Clinical Skills Test
You have 90 minutes to complete this test. After 90 minutes, the test will be auto-submitted. Good luck. You got this!
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1. Before assisting a resident with feeding, the CNA should first:
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A) Wash their hands.
B) Put on gloves.
C) Check the resident's ID band.
D) Position the resident in Fowler's position.
2. The CNA notices that a resident's urine is dark and has a strong odor. What should the CNA do?
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A) Record it and continue with care.
B) Encourage the resident to drink more water immediately.
C) Report the observation to the nurse.
D) Give the resident cranberry juice.
3. A resident is on fall precautions. Which action is most important?
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A) Keep the call light within reach.
B) Place the bed in the highest position.
C) Keep the side rails raised.
D) Encourage the resident to walk unassisted.
4. When providing perineal care to a female resident, the CNA should:
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A) Wipe from back to front.
B) Wipe from front to back.
C) Use the same area of the washcloth for the entire task.
D) Avoid drying the area.
5. The CNA finds resident on the floor. The first action is to:
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A) Get the resident back in bed immediately.
B) Call for the nurse.
C) Check the resident for injuries.
D) Report it at the end of your shift.
6. Which of the following is a sign of hypoglycemia (low blood sugar).
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A) Flushed skin and dry mouth.
B) Sweating and shakiness
C) Slow pulse and confusion
D) Warm skin and bounding pulse
7. To prevent pressure ulcers, the CNA should:
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A) Keep the resident in one position as long as comfortable.
B) Use pillows to support bony areas.
C) Massage reddened areas.
D) Limit fluid intake.
8. Which is the best way to ensure correct resident identification before care?
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A) Ask the resident's roommate
B) Check the resident's ID bracelet
C) Call the resident by name only
D) Ask another CNA
9. The CNA is caring for a resident with dementia who is becoming agitated. The best action is to:
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A) Restrain the resident.
B) Redirect with a calm activity.
C) Leave the resident alone.
D) Argue with the resident.
10. A resident with a weak left side needs to transfer from bed to wheelchair. The CNA should place the wheelchair:
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A) On the resident's left side
B) On the resident's right side.
C) At the foot of the bed.
D) Facing away from the bed.
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11. What is the proper way to take a patient's pulse?
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A) Count the pulse for 15 seconds and multiply by 4.
B) Count the pulse for 30 seconds and multiply by 2.
C) Use an electronic monitor only.
D) Count the pulse for 1 minute.
12. Which is the most effective way to prevent spread of infection?
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A) Wearing gloves at all times.
B). Frequent handwashing.
C) Using hand sanitizer only.
D) Cleaning surfaces with bleach.
13. Which of the following best describes a patient right to privacy?
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A) Patient can be treated without consent.
B) All medical information must be shared with family members.
C) Patients have the right to keep their health information confidential.
D) Healthcare workers can discuss patient information publicly.
14. In case of a fire in a healthcare facility, what is the first action a CNA should take?
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A) Activate the fire alarm.
B) Evacuate all patients immediately.
C) Call 911.
D) Attempt to extinguish the fire.
15. When assisting a patient with bathing, what is the most important consideration?
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A) The nurse's comfort
B) The patient's privacy and dignity
C) The time it takes to complete the task.
D) The use of warm water.
16. Which of the following is the correct method to promote effective communication with a resident who is hearing impaired?
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A) Speak loudly and directly into the resident's ear.
B) Face the resident and speak clearly in a normal tone.
C) Use medical terms so the resident will understand
D) Assume the resident can read lips without checking.
17. When assisting a resident with ambulation using a gait belt, the nurse aide should:
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A) Place the gait belt around the resident's chest.
B) Hold the belt from underneath, using an underhand grip.
C) Place the belt loosely so that it can be removed easily.
D) Ask the resident to hold onto the belt during ambulation.
18. A resident is on fluid restriction. Which of the following should the nurse aide do?
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A) Offer fluids only at mealtimes.
B) Keep a record of the amount of fluids the resident drinks.
C) Encourage the resident to drink as much as possible in the morning.
D) Refill the resident's water pitcher every shift.
19. A resident reports pain while being repositioned in bed. What should the nurse aide do first?
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A) Continue repositioning quickly to get it over with.
B) Stop and report the pain to the nurse.
C) Ignore the complaint and finish the task.
D) Tell the resident that repositioning always hurts.
20. A resident is on bedrest and requires frequent repositioning. The most important reason for repositioning the resident is to:
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A) Prevent boredom
B) Prevent pressure ulcers
Increase appetite
D) Allow the sheets to be changed.
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21. When providing mouth care for an unconscious resident, the nurse should:
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A) Place the resident in a flat position.
B) Use large amounts of water to rinse the mouth.
C) Turn the resident's head to the side to prevent aspiration.
D) Avoid brushing the resident's teeth
22. Which of the following is the best definition of "confidentiality" in resident care?
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A) Sharing resident information only with staff directly involved in the resident's care.
B) Telling family members everything you know about the resident
C) Keeping secrets between the aide and the resident.
D) Only reporting resident care at the end of the shift
23. When removing dirty linen from a resident's bed, the nurse aide should:
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A) Shake the linen to remove crumbs before placing in the hamper.
B) Place the linen on the floor until the bed is remade.
C) Roll the linen away from the nurse aide's uniform
D) Carry the linen uncovered down the hallway.
24. When assisting a resident to eat who has one-sided weakness (hemiplegia), the nurse should:
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A) Place the food on the resident's weaker side
B) Place the food on the resident's stronger side
C) Feed the resident only pureed food
D) Tell the resident to eat quickly before food gets cold.
25. A resident with diabetes has not eaten much of their lunch. The nurse aide should:
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A) Offer the resident dessert only
B) Report the meal intake to the nurse
C) Remove the tray and say nothing
D) Tell the resident they must finish the meal
26. A resident is on oxygen therapy. The nurse aide should:
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A) Remove the oxygen mask when the resident is eating without telling the nurse.
B) Keep the resident away from open flames.
C) Adjust the flow rate to what seems comfortable for the resident.
D) Apply Vaseline to the resident's lips to prevent dryness.
27. Which of the following is the correct procedure when assisting a resident with a weak left side to dress?
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A) Dress the weak side first, undress the strong side first.
B) Dress the strong side first, undress the weak side first.
C) Always dress both arms at the same time.
D) Ask the resident to dress independently, regardless of ability.
28. A resident suddenly begins choking while eating and cannot speak or cough. The nurse aide should:
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A) Call for help and perform abdominal thrusts
B) Pat the resident on the back until food dislodges
C) Offer the resident water immediately
D) Run to get the nurse before helping
29. A resident begins to cry while receiving morning care. The best response by the nurse aide is to:
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A) Tell the resident not to cry
B) Ignore the crying and continue care
C) Ask the resident if they would like to talk about what is upsetting them
D) Immediately call the family
30. A resident who is normally alert is suddenly confused and disoriented. The nurse aide should:
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A) Assume the resident has dementia
B) Report the change immediately to the nurse.
C) Tell the resident to rest and ignore it.
D) Wait until the end of the shift to mention it
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31. A CNA is assigned a task that they have not been trained to perform. Whatis the most appropriate response by the CNA?
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A) Attempt the task while reading the procedural manual.
B) Politely ask another CNA to do the task instead.
C) Refuse the assignment and explain to the nurse the lack of training.
D) Tell the patient that the task cannot be done until they receive training.
32. The nurse aide notices a resident's call light on the floor. What should the nurse aide do?
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A) Ignore it, since another staff member may have dropped it
B) Return the call light to the resident and make sure it works.
C) Remove the call light if the resident uses it too often
D) Leave it on the floor until the nurse checks the room.
33. Which task is within the scope of practice for a Certified Nursing Assistant?
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A) Changing a sterile dressing.
B) Administering an oral medication.
C) Recording a resident's fluid intake and output.
D) Developing a resident's care plan.
34. A resident's family asks the CNA to keep their loved one's door closed at all times to prevent them from wandering out. The resident is alert, oriented, and prefers their door open. What is the appropriate action for the CNA?
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A) Cose the door, as the family requested.
B) Explain to the family that the resident has the right to refuse care or restrictions.
C) Keep the door open and report the family's request to the charge nurse.
D) Keep the door open, but check on the resident every 15 minutes.
35. A resident with dementia is crying and repeatedly asking for their mother, who passed away 20 years ago. What is the best response by the CNA?
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A) "Your mother died a long time ago. You are in a safe place."
B) "Let's go for a walk and get a snack. What did your mother like to cook?"
C) "I understand you miss your mother. Let me get the nurse."
D) "Why don't you try to remember a happier time with her instead?"
36. A patient refuses to take a bath, stating, "I'm not dirty, and I'm too tired." What is the best initial action for the CNA?
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A) Tell the patient they must follow the care plan.
B) Give the bath anyway, as hygiene is important.
C) Respect the patient's refusal, offer alternatives (such as washing face/ hands), and report the refusal to the nurse.
D) Leave the patient and document that they were non-compliant.
37. The CNA is helping a resident ambulate with a walker. Which of the following is an appropriate instruction for the CNA to give the resident?
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A) "Slide the walker as you move your feet"
B) "Move your weak leg, then the walker, then your strong leg."
C) "Keep your elbows locked while leaning over the walker".
D) "Move the walker forward about 6 to 10 inches, then step into it".
38. A newly admitted patient is crying and says, "I wish I could just go home. I hate this place." What is the most therapeutic response from the CNA?
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A) Don't worry, you'll get used to it."
B) "It sounds like you are feeling sad and homesick. Can you tell me more about what you miss."
C) "Let's focus on the positive, like the great food we have here."
D) ''I'm sure your family will visit soon, so try to cheer up."
39. Which action best promotes the dignity and independence of a patient during personal care?
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A) Performing all care quickly and efficiently for the patient.
B) Only speaking to the patient using simple, one-word commends.
C) Encouraging the patient to do as much as possible for themselves and respecting their privacy.
D) Making decisions for the patient regarding their routine and clothing choices.
40. An elderly resident refuses to drink water, stating she is not thirsty. The CNA notices the resident's lips are cracked ad her urine is dark yellow. The most appropriate initial action for the CNA is to:
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A) Immediately notify the charge nurse of the signs of dehydration.
B) Tell the resident she must drink water to avoid getting sick.
C) Offer the resident a preferred fluid, such as juice or clear soup.
D) Remove the water pitcher since the resident refuses to drink.
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41. The normal range for an adult's respiratory rate is:
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A) 50-100 breaths per minute
B) 12-20 breaths per minute
C) 25-35 breaths per minute
D) 8-10 breaths per minute
42. A resident's family member asks the CNA to share a photo of the resident from their room on social media because it "looks cute". The best response by the CNA is to:
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A) Take the photo and post it, as long as the family member gives permission.
B) Take the photo, but only share it privately with co-workers.
C) Politely refuse, explaining that taking and sharing a photo violates the resident's HIPAA rights.
D) Check the facility's policy to see if a family member's consent is all that is needed.
43. A CNA sees a co-worker shove a resident who is being difficult during morning care. What is the CNA's initial action?
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A) Confront the co-worker immediately and tell them to stop.
B) Wait until the end of the shift to report the incident.
C) Report the abuse the nurse immediately.
D) Document the incident in the resident's chart.
44. Which is an example of negligence by a CNA?
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A) Accidentally spilling water on the floor.
B) Applying restraints without a doctor's order.
C) Forgetting to reposition an immobile resident, resulting in a new pressure ulcer.
D) Giving a resident their lunch tray 15 minutes late.
45. When lifting a heavy object or assisting a client with a transfer, the CNA should use proper body mechanics by:
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A) Bending from the waist and keeping the legs straight.
B) Keeping the feet close together for a stable base of support.
C) Using the stronger muscles of the legs and keeping the back straight.
D) Twisting the back instead of pivoting the feet to change direction.
46. The primary goal of restorative care for a resident is to:
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A) Reduce the amount of time staff spends with the resident.
B) Prevent falls by keeping the resident in bed.
C) Help the resident return to their highest possible level of function and independence.
D) Ensure the resident relies completely on the CNA for all Activities of Daily Living (ADLs).
47. A bedridden resident should be repositioned at least every two hours to prevent which of the following?
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A) Contractures
B) Dehydration
C) Urinary Tract Infections (UTls)
D) Pressure Ulcers (bedsores)
48. A resident with dysphagia (difficulty swallowing) is most at risk for which complication?
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A) Dehydration
B) Aspiration pneumonia
C) Constipation
D) Skin breakdown
49. The diet that includes all liquids that are clear at room temperature( like broth, gelatin, and apple juice) is called a:
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A) Clear Liquid Diet
B) Mechanical Soft Diet
C) Full Liquid Diet
D) Pureed Diet
50. The primary goal of hospice care is to:
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A) Cure the resident's underlying illness.
B) Provide medical interventions to prolong life as long as possible.
C) Encourage the resident to move to a hospital for aggressive treatment.
D) Focus on the comfort, dignity, and quality of life for a resident with a terminal illness.
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51. Which sense is usually the last to be lost as a person is dying?
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A) Sight
B) Hearing
C) Taste
D) Smell
52. A resident is visually impaired. What is the best communication strategy for the CNA to use when entering the resident's room?
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A) Touch the resident lightly on the arm to let them know you are there.
B) Announce your presence and identify yourself as soon as you enter the room.
C) Speak louder than normal so they can hear your better.
D) Leave the TV on for background noise to help orient them.
53. When dealing with a resident who is angry and verbally hostile, the CNA should:
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A) Ignore the resident until they calm down.
B) Argue back to show the resident they can't be aggressive.
C) Immediately leave the room and report the behavior.
D) Remain calm, speak in non-threatening tone, and listen to the resident's concerns.
54. A CNA is preparing to empty a resident's urinary drainage bag. Which Personal Protective Equipment is necessary?
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A) Mask and gown
B) Sterile gloves only.
C) Gloves only.
D) Gown, gloves, and face shield.
55. Allowing a resident to choose what clothes to wear and which activities to attend supports which fundamental right?
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A) Right to privacy.
B) Right to self-determination.
C) Right to be free from abuse.
D) Right to financial security
56. If a resident voices a complaint about the facility's quality of care, the CNA's most appropriate response is to:
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A) Tell the resident that things will improve.
B) Ignore the complaint since the resident is often confused.
C) Listen without interruption and promptly report the complaint to the nurse.
D) Tell the resident to file a formal grievance with the state
57. A CNA is monitoring a resident who has just returned from surgery. Which observation should be reported to the nurse immediately?
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A) The resident is sleeping.
B) The resident drank half of the water pitcher in 4 hours.
C) The resident reports a pain level of 3/10.
D) The resident has a new, large area of bloody drainage on the surgical dressing.
58. A resident with a urinary catheter is suddenly restless, confused, and has a temperature of 101.5 orally. The CNA should first:
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A) Offer the resident a glass of water.
B) Re-check the temperature in 30 minutes.
C) Report the signs and symptoms to the nurse immediately.
D) Empty the urinary drainage bag and record the output.
59. The CNA finds a fire in a resident's room. What is the CNA's first action?
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A) Aim the extinguisher at the base of the fire.
B) Rescue the resident from the area.
C) Confine the fire by closing the door.
D) Extinguish the fire if small.
60. During a bed bath, the CNA should wash the resident's eyes by using a separate part of the washcloth for each eye wiping:
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A) From the outer corner to the inner corner.
B) From the inner corner to the outer corner.
C) Using a circular motion.
D) Only with soap and water
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