CNA Emergency Test
This quiz will help you as a CNA become more comfortable with emergency situations when working with your patient.
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Question 1
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A patient is eating dinner at his or her bed. The patient begins coughing forcibly and turns red after taking a bite of food. What should you do immediately?
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A
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The patient most likely is choking, the Heimlich maneuver should be performed immediately.
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B
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Encourage the patient to keep coughing, and make sure the bed is in an upright position.
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C
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Open the patients mouth, try finger sweeping the excess food out of the airway.
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D
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Call 911 immediately
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Question 1 Explanation:
As long as the patient is able to cough he still has a manageable airway. Often times encouraging the patient to cough will clear the obstruction.
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Question 2
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You encourage the patient to keep coughing, after about 30 seconds he stops coughing and begins turning blue. The patient immediately goes unconscious and is laying on the bed in front of you. What are the appropriate steps to manage this patient?
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A
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Immediately turn the patient over on his or her stomach and begin back blows.
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B
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Call for help, have the staff members call 911, begin CPR.
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C
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Check the airway, perform finger sweeps, begin abdominal thrusts.
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D
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This patient is a candidate for the Heimlich maneuver, start Heimlich thrusts and call 911.
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Question 2 Explanation:
A patient that has gone unconscious should have CPR performed on them to remove the foreign object. Get help, call 911, and begin CPR immediately.
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Question 3
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The staff calls 911, you are now finishing a set of 30 compressions, it looks as if some food is coming out of the patients mouth, what shoud you do?
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A
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Continue compressions until you have done CPR for 2 minutes.
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B
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Turn the patient onto his or her stomach to allow the food to come out of the airway.
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C
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Use a bag valve mask to try and ventilate the patient.
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D
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Try and remove the food that you can visualize with a finger sweep, then try to ventilate the patient with a bag valve mask.
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Question 3 Explanation:
The patients airway should be rechecked every 30 compressions. Remove any food particles that are easily reached and visible, then try to ventilate the patient twice in order to check if you have re-established an airway.
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Question 4
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You give 2 breaths with the bag valve mask and you see good chest rise. What is the next thing you should do?
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A
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Keep doing rescue breaths for the patient until the Paramedics arrive.
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B
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Continue chest compressions until the Paramedics arrive.
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C
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Wash the patients mouth out with clean water.
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D
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Check for a pulse, begin chest compressions if pulse is absent.
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Question 4 Explanation:
The patient has an airway, however it is unclear if he still has a pulse after being without oxygen for so long. Once an airway is established it is important that we immediately assess Circulation of the patient and begin CPR if there is no pulse.
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Question 5
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You check for a pulse and there is no pulse, you immediately begin chest compressions again, you are doing CPR at a ratio of 30 compressions to 2 breaths, you are going to perform this for two minutes. What should we think to do next??
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A
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Continue Compressions and breathing for the patient until the Paramedics arrive.
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B
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Recheck the airway and pulse every 3 minutes to reassess patients condition.
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C
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Consider defibrillation with an AED
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D
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Manually Recheck the pulse after each 2 minute cycle of CPR.
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Question 5 Explanation:
The patient has become pulse less, it is most likely that he is in a shockable rhythm and needs to be defribrillated immediately. Do not stop to reassess the pulse unless the defibrillator says no shock advised. This greatly reduces the time that the patient will be without chest compressions.
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Question 6
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You are having a fellow staff member continue chest compressions for you, another staff member comes into the room with an AED and applies the pads. You immediately turn on the AED. It states that it is analyzing heart Rhythm, And asks you to shock. You ask everybody to step away from the patient, everyone is cleared, and you shock. What is the next step?
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A
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Check for Pulse
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B
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Check for Breathing
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C
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Restart the AED to check to see if another shock is advised
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D
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Begin Chest Compressions again
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Question 6 Explanation:
After a shock 96% of patients with not immediately have a renewed pulse. This period of time is when it is most important to resume CPR and help get oxygenated blood to the heart.
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Question 7
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A patient has slipped and fallen off of his or her bed, the patient is screaming, what should you do?
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A
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Immediately help the patient back on to the bed.
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B
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Put pillows under his or her back and head and call for help.
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C
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Call for help, call 911, try to calm the patient, stabilize the patients head ad spine.
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D
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Call 911, don't touch the patient.
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Question 7 Explanation:
A patient that has fallen can easily break bones, and vertebrae in the back or spine. Moving the head or body of the patient can cause paralysis or severe damage to the spinal cord. Call 911 immediately, try to stabilize the patients head and neck by lightly holding them inline with the patients body. try not to let them move. Try to keep them calm.
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Question 8
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You are doing your rounds, you walk into one of your patients room and you notice that her pulse oximetry reads 78%, the patients is on 2 liters of oxygen via a nasal cannula, what are the first things you should do?
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A
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Call for help, call 911
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B
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Nothing 78% is completely normal.
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C
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Make sure the patient is sitting upright and that her oxygen is attached and working properly.
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D
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Begin rescue breathing
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Question 8 Explanation:
Often times pulse oximetry can decrease when a patient is laying flat, sit the patient upright to increase lung space, make sure that all 02 devices are working properly. If this does not help immediately notify the RN.
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Question 9
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A patient of yours has gone into cardiac arrest and is not breathing, one of the other CNA's says that the patient has a DNR order, what does that mean?
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A
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It is dangerous to resuscitate this patient.
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B
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This patient has a do resuscitate order and needs help immediately.
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C
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This is a do not resuscitate order, and legally requires health care workers to not resuscitate the patient.
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D
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This document is legally binding and is a right of the patients.
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E
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Both C and D
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Question 10
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A patient of yours is breathing at a rate of 32 and the patients pulse is over 134, would you consider this an emergency?
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A
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Yes
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B
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No
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Question 10 Explanation:
Yes these vital signs are unstable, and should be treated immediately.
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