NEED YOUR HELP: ASAP Over-thinking Q's for CNA Pre-TEST!!

[Sunshyne20]

So I had a "Pre-interview" testing for a CNA position at a hospital. I took the test on tuesday and didn't pass When I spoke to the Recruiter she told me that the test will be on "how you will react" so I studied Protocols and procedures. but the test was mostly on task and specific duties. I feel so stupid for studying the wrong thing

But the recruiter was very nice and offered me a second chance to take it tomorrow!...when I was told before I would have to wait 6 months in order to take it again. Now I know what is going to be on it but I am having difficulty answering some of the questions.

I know some of these questions are "common sense" But I felt there might be more than 1 good answer. I need help choosing the BESt one. THANK YOU :) [i tried to remember the Q&A's on test]

1. What should you do if a diabetic patients leaves her insulin syringe out?

a. tell patient to throw their syringe away next time

b. show patient how to re-cap syringe

c. throw syringe out in designated area/bin

2. What should you do if a patients feels that you have stolen or misplaced one of their personal belonging? But really the patient misplaced it themselves and is suffering memory loss.

a. ignore patient and look for item

b. tell patient that the cna's and yourself are not careless and woudnt misplace it.

c. ask patient to apologize (I know that one is wrong lol)

3. When serving a tray what is the incorrect thing to do?

a. give patient a bed pan before

b. check tray for name and info

c. turn phone off when you leave

4. if you smell smoke what should you do first?

a. alert supervisor

b. find out where the smoke is located

c. dial operator

d. close off doors and windows

5. When should you not apply a cold (compress) to prevent injury?

a. Fever

b. dependent swelling

c. poor circulation

6. What should you do if a patient makes you feel angry when you work with them?

a. talk to supervisor

b. tell patient how you feel about them

c. ignore and pretend you like them

d. talk to other cnas for advise

7. What is the best thing to do if a patients legs are both paralyzed?

a. bend legs

b. pillow under legs

c. frequent positioning

d. add warmth

Thanks you!

raquel :)

[MedChica]

hmm...

1. what should you do if a diabetic patients leaves her insulin syringe out?

a. tell patient to throw their syringe away next time

b. show patient how to re-cap syringe

c. throw syringe out in designated area/bin

answer: c

i'm not familiar with this (suppose because the nurses handle the meds and such where i am) but i'd think it would be up to me to dispose of the syringe properly.

2. what should you do if a patients feels that you have stolen or misplaced one of their personal belonging? but really the patient misplaced it themselves and is suffering memory loss.

a. ignore patient and look for item

b. tell patient that the cna's and yourself are not careless and woudnt misplace it.

c. ask patient to apologize

a. is probably the best answer...but, i pick 'none of the above'. you don't 'ignore' pts.

b and c would be incorrect because you're being combative and defensive. you don't argue with the pts.

honestly, i'm more likely to offer to locate the missing item (if i can calm them down) then alert my supervisor...to file a report.

3. when serving a tray what is the incorrect thing to do?

a. give patient a bed pan before

b. check tray for name and info

c. turn phone off when you leave

c.

you want to check the tray to ensure that it's the correct patient with the correct food...because you don't want to give liquids to someone with thicken or regular food to a 'choker'.

a bed pan? i guess that would be ok. set it to the side for easy access if they should need it.

4. if you smell smoke what should you do first?

a. alert supervisor

b. find out where the smoke is located

c. dial operator

d. close off doors and windows

a. alert supervisor.

remember:

r escue (get residents out of danger area/secure residents)

a lert (alert supervisor/dial 9 operator)

c ontain (close off doors and window)

e xtinguish (put out fire, if possible)

5. when should you not apply a cold (compress) to prevent injury?

a. fever

b. dependent swelling

c. poor circulation

i'm not sure. honestly, i wasn't taught to put a compress on anything. so, it's beyond my scope of practice to do it. bandages...? yes. dressing? yes. lantiseptic(skin protectant)? yes.

...which makes sense. even if you somehow screw it up, you cna't hurt the pt. but, applying a hot/cold press improperly? uh...

even when i perform these duties, i am instructed by the nurse. how to do it. why to do it. when to do it.

i guess ... i just have a problem with the way the question's worded: 'when should you...'?

uh, i don't know.

d. when the nurse says so...? is that one of the answers?

*laugh*

i don't assess pts. i don't draft careplans. i don't 'administer' anything without instruction.

i don't have enough letters behind my name to be 'the great decider'. *laugh*

if i notice something wrong with the pt, i inform the nurse.

6. what should you do if a patient makes you feel angry when you work with them?

a. talk to supervisor

b. tell patient how you feel about them

c. ignore and pretend you like them

d. talk to other cnas for advise

answer: a.

the safest answer.

7. what is the best thing to do if a patients legs are both paralyzed?

a. bend legs

b. pillow under legs

c. frequent positioning

d. add warmth

c. frequent positioning?

i guess. picked this because i think you'd want to move and exercise their legs often (rom).

[Sunshyne20]

WOW Thank you so much. I was thinking almost all the same answers except for Number 2&5.

#2- I wasn't so sure and I forget what answer "D" would have been. "A" seems correct except I don't like the whole "ignore" part.

#5- I put "Poor Circulation" because I read in my manual that patients that have poor circulation such as diabetic patients need to be kept warm. Such their feet and ankles which are prone to edema. I wasn't so sure what "dependent swelling" may be But i will look that up. "dependent swelling" seems to be linked to/the result of poor circulation i believe. So how would I know what is the better answer? hmmm.

These questions can be tricky! because i feel there could be possibly more than one correct answer.

Thank again! :)

[Sunshyne20]

I PASSED!

[Thujone]

grats, and ftr a cold compress would cause vasoconstriction, therefore reducing circulation even more. however, a warm compress will cause vasodialation and therefore increase circulation to a specific area.

[Dorali, BSN, LPN, RN]

Congratulations!!

I know when there is a fever, you are not supposed to put a cold compress on their head; it's supposed to be lukewarm. Cold would cause them to shiver (that's your body's reaction to being cold) and therefore raise their body temperature even more.

Just wanted to throw that out there. :)

Congratulations again!! Sounds like this may be the place you are *supposed* to be!