CNA practice test 14

1. When must additional training be provided to a nurse aide regarding bloodborne pathogens?

1. When changes such as modification of tasks or procedures affect occupational exposure
2. Only when the employee requests a review of the previous year's training
3. Every six months regardless of whether tasks have changed
4. Only when a new employee is hired to replace the aide

2. A nurse aide with hand irritation needs to wear gloves. What accessory does the guidance recommend using underneath the gloves?

1. Cotton glove liners.
2. Plastic bag liners.
3. Silicone finger sleeves.
4. No liners are recommended.

3. A resident enters the facility with a fever and rash. While awaiting further clinical assessment, what is the recommended placement strategy for this resident to minimize transmission risk?

1. Place the resident in a shared room with other stable patients.
2. Place the resident in the waiting area with other visitors.
3. Place the resident into a single-patient room.
4. Keep the resident in the hallway until a doctor arrives.

4. A resident requires a colostomy bag change. How must the nurse aide provide this care?

1. By following a standardized protocol that ignores individual preferences to save time.
2. By ensuring care is consistent with professional standards, the care plan, and the resident's goals and preferences.
3. By delegating the task to a family member to ensure the resident is comfortable.
4. By changing the bag only when it is visibly full, regardless of the care plan schedule.

5. When is a movement of a resident considered a 'transfer and discharge' under these regulations?

1. When the resident is moved to a bed outside of the certified facility.
2. When the resident is moved to a different bed within the same certified facility.
3. When the resident is moved to a different room within the same physical plant.
4. When the resident is temporarily moved for cleaning purposes within the facility.

6. When a nurse aide observes a resident needing assistance, how must the facility's call system function according to the standards?

1. The call must relay directly to a staff member or a centralized staff work area.
2. The call must be answered by the facility administrator within five minutes.
3. The call system must only activate when the resident presses a button on the wall.
4. The call must be routed through an automated voicemail system for later review.

7. A nurse aide is preparing to use a reusable blood glucose meter on a new resident after using it on another patient. According to CDC infection prevention guidance, what must the aide do before using the device on the next patient?

1. Wipe the device with a dry cloth only.
2. Clean and reprocess (disinfect or sterilize) the equipment.
3. Leave the device on the counter to air dry.
4. Use the device immediately without cleaning if it looks clean.

8. An employee is allergic to the standard latex gloves provided at the facility. What must the employer ensure regarding alternative protective equipment?

1. The employee must wear the standard gloves regardless of allergy.
2. Hypoallergenic gloves, glove liners, powderless gloves, or other similar alternatives shall be readily accessible.
3. The employee must bring their own gloves from home.
4. The employer must provide cloth gloves instead.

9. A resident who has not been adjudged incompetent wishes to designate a family member to help make decisions about their care. According to the regulations, how should the nurse aide handle this request?

1. The aide must refuse the request because only court-appointed representatives are allowed to make decisions.
2. The aide must ensure the resident can designate a representative in accordance with State law.
3. The aide should ignore the request because the resident must make all decisions personally.
4. The aide must require the resident to use a facility-provided representative instead of choosing their own.

10. An individual completes a nurse aide competency evaluation program but is not currently employed. If this individual receives a job offer from a facility within 12 months of completing the program, what financial provision applies to their training costs?

1. The State must provide reimbursement of costs incurred in completing the program on a pro rata basis.
2. The facility must pay the full tuition upfront before the aide starts working.
3. The individual must repay the State for the cost of the evaluation within one year.
4. No reimbursement is available because the individual was unemployed at the start of the program.

11. According to the definition of 'Sharps with engineered sharps injury protections,' what is the primary function of the built-in safety feature on these devices?

1. To ensure the needle is sterile before use
2. To effectively reduce the risk of an exposure incident
3. To allow for faster administration of medications
4. To prevent the needle from bending during insertion

12. According to the curriculum requirements for nurse aide training, which specific skill must be included in the training prior to any direct contact with a resident?

1. Communication and interpersonal skills
2. Advanced medical diagnosis techniques
3. Pharmacy inventory management
4. Facility budget planning

13. In an ambulatory setting, where should a nurse aide place a patient who requires Droplet Precautions?

1. In the waiting area with other patients
2. In an exam room or cubicle as soon as possible
3. In a shared room with at least one other patient
4. In the hallway near the entrance

14. When providing care, how should a nurse aide handle the resident's personal possessions?

1. Maintain care and security of residents' personal possessions
2. Store them in a communal area for easy access
3. Discard items that clutter the room
4. Ask the family to remove unnecessary items

15. What requirement applies to the materials used in the bloodborne pathogens training program?

1. Materials must be appropriate in content and vocabulary to the employees' educational level and literacy
2. Materials must be identical for all employees regardless of language proficiency
3. Materials must focus exclusively on medical terminology without simplification
4. Materials must be provided in digital format only to save space

16. Who is authorized to receive a copy of a nurse aide's confidential medical records regarding their hepatitis B vaccination status?

1. The subject employee, anyone having written consent of the subject employee, the Director, and the Assistant Secretary.
2. Any supervisor, department head, or colleague within the healthcare facility who requests the information.
3. Only the Director of Nursing and the Human Resources Manager.
4. The employee's immediate family members and personal friends upon verbal request.

17. A resident in a skilled nursing facility wishes to change their attending physician to another doctor who meets the facility's requirements. What action must the nurse aide take regarding this request?

1. The aide must honor the resident's choice of the new attending physician.
2. The aide must insist the resident keeps their original physician to ensure continuity of care.
3. The aide must require the resident to wait until the next scheduled annual review to change doctors.
4. The aide must deny the request if the new physician is not on the facility's preferred provider list.

18. A resident is discharged from the facility on Monday. The facility holds a deposit paid by the resident's representative. According to the regulations, within what timeframe must the facility refund any due amounts to the representative?

1. Within 30 days from the resident's date of discharge.
2. Within 60 days from the resident's date of discharge.
3. Immediately upon the resident leaving the facility.
4. Within 15 days from the date the deposit was originally paid.

19. In the context of the Bloodborne Pathogens Standard, which of the following is defined as a 'Source Individual'?

1. Only residents currently living in the facility
2. Any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure
3. Only employees who have been vaccinated against HBV
4. Only individuals who donate blood at a licensed center

20. A nurse aide is caring for a patient on Contact Precautions in a long-term care facility. A single private room is unavailable. How should the aide determine the patient's room placement?

1. Place the patient in the nearest available shared room regardless of other occupants.
2. Make room placement decisions balancing risks to other patients.
3. Wait until a single room becomes available before admitting the patient.
4. Place the patient in a hallway to ensure maximum ventilation.

21. During a procedure that generates splashes of body fluids, which combination of protective equipment is recommended to protect the mucous membranes of the eyes, nose, and mouth?

1. Protective eyewear and a mask, or a face shield.
2. A gown and gloves only.
3. A surgical mask only.
4. Goggles only.

22. A facility is located in a rural area where skilled nursing services are insufficient. The facility has one full-time registered nurse on duty for 40 hours a week. Under what specific condition regarding patient needs can this facility operate with only this single RN during those hours?

1. All patients must have a physician's order indicating they do not require RN or physician services for a 48-hour period.
2. Patients must be able to perform their own activities of daily living without assistance.
3. The facility must have a second nurse aide available to assist the RN during peak hours.
4. Patients must agree to see a physician only once per month for routine check-ups.

23. A nurse aide is entering a patient's room where Contact Precautions are in effect. According to the guidelines, when should the aide don their Personal Protective Equipment (PPE)?

1. Upon entry into the room
2. Immediately after exiting the room
3. Only when touching the patient's skin directly
4. After washing hands at the sink outside the room

24. According to infection prevention protocols, when must staff prohibit employees with infected skin lesions from having direct contact with residents?

1. Only when the employee is working in the dining area.
2. When direct contact will transmit the disease.
3. Whenever the employee has not washed their hands recently.
4. Only during the months of October through March.

25. Under what specific circumstance are individual containers of blood or other potentially infectious materials exempt from needing their own warning labels?

1. When they are placed in a labeled container during storage, transport, shipment or disposal.
2. When the container is made of glass rather than plastic.
3. When the blood inside is from a known healthy donor.
4. When the container is stored in a refrigerator rather than a freezer.

26. A resident asks a nurse aide for help sending a letter to their family. According to the regulations, who is responsible for paying for the stationery and postage?

1. The resident pays at their own expense.
2. The facility pays as part of the monthly room fee.
3. The state government covers the cost for all residents.
4. The nurse aide provides supplies from their personal stock.

27. When handling infected animals or unavoidable skin contact with infectious materials in a containment module, what protective measure is required?

1. Wear gloves.
2. Wash hands immediately after contact without gloves.
3. Use only a face mask to protect the respiratory system.
4. Allow the skin to air dry before washing.