ACCS CNA Skills Assessment
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1. Patients sometimes express religious beliefs with which the home health aide does not agree. In dealing with these situations, which of these understandings should the aide use as a guide?
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2. Mrs. Wayne, a home health aide, leaves the home of Mr. Davis, a terminally ill patient. A neighbor stops her and says, "Mr Davis is very sick, isn't he? I hear he is near death." How should Mrs. Wayne respond?
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3. Miss Ferris, a home health aide, is assigned to care for Mr. Conway. Miss Ferris notices that she feels very angry when she is with Mr. Conway. What should Miss Ferris do because she feels this way?
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4. A patient accuses a home health aide of stealing five dollars. The aide has not taken the patient's money, but the patient does not believe this. What should the aide do?
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5. Which of these actions is the home health aide permitted to take in relation to drug adminitration?
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6. One morning shortly after the home health aide arrives, Mr. Walsh says, "I have had cramping pains in the calf of my right leg for the last two hours." In addition to reporting this complaint to the agency supervisor, what is the best way for the aide to write this on the chart?
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7. When a patient complains of pain, what should the home health aide do FIRST?
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8. The home health aide should be sure to take which of these actions when caring for a newborn baby?
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9. What is the chief reason for covering your mouth or nose when coughing or sneezing?
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10.Which of these signs may be an early warning sign of cancer?
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11. Which of these statements describes good body mechanics?
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12. If a home health aide has bad breath or body odors, who is LEAST likely to be aware of it?
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13. Which of these substances should be used to put out a fire in a pan of bacon fat?
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14. Which of these fluids is HIGHEST in protein?
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15. Milk is a good source of calcium. Which of these foods is also high in calcium?
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16. When patients do not have enough fluids, they develop which of these problems?
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17. When a patient's respirations are being counted, it is best if the patient:
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18. The temperature that the arrow is pointing to should be recorded as:
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19. For rectal temperature, the thermometer should be inserted how far into the rectum?
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20. Why is the thumb NOT used for taking a patient's pulse?
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21. Why is it important that a patient have good mouth care?
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22. A patient's circulation is generally improved when the patient's:
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23. The home health aide is helping Mrs. Elden with her bed bath. Mrs. Elden prefers to wash her genital and rectal areas herself. Which one of these measures should be taken?
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24. When caring for a patient who is on bed rest, what should the aide do to prevent bedsores?
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25. A patient who has been on bed rest is about to get up in a chair. The home health aide helps the patient to sit on the edge of the bed. The patient says, "I am dizzy." What should the aide do?
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26. The main reason for NOT wearing round garters to hold up stockings is that such garters can:
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27. Which of these statements about the elderly is true?
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28. The ability to make observations is even more important when working with infants and young children than it is when working with adults. The CHIEF reason for this is that infants and young children:
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29. In disciplining a young child, what idea is MOST important for the home health aide to communicate to the child?
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30. All the following telephone numbers are important to a patient. Which number MUST the home health aide have next to the telephone?
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31. When working with a person who is disabled, the GENERAL goal of care is to:
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32. In which of these cases may cold applications cause injury to a patient?
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33. If a patient is to have fluid intake record kept, the right time to record the patient's fluids is:
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34. A patient is receiving oxygen through a nasal tube. What safety precautions should the home health aide take?
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35. An elderly male patient occasionally wets his trousers. What should the home health aide do?
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36. A patient's prescription for heart pills has recently been CHANGED. The home health aide should notify the agency supervisor immediately if the patient makes which of these comments?
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37. A home health aide is about to give a patient a back rub and notices a slightly red area about the size of a quarter at the base of the patient's spine. In addition to reporting this finding to the agency supervisor, what should the aide do?
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38. In giving foot care to a patient who has diabetes, the home health aide should NOT take which of these actions?
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39. Mrs. Rand, who has diabetes and takes insulin regularly tells the home health aide that she feels very nervous and jittery. What should the aide do immediately?
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40. A patient has had a stroke and has a right-sided weakness. The patient can walk with a little assistance. It is best for the home health aide to assist the patient by walking in which of these positions?
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41. Physical therapy is started for a patient. Which of these statements about exercise is true?
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42. Mr. Nelson needs to use a rigid walker when he walks. When he uses the walker, the home health aide should be sure that Mr. Nelson:
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43. The home health aide is taking care of a terminally ill patient who is unconscious. Which of these measures should the aide take?
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44. A home health aide is assigned to a family in which the mother, Mrs. Roth, has recently been discharged from a mental institution. It is essential for the aide to notify the agency supervisor if Mrs. Roth makes which of these comments?
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45. For which of these emergencies is a knowledge of pressure points essential?
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46. A patient suddenly complains of intense, squeezing pain in the chest that goes down the arm. The patient is sweating profusely. The home health aide should:
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47. If a patient stops breathing, what should be done first?
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48. Before trying first aid measures for a patient who is choking on food or some other object stuck in the airway, what should the home health aide find out?
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The next four questions are about Mr. Stone.
Mr. Stone is 76 years old, needs help bathing, and has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a low-salt diet.
49. The home health aide is to give Mr. Stone a bed bath. To be sure the water is not too hot, what should the home health aide do?
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50. When helping Mr. Stone from the bed to the wheelchair, which of these actions is ESSENTIAL?
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51. Mr. Stone's Foley catheter is attached to a drainage bag. The drainage bag should always be kept:
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52. Patients on low-salt diets are usually allowed to have which of these foods?
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The next 8 questions are about Mrs. Amos
A home health aide is assigned to assist in taking care of Mrs. Amos, an 87-year old woman who is a widow and lives alone. Mrs. Amos needs help with bathing, dressing, making meals, and cleaning her apartment.
53. Mrs. Amos says, "I hate not being able to take care of myself." To show Mrs. Amos that the home health aide understands her feelings, what should the aide say?
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54. In order to communicate effectively with Mrs. Amos, the home health aide should:
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55. Mrs. Amos asks that talcum powder be used in her care. Before the powder is applied, Mrs. Amos' skin should be:
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56. Mrs. Amos does not wear her denture when she sleeps. How should the dentures be stored?
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57. The home health aide encourages Mrs. Amos to assist with meal planning, to choose the clothing she is to wear, and in general to plan her daily schedule. Why is this a good approach?
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58. It is Mrs. Amos' usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Amos has made this type of statement. What should the home health aide do?
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59. Mrs. Amos has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that long a time. Mrs. Amos asks the home health aide to give her an enema. What should the aide do?
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60. When the basic psychological and physical needs of a person such as Mrs. Amos are met, that person will feel:
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