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YOUR RESULTS: {{ score }}%

100%-85% This is a superb score showing your ability to do well on this basic practice test. However, you'll want to make sure you have a good grasp of every test section and its contents to maintain this level of achievement during the real CNA Exam 70% - 84% This score range shows you definitely have some knowledge, but also have some gaps to work on. Spending time with more in-depth practice material is a great way to improve on this score range. 55% - 69% While you have some ability to answer these types of questions, you have major gaps in your knowledge which absolutely must be addressed before taking the real test. <55% It's imperative you study and practice as much as possible before the real test. This score range shows a lot of room for improvement, so identifying which areas need the most work is crucial.

BEST RECOMMENDATION

The most useful CNA study guide on the market by a distance. This is the best way to cover both knowledge and practical skills which you need to know for your real CNA test. The information is comprehensive and explained excellently. The practice tests allow you to identify any gaps in your knowledge and make real, tangible improvements ahead of test day itself.

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Welcome to the CNA Exam Cram’s Free Online Practice Test

Welcome to the CNA Exam Cram’s official free online practice test. This assessment consists of 50 real example questions that have been developed using the NNAAP testing standard. However, unlike other online exams, this practice test includes categories, automated results, AND recommendations on how you can improve your certification score.

If for some reason you don’t like our automated practice quiz that will calculate your score and give you real-time answers, you can always scroll down to the bottom and see the test questions and answers laid out there. You can also click Here and it will take you directly to the written version of the test at the bottom of this screen. Also, don’t forget to take our CNA Pretest here and test out of 24 extra practice test questions as well.

Recommended CNA Study Guides and Practice Tests

If you’d like to improve your score, here is a list of the best study guides on Amazon as well as their reviews below the chart:

#1. The Official CNA Study Guide

The Official CNA Study Guide is the best study guide on the market and will offer you a top-notch review, two of the best practice tests, a pretest, and is the cheapest of them all.

This book should be a “must” for anyone taking the CNA exam, especially if you struggled with our free CNA practice test. It receives our top recommendations not just for the incredible CNA practice exams, but for the concise review material that it provides.

You can check it out here.

#2. CNA Exam Cram

The CNA Exam Cram was a close second due to it being a little out of date and not fully compliant with the NNAAP standard.

Offering 2 multiple choice practice tests, this study guide is absolutely worth the price. Ultimately, we recommend buying both the Official CNA Study Guide and the CNA Exam Prep together.

By the way, we are not affiliated with this book regardless of the title.

You can check it out here.

#3. CNA Exam Prep

The CNA Exam Prep is an extremely well designed CNA study guide with 244 page that offers 4 50 question practice tests.

Furthermore, this study guide gives you flashcards, practical procedures, and more. Although it lacks on the review material, it makes up for a 2 solid practice tests. However, your best bet is either the Official CNA Study Guide or the CNA Exam Cram study guide.

You can check it out here.

#4. Nursing Assistant/Nurse Aide Exam

The Nursing Assistant/Nurse Aide Exam is a well designed CNA study Guide and is well loved by many in the industry.

However, we felt that this one lacked a little in the practice test since it didn’t cover the practical exam as well as we thought it should. However, the other sections are excellent and worth a read if you are confident in your practical examination skills.

You can check it out here.

How to Take Our CNA Practice Test

With each question comes a category. Taking after the NNAAP examination standard, we have grouped each test sample question into one of the 9 categories to include:

• Activities of Daily Living
• Basic Nursing Skills
• Restorative Skills
• Emotional and Mental Needs
• Spiritual and Cultural Needs
• Communication
• Client Rights
• Legal and Ethical Behavior
• Member of the Health Care Team

Although your total score is the most important score in passing the written exam, as you prepare for your official test, you need to know where you are weak and where you need to improve. For this reason, we have broken each question into the above groups so that you can have an indication of which area you are weakest on and where the need to study more prior to taking the written portion of the test.

How to Take a Nursing Assistant Written Practice Exam

The biggest mistake that someone seeking their nursing assistant certification makes is that they don’t take practice test opportunities seriously.

In many cases, someone stumbles upon one while just searching the internet and quickly takes it. But the purpose of a pretest is to help you gauge your current level and help you to decide whether or not you are prepared.

So, once you find a professional a good one online, you need to plan out a time to take it. Don’t worry, it isn’t going anywhere.

Once you are ready, pretend that it is the official exam. Don’t take this while you’re eating or while your spouse is talking to you. Close the door, sit down, and imagine that this is the real exam.

Another benefit is to time yourself. Because each state is different, the amount of time you have to take the examination will be different. So, find out how long you have and make sure you stay under that when you practice. This will help you feel a little anxiety and help you to manage your time better.

Also, remember this too when you are using one of our above CNA Study Guides. Treat these nursing resources with the time and effort they need. When you finally get to the back of the CNA Study Guide and take the practice exam, ensure you treat it like the real NNAAP Text. Give yourself ample time. Don’t keep looking at the answers and don’t let external things interrupt your concentration. If you do this, your practice test results will be a better indicator of where you are with regards to the official CNA exam.

After Your Test is Complete

Once you have completed your test, you should focus on three things:

• a. Your Total Score
• b. Your Category Score
• c. Recommendations on How to Improve

Your total score will help you to see exactly how you would have done if this were the real examination.

The Category score is a breakdown of each question within a category and will help you to decide which area you are weakest on. We would highly recommend that you take the time to rehash your weakest category or if this is the beginning of your study preparation, that you spend more time on that particular category.

Finally, at the end of the test, depending on your total score and your category scores, we will provide you with our best recommendation on your next steps in preparation. We are many different study guides on the market. Some have excellent quizzes while others have phenomenal information but cost more. Based on your results, will give you the best option moving forward.

Video Nursing Assistant’s Practice Test

In case you would like another practice test to help you, we have included a video. This video actually shows someone sitting down and taking their virtual test. It should give you great indication of what they exam really is like and should help you to get a feel for the computerized version of the test.

Conclusion

Thank you so much and we hope you enjoy our CNA Practice Test, but more importantly that you take it seriously.

Written Version of the CNA Practice Exam

1. If a patient does not want any life saving measures to be performed should they pass, what should be annotated on their medical record so as to reflect this desire? (Client Rights)

• (A). ADL
  (B). LAO
  (C). DNR
  (D). NPO

2. Which of the options requires you to put on a pair of gloves? (Activities of Daily Living)

• (A). When brushing their teeth
  (B). When changing the residents clothes
  (C). When feeding a resident
  (D). When helping the resident move

3. What can be a cause of a pressure sore? (Basic Nursing Skills)

• (A). A bed with wrinkles
  (B). An unbalanced diet
  (C). Unsanitary conditions
  (D). Mold or fungus

4. You, as a CNA, are given a $100 bill by a family member of a resident and asked to keep an extra eye on their grandmother. What should you do? (Legal and Ethical)

• (A). Inform them that you cannot take the money
  (B). Request they give it to your supervisor
  (C). Take the money
  (D). Report the family member to your supervisor

5. Who should tell visitors that they must leave when preparing to change a resident’s clothes or any other situation that warrants privacy? (Member of Health Care Team)

• (A). The Nurse in charge
• (B). The CNA assigned to the patient
• (C). The CNA tasked to change the patient
• (D). The resident

6. What food group generally has vitamin D? (Basic Nursing Skills)

• (A). Dairy
• (B). Bread
• (C). Fruits
• (D). Vegetables

7. If it takes a CNA 120 minutes to feed three patients, then how long should it take with 2? (Activities of Daily Living)

• (A). 15 minutes
• (B). 80 minutes
• (C). 45 minutes
• (D). 60 minutes

8.What is the most appropriate address a CNA should use when talking to a patient? (Communication)

• (A). By their first name
• (B). By their last name
• (C). Mr., Mrs, Miss, etc
• (D). Their room number

9. If a patient has a stroke causing damage to the left side of the brain, then what side of the patient will lose muscle function? (Basic Nursing Skills)

• (A). Right side
• (B). Left side
• (C). Both side
• (D). Neither

10. When should a residents intake and output records be totaled? (Activities of Daily Living)

• (A). Once a shift
• (B). Every 12 hours
• (C). Every 24 hours
• (D). Three times a day

11. What would be the correct position to place a patient if they are having problems breathing? (Basic Nursing Skills)

• (A). Trendelenberg Position
• (B). Fowler’s Position
• (C). Semi-Fowler’s Position
• (D). None of the above

12. If a resident’s family gets upset and starts yelling at you, the CNA, what should you do? (Communication)

• (A). Tell them you don’t have to take this kind of abuse and call security
• (B). Immediately leave the room and inform the Charge Nurse
• (C). Just call security and leave the room
• (D). Keep your calm and inform the Nurse responsible for the care of that patient.

13. Which of the following options would be the responsibility of a CNA? (Members of Health Care Team)

• (A). Prescribing of medication
• (B). The development of a medical plan for a resident
• (C). Daily Bathing of a resident
• (D). The changing of IV fluids to a patient receiving medication

14. What area of the body is most at risk to injury for a CNA if they do not use appropriate mechanics for a transportation procedure? (Restorative Skills)

• (A). Back
• (B). Legs
• (C). Arms
• (D). Neck

15. Which of the following is a sign that the patient is about to pass away?(Basic Nursing Skills)

• (A). High Temperature
• (B). An irregular and weakening pulse
• (C). Swelling in the joints
• (D). Increased respiration

16. Which is the correct procedure to administer when a resident is chocking? (Restorative Skills)

• (A). CPR
• (B). Heimlich
• (C). Throat Swab
• (D). Dietrich Test

17. Which statement is correct regarding culture in the work place? (Spiritual and Cultural)

• (A). A person’s cultural preferences are included in the plan to take care of them
• (B). All cultures are the same
• (C). No matter the culture, a persons beliefs or practice does not affect the care of a patient
• (D). It is too difficult to accommodate all cultures

18. How many milliliters are in 8 ounces? (Basic Nursing Skills)

• (A). 240 ml
• (B). 200 ml
• (C). 180 ml
• (D). 260 ml

19. When resident becomes uncontrollable and unruly, who is the most appropriate person to call so as to help? (Member of Health Care Team)

• (A). Doctor on call
• (B). Charge Nurse or an RN
• (C). Another CNA
• (D). Anyone

20. Who can a CNA NOT share a resident’s medical information with? (Legal and Ethical)

• (A) The current physician on call
• (B) The oncoming nurse
• (C) The resident’s family members
• (D) A representative of the resident’s insurance company

21. As a CNA, you walk into the room and your patient complains of chest pain. What should you immediately do? (Basic Nursing Skills)

• (A). Check their medical record
• (B). Give them some water
• (C). Give them some Pepto-Bismol
• (D). Call for help immediately

22. When conducting tooth care on an unconscious person, what tool should you use? (Activities of Daily Living)

• (A). Toothbrush
• (B). Mouthwash
• (C). None should be used
• (D). Soft Touthette

23. While feeding a patient, they continue to cough frequently. What might this be a sign of? (Basic Nursing Skills)

• (A). They are full
• (B). They need something to drink
• (C). They are chocking
• (D). They are having problems with swallowing

24. When a resident starts losing their hearing, they are most likely to start losing the ability to hear what? (Communication)

• (A). Different sound levels
• (B). High frequency sounds
• (C). Low frequency sounds
• (D). Low decibel sounds

25. When applying a waste restrain, the CNA must do what? (Basic Nursing Skills)

• (A). Give the restraint some slack every couple of hours
• (B). Ensure the restraint is not causing skin irritation
• (C). Secure the restraint to the side rails of the bed.
• (D). Ensure the restraints are tight so as to mitigate a resident’s movement

26. A patient asks you what religion you practice. What is the best response? (Spiritual and Cultural)

• (A). Answer their question and tell them all about it
• (B). Ignore their question
• (C). Tell them that you prefer not to answer that question
• (D). Answer their question

27. What is the role of the ombudsman? (Member of Health Care Team)

• (A). To maintain the schedule for the nursing homes
• (B). Organize and plan future budgeting
• (C). Be a direct representative for ensuring patients rights
• (D). Control dispatch for nurses

28. What should a CNA do if their patient is not eating enough? (Activities of Daily Living)

• (A). Provide them additional food
• (B). Give the patient vitamins to ensure they are getting enough nutrients
• (C). It is the right of the patient to eat as little as they want and nothing more is needed
• (D). Give the patient a dietary drink as prescribed

29. You are tasked to brush a patients teeth but he refuses. What should you do? (Client Rights)

• (A). Insist that you need to brush his teeth right now
• (B). Tell the patient you will give them a treat if they allow you to
• (C). Respect the patients right to refuse care
• (D). Inform the patient that you will be back when they are ready

30. What is the first symptom of a decubitus ulcer? (Basic Nursing Skills)

• (A). Bruising
• (B). Redness
• (C). Bleeding
• (D). Swelling

31. A patient who has recently had a stroke causing weakness in the left side has to put on their shirt. Which arm sleeve do you put on first? (Activities of Daily Living)

• (A). The Right side
• (B). The left side
• (C). Neither. You should use a Peraclete type shirt.
• (D) Both sides at the same time

32. Who can prescribe medical care? (Members of Health Care Team)

• (A). Nursing Assistant
• (B). Nurse Practitioner
• (C). Volunteer
• (D). Clinical Worker

33. What can you NOT do when filling out a medical record? (Legal and Ethical)

• (A). One line a mistake and initial
• (B). Use pen
• (C). Use pencil
• (D). Erase mistakes

34. What is the BEST definition for the normal aging process? (Basic Nursing Skills)

• (A). Over the age of 65
• (B). When Alzheimer’s begins
• (C). When there is a normal decline in body functions and senses
• (D). When a person become dependant for clinical care

35. When turning a male patient over, where should the catheter be taped so as to ensure it stays in place? (Basic Nursing Skills)

• (A). Hip
• (B). Upper Thigh
• (C). Bed frame
• (D). Abdomen

36. An exercise with the specific goal of moving each muscle and joint is called what? (Restorative Skills)

• (A). Rotation exercises
• (B). Adduction
• (C). Abduction
• (D). Range of Motion

37. You and a coworker are at dinner and your coworker starts talking to you about a funny incident with one of the residents. This is a violation of what? (Client Rights)

• (A). A resident’s right to Privacy
• (B). A resident’s right to Medical Care
• (C). Nothing unless specific data is mentioned
• (D). Nothing is violated however it is unprofessional

38. Which of the following is not an example of a Patients’ Bill of Rights? (Legal and Ethical)

• (A). Confidentiality of Care
• (B). Personal Privacy
• (C). Accept or Refusal of Treatment
• (D). Ability to leave at any time

39. What is the most common place to take a residents temperature? (Basic Nursing Skills)

• (A). Axillary
• (B). Rectal
• (C). Tympanic
• (D). Oral

40. When required to give a resident a shower, what can you not do? (Legal and Ethical)

• (A). Use the showering chair even if they can stand
• (B). Request that they stand
• (C). Use only one towel
• (D). Leave them alone for a moment

41. What rights does a resident have in regards to the use of a phone or communications with the outside world? (Clients Rights)

• (A). All residents should have their own phone
• (B). Access to a phone and privacy for their conversations is required
• (C). They shall have access to a phone however calls must be monitored
• (D). Phone calls can only be made if during normal working hours

42. When having to change the sheets in a bed in which the patient is still occupying, what should you always do? (Activities of Daily Living)

• (A). Move the patient to a chair or another bed
• (B). Maintain the arm rail in the up position on the side of the bed that is unattended
• (C). Wait until the client is able to or prepared to move to another location
• (D). Lower both arm rails and move them by swinging their legs over first

43. What should you do to communicate with a resident who has hearing loss? (Communication)

• (A). Look directly at them when you are speaking to them.
• (B). Speak loudly
• (C). Use a higher pitch when speaking to them
• (D). Speak normally but check if they can hear you

44. Out of the following, which of these options is not apart of the resident’s right to information? (Client Rights)

• (A). An advanced notice to a change in room or status
• (B). Billing information and changes in plans
• (C). Hospital inspections grades and results
• (D). A right to discounts or an ability for free medical care

45. What is the best measure to help reduce Venous Stasis?(Basic Nursing Skills)

• (A). Elevation
• (B). Improvements in diet
• (C). Elastic Stockings
• (D). Addition of insoles to their shoes

46. You have just informed a resident of a family members death. What should you do? (Emotional and Mental)

• (A). Talk to them about heaven and how they are in a better place
• (B). Leave them alone so they can have some peace and time to reflect
• (C). Inform them that they will see them soon
• (D). Stay with them and give them an opportunity to talk about it

47. What is a good definition for restorative nursing? (Restorative Skills)

• (A). Activities and care that help to regain a patients strength
• (B). Overall care of a patient
• (C). Promotion of independent living
• (D). All of the above

48. A client seems to be confused and asks you what’s your name is. However, they have known you for a while and have said your name many times. How do you respond? (Emotional and Mental)

• (A). Talk to them about memory loss and monitor them more
• (B). Tell them your name but test them later on something else
• (C). Say your name and point to it on your id tag or on a piece of paper
• (D). Ignore the request

49. You, as a CNA of a residential home care facility, go to lunch and one of the resident’s granddaughters happens to be your waitress. She asks you how her grandmother is. What is the best response? (Client Rights)

• (A). She is doing excellent. I bet she would love to see you.
• (B). You should ask your parents
• (C). I am sorry but I can’t discuss that due to the residential home’s policy
• (D). I am sorry but I must respect the patients rights and not discuss that.

50. What is the first stage to grief? (Emotional and Mental)

• (A). Bargaining
• (B). Acceptance
• (C). Anger
• (D). Denial

Written Version of the Certified Nursing Assistant’s Practice Test Answer Key

Below is the answer key for the CNA exam pretest to include the explanations.

1. (C) DNR stands for “Do Not Resuscitate.” ADL stands for “Activities of Daily Living” and NPO stands for “Nil Per Os” which is Latin for nothing by mouth. LAO is a made up term to throw you off since it should be unrecognizable and lead you to select it if you did not know what the other options stood for.

2. (A) When brushing a patient’s teeth, you have the greatest chance of coming in contract with mucus or blood. Therefore gloves would be appropriate for this situation more so than others. Remember, the purpose of gloves is to mitigate the spread of disease and to protect yourself.

3. (A) Wrinkles in the bed can cause extra pressure to certain areas, thus causing a higher risk for pressure sore development. Therefore, it is important to make the bed correctly and minimize the amount of creases or wrinkles. After changing the sheets, you should always check to verify there are no wrinkles.

4. (A) It is unethical and legally wrong to take the money. Therefore, any option that will create the turnover of money would be incorrect. Reporting the family would be incorrect because they haven’t done anything legally wrong and this will only create a bad situation.

5. (C) It is the responsibility of the CNA tasked to perform the job to ensure privacy is met before commencing.

6. (A) Dairy is one of the major sources of vitamin D and would be the most likely food to deliver the necessary vitamin D.

7. (B) 120 minutes divided by 3 equals 40 minutes. Therefore, for that CNA, it takes them 40 minutes per person. Therefore 2 people should take 80 minutes.

8. (C) Over time you may start to develop a good relationship with the patient and you may feel as though you can call them by their first name, however you must maintain a professional level at all times and therefore should call them Mr., Mrs, or Miss followed by their last name. Furthermore, if you are found to call certain patients one way and other another, then this could be perceived as favoritism.

9. (A) A stroke on the left side of the brain may cause a basic loss of muscle control on the right side of the patient’s body. You will notice droop in their facial features and weakness in the limbs on that side of the body.

10. (A) It is required that a patients intake and output records be recorded and totaled at least once a shift.

11. (B) The Fowlers position is the best position for a patient who is having trouble breathing. This position allows the removal of pressure on the lungs from gravity and will allow better flow. The Trendelenberg position is used when doing abdominal surgery. The Semi-Fowler is more appropriate for a patient that is tube feeding so as to ensure the fluids do not recede back.

12. (D) It is important that you keep your calm and coolly remove yourself from the situation and report it to the nurse in charge. All other options will only escalate the situation, thus causing more problems for both the facility and the patient.

13. (C) All other options would be the responsibility of a RN or LNA. Remember and CNA cannot give medication or prescribe treatment.

14. (A). Most CNA injuries occur at the back due to improper techniques in lifting or transporting patients. It is extremely important that proper transportation techniques are used so as to reduce the amount of strain on the back and place more on the legs. With a weakened back or back injury, a CNA will not be able to perform their job adequately.

15. (B) Signs of impending passing is an irregular and weakening pulse, a decrease in breathing, cool and moist skin, etc. These are not all inclusive. However, the listed signs would preclude you from choosing the other options.

16. (B) Heimlich is the appropriate response for a chocking victim. The others are very far fetched and would not apply except for the throat clear which should be an initial check for an infant, however an infant would never be a resident.

17. (A) A person’s culture is very important and can dictate what they eat, how they act and what types of treatment they will have. Therefore a cultural preference must be considered in the plan of care.

18. (A) There are 30 ml per ounce. Therefore 30 times 8 equals 240

19. (C) If a patient or resident becomes uncontrollable and unruly, then they can become a danger to themselves or others. Therefore it is important to get help immediately, however the most appropriate person for this type of situation is a RN or your Charge Nurse. The nurse can access the situation and if medication or restraint is needed, they can make that decision.

20. (C) This is actually a tricky question, however the right answer is that you cannot share the patient’s information with family members unless specifically told you can. Furthermore, just because they are family members, does not give them a right to have access to a patient’s medical records. A third cousin shouldn’t even be in a situation to receive such information. A representative from the resident’s insurance company with the appropriate documents can have access to the doctor’s diagnosis considering they need proof in-order to fund the operation or care.

21. (D) Chest pains can be a sign of a serious medical problem. Therefore, getting the right people there immediately, can save your patient’s life.

22. (D) A soft touthette is important to use because it will reduce the possibility of liquids running down the esophagus and causing the unconscious patient from chocking.

23. (D) If not sick, coughing is a reaction of the body to clear the throat of any debris or leftover. While giving them water may help alleviate the situation, the better answer is that they are having a problem swallowing.

24. (B) Over time, the frequency range in which a patient can hear will lower starting with the higher frequency. Another term for high frequency is “High pitch.” This can affect the way you communicate with the patient and should be recognized by both parties.

25. (B) Even though a patient is being restrained for their own safety, it in the CNA’s job to ensure that they are still in good health. Chafing of the skin, due to a tight restraint can cause a health problem if not monitored and taken care of.

26. (D) There is nothing to preclude you from answering the question however it is important that you do not go on to push your beliefs any further. If you were to ignore the patient, you can hurt your relationship with them. The same goes with telling them you prefer not to answer the question. It is in your right to say this, however, the question was what would be the best answer.

27. (C) The role and responsibilities of an ombudsman is to work with the nursing home so as to protect a patient or client’s rights

28. (D) In most cases a dietary drink has been prescribed and can therefore be given to the patient as needed. You as a CNA do not have the authority to prescribe vitamins. Furthermore, giving a patient more food will not help since they didn’t finish their first meal. Also, a patient does not have the ability to reject food or required nutrients if prescribed by a nurse or doctor.

29. (C) The patient does have the right to refuse non-life threatening care and therefore can reject your order of brushing teeth. However, after you have chosen to respect their right, you need to inform the nurse that ordered you to clean his teeth so that they are aware of the status of your tasking and overall hygiene of the patient.

30. (B) Decubitus ulcer or pressure sore, usually starts with redness and then shows blanching and finally will rupture. Bleeding will come with the rupture but that is a later stage of a decubitus ulcer.

31. (B) If the patient is weak in the left side, then you should start with the left arm. This is because it is more difficult with the second arm then the first.

32. (B) The Nurse Practitioner is the only one on this list that is licensed to prescribe medical care. A physician can also do this however they were not on the list. A Nursing Assistant cannot prescribe medical care but perform certain duties and administer certain prescriptions if ordered to do so.

33. (C) When filling out a medical record, you cannot use a pencil. This is because a pencil can easily be erased and incorrect information could be added by someone else. The ability to change the status of a medical record can be extremely dangerous to a patient.

34. (C) The process of aging occurs when there is a normal decline in senses and body function. Not all people develop Alzheimer’s and aging is not predefined by a numerical value.

35. (B) The upper thigh is the safest place when moving a patient. All other places have a higher probability of removal.

36. (D) Range of Motion exercises work the muscle and the joint at the same time. Usually used to maintain and resident’s normal range of motion.

37. (A) The patient has a right to privacy and ANY discussion about their health or care falls under this right regardless as to whether or not it is specific or general. They do have a right to medical care, however; this is not an appropriate response for this situation.

38. (D) All other options are apart of the Patients’ Bill of Rights except the ability to leave at “any time.” There are situations in which patients do not have the ability to admit themselves out of care. There are ways to go about allowing them out, however in certain situations, they do not have the ability to do this whenever they feel.

39. (D) Oral should be the first place to take the patients temperature unless they are bleeding in the mouth or are unable to hold the thermometer in the right place. Then the next area would be rectal which is actually the most accurate place to take a reading.

40. (D) If it is required that you shower a resident, then you must stay with them at all times during the process. Lack of required supervision can be considered a form of neglect. The showering chair is there for any time you feel as though it is needed. You can request that they stand, as long as you believe they are physically capable of doing so. There is nothing that says that you have to use a certain amount of towels.

41. (B) The ability to communicate and have this communication private is an unalienable right to a resident and must be provided at all times.

42. (B) There will be times when a patient will not be able to move but sheets still need to be changed. Therefore, when doing this process, ensure that the arm rail is raised on the unattended side. This is to ensure that safety is maintained for the patient at all times and that they don’t fall out when changing the sheets.

43. (A) Ensure you are looking at them and that they are looking at you before you speak. In most cases, they can still hear, but not everything. Therefore, by looking at each other, they can see you lips and interpolate what you are saying. Furthermore, if you don’t look at them and they aren’t looking at you, then you won’t know if you know you are talking.

44. (D) While timely care is important, a patient does not have a right given reduced cost.

45. (C) Venous Stasis or Venostasis is a condition of slow blood flow in a patient’s veins. The best way to reduce Venous Stasis is to increase the blood flow by either applying elastic stockings, calf exercises or regular exercise.

46. (D) In a time of grieving, it is important to allow the resident to have an opportunity to talk about their grief. This is detrimental to their emotional and mental health.

47. (D) The best definition of restorative nursing is any activity that helps a patient regain their strength and improve their ability to care for themselves.

48. (C) Giving them audio and visual verification can help them to better understand what you are saying and help them to remember more. It also rules out the possibility of them not hearing you. By working with them instead of just labeling them, you will help them mentally and emotionally.

49. (D) The best way to handle this question is with a professional response reminding the person of their grandparents rights and not discuss it further. While mentioning the residential home’s policy might be correct, it isn’t the best option. The right to privacy is truly the right of the patient and by saying it’s a policy of your facility, you are only placing blame on your facility for not allowing you to talk about it.

50. (D) Denial is the first stage to grief.