Chapter 14 – 2026-2027 Updates

1. 4.4-1. A patient's telehealth appointment is in 10 minutes. You notice the tablet battery is at 8%. What is the BEST first action?

A) Begin the visit; 8% should be enough B) Plug in the device immediately and verify the charger is working C) Cancel the visit and inform the patient D) Ask another CNA to handle it

2. 4.4-2. During a telehealth visit, a family member walks into the room uninvited. What should you do?

A) Allow them to stay; family is always permitted B) Politely ask them to wait outside and close the door C) Pause the visit and call the nurse D) Mute the microphone

3. 4.4-3. A patient's Remote Patient Monitoring (RPM) blood pressure reading is significantly above the parameters noted in the care plan. What is your FIRST action?

A) Retake the reading three times and average the results B) Document it and report at end-of-shift C) Report to the nurse immediately D) Ask the patient how they feel and wait

4. 6.4-1. You have just finished caring for a patient on C. difficile Contact Precautions. Which hand hygiene method is required?

A) Alcohol-based hand rub (ABHR) — faster and equally effective B) Soap and water for at least 20 seconds — ABHR does not kill C. diff spores C) Either method is acceptable for C. diff D) Gloves alone are sufficient; no hand hygiene needed after removal

5. 6.4-2. You assist a patient from lying to sitting at the edge of the bed. According to the 2026 orthostatic hypotension protocol, what must you do BEFORE helping the patient stand?

A) Immediately assist to standing — delays increase fall risk B) Take a full set of vital signs before any movement C) Wait 30–60 seconds and ask the patient about dizziness or lightheadedness D) Apply the gait belt first, then move immediately to standing

6. 6.4-3. You sustain a needlestick injury while caring for a patient. What is your FIRST action?

A) Apply a bandage and monitor for symptoms over the next few days B) Immediately wash the area with soap and water, then report to the charge nurse without delay C) Complete your assigned tasks and report the incident at end of shift D) Use alcohol hand sanitizer on the puncture site and document in the incident report

7. 6.4-4. A patient has active tuberculosis (TB) and is on Airborne Precautions. What PPE is required before you enter the room?

A) Surgical mask and gloves only B) N95 respirator only — gown and gloves are optional for TB C) Gown and gloves only — a mask is not required for brief entries D) Fit-tested N95 respirator, gown, and gloves — a surgical mask alone is NOT sufficient for TB