CT Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 V2, Exams of Nursing

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CT Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

1. When providing basic nursing care, which of the following is a primary responsibility of a Nurse Aide? a) Administering prescription medication b) Performing minor surgery c) Assisting with activities of daily living (ADLs) d) Diagnosing common illnesses Correct Answer : c) Assisting with activities of daily living (ADLs) Rationale: Nurse Aides are trained to assist residents with ADLs, which are routine activities that people tend do every day without needing assistance.
2. A resident has a new diagnosis of diabetes. What specialized care might a Nurse Aide provide? a) Prescribing insulin b) Monitoring blood glucose levels c) Adjusting dietary plans d) Providing diabetic education Correct Answer : b) Monitoring blood glucose levels Rationale: Nurse Aides can monitor vital signs and report changes to the nursing staff, which is essential for residents with changes in health such as diabetes.

b) Encourage the resident to be more social c) Provide companionship and listen to the resident's concerns d) Tell the resident that feeling lonely is normal and to get used to it Correct Answer : c) Provide companionship and listen to the resident's concerns Rationale: Emotional support is a key aspect of a Nurse Aide's role in promoting the mental health and well-being of residents. Question: A Nurse Aide notices a wet floor in a resident's room. What should be the Nurse Aide's immediate action? A. Ignore the wet floor and continue with other tasks. B. Place a caution sign near the wet area and clean up the spill promptly. C. Inform the resident about the wet floor and ask them to be careful. D. Wait for the housekeeping staff to arrive and clean the floor. Correct Answer : B. Place a caution sign near the wet area and clean up the spill promptly. Rationale: Promptly addressing wet floors helps prevent slips and falls, ensuring resident safety is maintained. Question: When assisting a resident with bathing, which of the following actions by the Nurse Aide promotes the resident's dignity?

A. Rushing through the bathing process to save time. B. Closing the bathroom door to provide privacy. C. Using a cold towel without informing the resident. D. Speaking loudly to the resident during the bath. Correct Answer : B. Closing the bathroom door to provide privacy. Rationale: Providing privacy during personal care tasks upholds the resident's dignity and respects their autonomy. Question: Which of the following tasks falls within the scope of practice for a Nurse Aide? A. Administering medications to residents. B. Inserting a urinary catheter for a resident. C. Assisting residents with feeding and hydration. D. Conducting physical assessments of residents. Correct Answer : C. Assisting residents with feeding and hydration. Rationale: Basic nursing care, such as assisting with feeding, is a common task for Nurse Aides within their scope of practice.

Rationale: Clear communication helps residents with dementia understand instructions and feel supported in their care. Question: A resident is at risk for pressure ulcers. What actions should the Nurse Aide take to prevent pressure ulcers? A. Reposition the resident every 8 hours. B. Avoid using pressure-relieving devices. C. Keep the resident's skin dry and clean. D. Massage bony areas to improve circulation. Correct Answer : C. Keep the resident's skin dry and clean. Rationale: Maintaining skin integrity through cleanliness helps prevent pressure ulcers in at-risk residents. Question: Which of the following situations requires immediate intervention by the Nurse Aide? A. A resident expressing feelings of loneliness. B. A resident complaining of minor back pain. C. A resident experiencing difficulty breathing. D. A resident requesting a change in meal timing. Correct Answer : C. A resident experiencing difficulty breathing.

Rationale: Difficulty breathing is a critical symptom that requires immediate attention to ensure resident safety. Question: How can a Nurse Aide promote a safe environment for residents with mobility issues? A. Encourage residents to move independently without assistance. B. Remove mobility aids to prevent dependence on them. C. Keep walkways clear of obstacles and hazards. D. Limit residents' access to common areas. Correct Answer : C. Keep walkways clear of obstacles and hazards. Rationale: Clear walkways reduce the risk of falls and promote a safe environment for residents with mobility challenges. Question: When assisting with range of motion exercises for a resident, which approach is most appropriate for the Nurse Aide to take? A. Stop the exercises if the resident complains of discomfort. B. Perform the exercises quickly to save time. C. Stretch the resident's joints beyond their normal range. D. Follow the care plan and move the joints gently.

D. Skipping oral care if the resident refuses. Correct Answer : C. Cleaning the resident's dentures daily. Rationale: Regular oral care, including cleaning dentures, helps maintain oral hygiene and prevents oral health issues. Question: A resident has difficulty swallowing (dysphagia). How should the Nurse Aide modify the resident's diet? A. Offer thickened fluids and avoid solid foods. B. Provide only solid foods to encourage chewing. C. Offer spicy foods to stimulate the resident's appetite. D. Avoid monitoring the resident's food intake. Correct Answer : A. Offer thickened fluids and avoid solid foods. Rationale: Modifying the diet to accommodate swallowing difficulties can prevent choking and aspiration in residents with dysphagia. Question: Which of the following actions demonstrates cultural competence in care provision? A. Ignoring the resident's cultural practices and beliefs. B. Providing culturally appropriate meals for the resident.

C. Restricting communication to English only. D. Disregarding the resident's preferences for care. Correct Answer : B. Providing culturally appropriate meals for the resident. Rationale: Respecting and accommodating residents' cultural preferences promotes culturally competent care and enhances the overall care experience. Question: A resident with a recent stroke has limited mobility on one side of the body. How should the Nurse Aide assist with transfers? A. Always transfer the resident using a mechanical lift. B. Encourage the resident to transfer independently. C. Provide support on the affected side during transfers. D. Avoid assisting with transfers to promote independence. Correct Answer : C. Provide support on the affected side during transfers. Rationale: Providing support on the affected side ensures safe transfers and minimizes the risk of falls or injury for residents with limited mobility.

Rationale: Nurse aides are responsible for providing hands-on care to patients under the supervision of licensed nurses. This includes tasks like bathing, dressing, and assisting with mobility.

2. When promoting safety for residents, which action by a nurse aide is most appropriate? A) Allowing a confused resident to wander unsupervised B) Ensuring that walkways are clear of obstructions C) Using restraints to prevent falls D) Encouraging residents to walk without assistance Correct Answer : B) Ensuring that walkways are clear of obstructions Rationale: Keeping walkways clear helps prevent falls and other accidents, promoting the safety of residents.
3. Which of the following would be considered a function of a nurse aide in promoting the health of residents? A) Administering medications B) Monitoring vital signs C) Providing emotional support D) Diagnosing medical conditions Correct Answer : C) Providing emotional support

Rationale: Nurse aides play a crucial role in providing emotional support to residents, which can positively impact their overall health and well- being.

4. A nurse aide is assisting a resident with basic nursing care. Which task would be within the scope of practice for the nurse aide? A) Inserting a urinary catheter B) Changing a sterile dressing C) Assisting with oral hygiene D) Administering IV medications Correct Answer : C) Assisting with oral hygiene Rationale: Nurse aides are trained to assist with activities of daily living, such as oral hygiene, feeding, and bathing.
5. A resident has experienced a sudden decline in health. What is the nurse aide's role in providing specialized care in this situation? A) Conducting a physical assessment B) Contacting the resident's family C) Reporting changes to the nurse or supervisor D) Ordering additional diagnostic tests Correct Answer : C) Reporting changes to the nurse or supervisor

Rationale: Upholding residents' dignity and privacy is essential in providing quality care and building trust with residents.

8. Which action by a nurse aide demonstrates promotion of function and health in residents? A) Encouraging residents to remain in bed all day B) Assisting residents with range of motion exercises C) Restraining residents to prevent falls D) Allowing residents to choose their own meals Correct Answer : B) Assisting residents with range of motion exercises Rationale: Range of motion exercises help maintain or improve residents' physical function, prevent contractures, and promote overall health.
9. What is the nurse aide's role in providing specialized care for residents with changes in health? A) Relying on personal judgment to determine appropriate care B) Ignoring changes in residents' conditions C) Following the care plan and reporting changes to the nurse D) Withholding information from the healthcare team Correct Answer : C) Following the care plan and reporting changes to the nurse

Rationale: Nurse aides should follow the care plan and promptly report any changes in residents' health to ensure timely intervention and appropriate care.

10. A resident is at risk of falling. What should the nurse aide prioritize to promote the resident's safety? A) Administering sedatives to keep the resident calm B) Allowing the resident to move freely without assistance C) Using assistive devices as recommended in the care plan D) Restricting the resident's movement with physical restraints Correct Answer : C) Using assistive devices as recommended in the care plan Rationale: Using assistive devices as recommended in the care plan can help prevent falls and promote the safety of residents at risk.
11. Which of the following actions by a nurse aide best demonstrates promoting safety for residents? A) Allowing a resident to use a broken wheelchair B) Ensuring proper hand hygiene practices are followed C) Applying physical restraints to prevent wandering D) Administering medications without proper authorization

Correct Answer : C) Nurse aides should report any concerns about residents' health to the nurse Rationale: Nurse aides play a crucial role in reporting any changes in residents' health to the licensed nurse for further assessment and intervention.

14. When providing specialized care for a resident with changes in health, what should the nurse aide prioritize? A) Disregarding changes in the resident's condition B) Providing care without consulting the nurse C) Following the care plan and reporting changes to the nurse D) Administering medications without proper authorization Correct Answer : C) Following the care plan and reporting changes to the nurse Rationale: Following the care plan and reporting any changes in a resident's condition to the nurse ensures continuity of care and appropriate interventions.
15. What should a nurse aide consider when providing care to residents with changes in health? A) Making decisions independently without consulting the healthcare team B) Avoiding communication with the resident about their condition

C) Notifying the nurse immediately of any changes in the resident's condition D) Withholding information from the healthcare team Correct Answer : C) Notifying the nurse immediately of any changes in the resident's condition Rationale: Promptly notifying the nurse of changes in a resident's condition allows for timely assessment and appropriate interventions.

16. A resident is experiencing difficulty breathing. What is the nurse aide's priority in this situation? A) Contacting the family of the resident B) Notifying the nurse immediately C) Administering oxygen without authorization D) Documenting the resident's vital signs Correct Answer : B) Notifying the nurse immediately Rationale: Notifying the nurse immediately allows for timely assessment and intervention to address the resident's breathing difficulties.
17. A resident with dementia is becoming agitated. What should the nurse aide do to assist the resident? A) Leave the resident alone to calm down