Nhina Sandeep S. de Rosas

Sample MCQ Questions for the CNA Licensure Exams 1. Clients or residents disclose information pertaining to their condition and at times including personal issues during person-to-person interactions. To whom can the nurse aide share the information regarding a client’s progress? A. B. C. D. To other clients in the unit who show concern to this client To the client’s family and friends To anyone who inquires about the client’s condition To the members of the health care team on the next shift ANSWER: D. RATIONALE: All information about a client from his or her diagnosis, treatment regimen to personal matters are part of privilege communication which can only be divulged to other members of the health care team who are directly related to his or her care. AREA: Client’s rights 2. An 85-year-old client in a nursing home tells the nursing assistant, “Because the doctor was so insistent, I signed the papers for that research study. Also, I was afraid he would not continue taking care of me.: Which client right is being violated? A. B. C. D. Right not to be harmed Right to full disclosure Right of privacy and confidentiality Right of self-determination ANSWER:D. Right of self-determination RATIONALE: The right of self-determination means that subjects feel free of constraints, coercion, or any undue influence to participate in a study AREA: Client’s/Patient’s Rights 3. Although the client refused the procedure, the nurse assistant insisted and inserted the urinary catheter. The administrator of the facility decides to settle the lawsuit because the nurse assistant is most likely to be found guilty of which of the following? A. B. C. D. An unintentional tort Assault Invasion of privacy Battery ANSWER: D. Battery RATIONALE: Battery is the willful touching of a person without permission. Another name for unintentional tort is malpractice. This situation is intentional tort because the nurse assistant executed the act on purpose. Assault is the attempt or threat to touch another person unjustifiably or without permission. Invasion of privacy injures the feelings of a person and does not take into consideration how revealing information or exposing the client will affect the client’s feelings. AREA: Legal and Ethical Behavior 4. The primary care provider wrote a do not resuscitate (DNR) order. The nurse assistant recognizes that which of the following applies in the care of the client? A. The client may no longer make decisions regarding his or her own care B. The client and the family know that the client will most likely die within the next 48 hours C. The team will continue to implement all care focused on comfort and symptom management D. A DNR order from a previous admission is valid for the current admission ANSWER: C. The team will continue to implement all care focused on comfort and symptom management RATIONALE: A DNR order only controls CPR and similar lifesaving treatments. All other care continues as previously ordered. Competent clients can still decide about their own (including the DNR order). Nothing about the DNR order is related to when the client may die. Because clients’ medical conditions and their viewsof their lives can change, a new DNR order is required for each admission to a health care agency. once admitted, that order stands until changed or until expires according to agency policy. AREA: Legal and Ethical Behavior 5. The nurse assistant’s spouse undergoes surgery at the hospital where the nurse assistant is employed. Which of the following practices is most appropriate? A. B. C. D. Because the nurse assistant is an employee, access to the chart is allowed The relationship with the client provides the nurse assistant special access to the chart Access to the chart requires a signed release form The nurse assistant can ask the surgeon to discuss the outcome of the surgery ANSWER: C. Access to the chart requires a signed release form RATIONALE: The only person entitled to information without written consent is the client and those providing direct care. the nurse assistant has open access to information regarding assigned clients only. AREA: Legal and Ethical Behavior