CLTC Long-Term Care Exam Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q21When should the LPN/LVN perform hand hygiene when caring for a resident with a urinary catheter?
✓ Correct answer: D. Before touching the resident and immediately after removing gloves
Hand hygiene must be performed both before and after any patient contact, including procedures like catheter care. This is a fundamental infection control practice that prevents transmission of microorganisms to and from the patient.
Q22A resident in a long-term care facility has been diagnosed with Clostridium difficile infection. Which precaution should the nurse implement?
✓ Correct answer: C. Contact precautions with soap and water hand washing
C. difficile requires contact precautions, which include gown and gloves for all patient contact. Additionally, hand washing with soap and water (not alcohol-based sanitizer) is required because alcohol does not kill C. difficile spores.
Q23A practical nurse finds a resident lying on the floor beside the bed. What is the FIRST action the nurse should take?
✓ Correct answer: B. Assess the resident for injuries and level of consciousness
The priority is to assess the resident for injuries before moving them. This ensures appropriate intervention and prevents further harm. The nurse should check level of consciousness, pain, visible injuries, and ability to move extremities before proceeding.
Q24Which intervention is the BEST alternative to physical restraints for a confused resident who frequently attempts to get out of bed?
✓ Correct answer: A. Place the bed in the lowest position with floor mats beside the bed
A low bed with floor mats reduces fall risk without restricting the resident's movement or autonomy. This is a restraint alternative that maintains safety while preserving dignity and rights. Physical restraints should only be used as a last resort.
Q25A fire alarm sounds in a long-term care facility. Using the RACE protocol, what does the 'A' represent?
✓ Correct answer: D. Alarm - activate the fire alarm system
In the RACE fire safety protocol, 'A' stands for Alarm - activate the fire alarm system. The complete sequence is: Rescue (remove residents from danger), Alarm (activate alarm), Contain (close doors to contain fire and smoke), and Extinguish/Evacuate (extinguish if safe or evacuate).
Q26When transferring a heavy resident from bed to wheelchair, which body mechanics principle should the nurse follow to prevent injury?
✓ Correct answer: C. Keep feet shoulder-width apart and bend at the knees
Keeping feet shoulder-width apart and bending at the knees provides a stable base of support and uses the large leg muscles instead of the back muscles. This proper body mechanics technique prevents musculoskeletal injuries, particularly to the lower back.
Q27A resident with tuberculosis is admitted to the long-term care facility. Which type of isolation room is required?
✓ Correct answer: B. Negative pressure room with HEPA filtration
Tuberculosis requires airborne precautions with a negative pressure room that has at least 6-12 air exchanges per hour and air exhausted to the outside or through HEPA filtration. This prevents the spread of airborne particles containing Mycobacterium tuberculosis.
Q28After administering an insulin injection, the nurse should dispose of the used syringe in which manner?
✓ Correct answer: A. Place uncapped in a puncture-resistant sharps container immediately
Used needles and syringes must be disposed of immediately in a puncture-resistant sharps container without recapping to prevent needlestick injuries. Recapping needles significantly increases the risk of accidental needlestick injuries.
Q29Which finding during a room safety assessment indicates an immediate fall risk that requires correction?
✓ Correct answer: D. Wet floor near the bathroom entrance
Wet floors create an immediate slip and fall hazard and must be addressed immediately. The area should be dried, marked with warning signs, and residents should be redirected. This is a priority safety intervention in fall prevention.
Q30A resident's room temperature is measured at 65 degrees Fahrenheit. The resident is elderly and has poor circulation. What should the nurse do?
✓ Correct answer: C. Adjust the thermostat to increase room temperature to at least 71 degrees
Elderly residents and those with poor circulation are at increased risk for hypothermia. The recommended room temperature for long-term care facilities is 71-81 degrees Fahrenheit. The nurse should adjust the thermostat to provide a comfortable, safe environment.
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