke and heat, so evacuation uses the stairs. Residents who can walk are still directed and supervised along the evacuation route. Waiting for the fire department wastes the critical early minutes.
Question 46Safety and Emergency Procedures
A resident has a small cut on the arm that is bleeding. What should the nursing assistant do first?
- Apply direct pressure with a clean dressing or gloved hand Correct answer.
- Wash the wound with hydrogen peroxide first
- Apply a tourniquet above the cut right away
- Elevate the arm for ten minutes before doing anything else
Explanation
Direct pressure is the first-line method to stop ordinary bleeding, and gloves protect against bloodborne pathogens. A tourniquet is reserved for life-threatening limb bleeding that pressure does not control. Hydrogen peroxide damages tissue, and elevation alone does not stop bleeding.
Question 47Safety and Emergency Procedures
A resident is receiving oxygen through nasal tubing. Which action is safe?
- Keep the oxygen tubing free of kinks and away from heat Correct answer.
- Store the oxygen cylinder lying flat on the floor next to a heater
- Let the resident smoke only when the oxygen is turned off
- Use petroleum jelly on the resident's lips
Explanation
Oxygen supports combustion, so equipment must be kept away from heat, sparks, and flames, and tubing must stay unkinked so the prescribed flow reaches the resident. Petroleum products are flammable and are not used near oxygen. Smoking is never permitted in a room where oxygen is present, even if the flow is off.
Question 48Safety and Emergency Procedures
A resident spills hot coffee and burns a hand. What should the nursing assistant do first?
- Apply butter or ointment to the burned area
- Cool the burn with cool running water Correct answer.
- Rub the area with a dry towel
- Pop any blisters that form
Explanation
Cool running water stops the burning process and limits tissue damage in a thermal burn. Home remedies such as butter hold heat in and contaminate the wound. Blisters are left intact because they protect the skin beneath from infection.
Question 49Safety and Emergency Procedures
A resident suddenly develops drooping on one side of the face and slurred speech. What should the nursing assistant do?
- Note the time symptoms began and call for emergency help Correct answer.
- Help the resident lie flat and go to sleep
- Give the resident a drink of water and check again in an hour
- Wait for the next shift to report the changes
Explanation
These are signs of a possible stroke, which requires emergency treatment, and the time symptoms started determines which treatments can be used. Nothing should be given by mouth because swallowing may be impaired. Delay in reporting loses brain tissue.
Question 50Safety and Emergency Procedures
An adult resident is unresponsive, not breathing, and has no pulse. The nursing assistant is alone with a phone within reach. What should the assistant do?
- Call for help and begin chest compressions Correct answer.
- Wait for the nurse to arrive before starting compressions
- Give two rescue breaths before calling for help
- Place the resident in a side-lying position and check the pulse
Explanation
For an unresponsive adult with no breathing or pulse, the priority is to activate the emergency response system and begin high-quality chest compressions. Compressions circulate blood to the brain and heart and should not be delayed for any other action. A side-lying position is for a person who is breathing.