CT Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024, 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 medications B) Performing minor surgery C) Assisting with activities of daily living D) Diagnosing common ailments Correct Answer : C Rationale: The Nurse Aide's role is to assist residents with activities of daily living, which is fundamental to basic nursing care.
2. A resident has a new onset of shortness of breath. What is the first action a Nurse Aide should take? A) Provide supplemental oxygen B) Elevate the head of the bed C) Leave the resident to find a nurse D) Offer reassurance to the resident Correct Answer : B Rationale: Elevating the head of the bed can help improve breathing and should be the first action taken while waiting for further assessment by a nurse.

A) Restrain the resident to prevent injury B) Place a spoon in the resident's mouth to protect the tongue C) Move furniture away to prevent injury and monitor the resident D) Attempt to stop the seizure by shaking the resident Correct Answer : C Rationale: The Nurse Aide should ensure the resident's safety by moving furniture away and monitoring the resident without restraining them or placing objects in their mouth.

6. Which of the following is an example of specialized care for a resident with dementia? A) Providing consistent routines and familiar faces B) Limiting fluid intake to prevent incontinence C) Encouraging independence by leaving the resident alone D) Using physical restraints to prevent wandering Correct Answer : A Rationale: Consistent routines and familiar faces can help reduce confusion and anxiety in residents with dementia.
7. A Nurse Aide notices a change in a resident's skin integrity. What is the first step they should take? A) Apply a bandage to the area B) Report the change to the nurse

C) Clean the area with alcohol D) Ignore it as it is not part of their job Correct Answer : B Rationale: Any changes in skin integrity should be reported to the nurse for further assessment and intervention.

8. Which of the following actions demonstrates the promotion of function and health of residents by a Nurse Aide? A) Encouraging residents to stay in bed to rest B) Assisting residents with range-of-motion exercises C) Discouraging residents from socializing D) Providing high-calorie meals to all residents Correct Answer : B Rationale: Assisting with range-of-motion exercises helps maintain or improve mobility and promotes the residents' physical health.
9. In providing care for a resident who is at risk of falls, what is an important measure for a Nurse Aide to implement? A) Keeping the bed in the highest position B) Ensuring that the resident wears non-slip footwear C) Leaving the resident alone in the bathroom D) Encouraging the resident to walk quickly Correct Answer : B

A) Force the resident to eat against their will B) Skip the meal and report to the nurse later C) Offer alternative food choices and report to the nurse D) Punish the resident by taking away privileges Correct Answer : C Rationale: Offering choices respects the resident's autonomy, and reporting to the nurse ensures appropriate follow-up.

13. How should a Nurse Aide respond to a resident who is expressing feelings of sadness? A) Ignore the resident's feelings as they are not a therapist B) Listen empathetically and report to the nurse C) Tell the resident to cheer up and be positive D) Inform the resident that everyone feels sad sometimes Correct Answer : B Rationale: Listening empathetically shows care and concern, and reporting to the nurse ensures the resident's emotional needs are addressed.
14. A Nurse Aide is assisting a resident with a history of hypertension. Which of the following foods should be avoided? A) Foods high in sodium B) Foods high in fiber

C) Foods high in protein D) Foods high in vitamins Correct Answer : A Rationale: High sodium intake can exacerbate hypertension, so it should be avoided for residents with this condition. Question 1: Which of the following is a primary responsibility of a Nurse Aide in a long-term care facility? A) Administering medication B) Developing treatment plans C) Assisting residents with activities of daily living D) Diagnosing medical conditions Correct Answer : C) Assisting residents with activities of daily living Rationale: Nurse Aides play a crucial role in helping residents with daily tasks such as bathing, dressing, and eating, promoting their independence and well-being. Question 2: What is the most effective way to prevent falls in elderly residents in a healthcare setting? A) Restraining residents to their beds B) Encouraging residents to walk without assistance C) Keeping the environment clutter-free and well-lit

Rationale: Providing quick-acting sugar is crucial in managing low blood sugar levels in diabetic residents. Question 5: How can a Nurse Aide best assist a resident with dementia during meal times? A) Rushing the resident to finish quickly B) Providing a quiet and calm environment C) Ignoring the resident's cues and gestures D) Offering a variety of unfamiliar foods Correct Answer : B) Providing a quiet and calm environment Rationale: Creating a peaceful mealtime environment can help residents with dementia feel more relaxed and focused on eating. Question 6: Which of the following is an example of a specialized care task that a Nurse Aide may perform for a resident with a pressure ulcer? A) Applying lotion to the ulcer B) Massaging the area around the ulcer C) Turning the resident regularly to relieve pressure D) Leaving the wound uncovered Correct Answer : C) Turning the resident regularly to relieve pressure Rationale: Regularly repositioning the resident is essential in preventing further damage and promoting healing of pressure ulcers.

Question 7: What should a Nurse Aide do if a resident complains of sudden chest pain and shortness of breath? A) Wait for the symptoms to pass B) Perform CPR immediately C) Notify the nurse or supervisor D) Ignore the resident's complaints Correct Answer : C) Notify the nurse or supervisor Rationale: Promptly informing the nurse or supervisor is crucial in ensuring appropriate medical intervention for the resident. Question 8: Which of the following is a key aspect of promoting resident safety in a healthcare setting? A) Allowing residents to wander unsupervised B) Keeping emergency exits locked C) Providing assistance with mobility as needed D) Encouraging residents to engage in high-risk activities Correct Answer : C) Providing assistance with mobility as needed Rationale: Offering support with mobility helps prevent falls and accidents, promoting overall resident safety. Question 9: How can a Nurse Aide contribute to the promotion of residents' emotional well-being? A) Ignoring residents' emotional needs

Correct Answer : C) Using proper body mechanics and equipment Rationale: Using correct techniques and equipment helps prevent injury to both the resident and the Nurse Aide. Question 12: Why is it important for a Nurse Aide to maintain residents' confidentiality? A) To share residents' personal information with others B) To protect residents' privacy and dignity C) To discuss residents' conditions openly D) To post residents' medical information publicly Correct Answer : B) To protect residents' privacy and dignity Rationale: Respecting residents' confidentiality is crucial in upholding their rights and maintaining trust in the healthcare setting. Question 13: How can a Nurse Aide best communicate with residents who have hearing impairments? A) Speaking loudly and slowly B) Using gestures and facial expressions C) Ignoring residents' attempts to communicate D) Speaking from a distance Correct Answer : B) Using gestures and facial expressions Rationale: Utilizing visual cues can help residents with hearing impairments better understand and engage in communication.

Question 14: What should a Nurse Aide do if a resident refuses to take medication? A) Force the resident to take the medication B) Document the refusal and notify the nurse C) Skip the medication for that dose D) Administer the medication without the resident's knowledge Correct Answer : B) Document the refusal and notify the nurse Rationale: Documenting refusals and informing the nurse ensures appropriate follow-up and care for the resident. Question 15: How can a Nurse Aide contribute to preventing the spread of infections in a healthcare facility? A) Wearing gloves only when handling blood B) Washing hands before and after resident care C) Reusing gloves for multiple residents D) Sharing personal protective equipment with colleagues Correct Answer : B) Washing hands before and after resident care Rationale: Proper hand hygiene is essential in preventing the transmission of infections between residents and healthcare workers.

a. Share personal information with residents. b. Address residents by their first names. c. Report resident concerns to a nurse. d. Ignore resident complaints if minor. Correct Answer : c. Report resident concerns to a nurse. Rationale: Professionalism involves communicating resident needs and concerns to the supervising nurse.

2. Promotion of Safety

4. Which of the following actions best promotes resident safety during ambulation? a. Holding the resident under the arms. b. Using a gait belt. c. Encouraging the resident to walk unaided. d. Pushing the resident in a wheelchair. Correct Answer : b. Using a gait belt. Rationale: A gait belt helps stabilize the resident and reduces the risk of falls.

5. The safe way to check the temperature of a bath or shower water is: a. By estimating it visually. b. By allowing the resident to test it. c. By using a thermometer. d. By using your elbow to test it. Correct Answer : c. By using a thermometer. Rationale: Thermometers provide an accurate reading, whereas other methods can be subjective.
6. The best way to prevent infections in healthcare settings is: a. Wearing gloves at all times. b. Isolating all residents. c. Practicing proper hand hygiene. d. Administering antibiotics to all residents. Correct Answer : c. Practicing proper hand hygiene. Rationale: Hand hygiene is the most effective way to prevent the spread of infections.

3. Promotion of Function and Health of Residents

a. Making them tired all the time. b. Increasing their risk of injury. c. Improving their strength and balance. d. Elevating their blood pressure consistently. Correct Answer : c. Improving their strength and balance. Rationale: Exercise can help improve physical function and reduce the risk of falls.

4. Basic Nursing Care Provided by the Nurse Aide

10. When providing oral care to a resident, a nurse aide should: a. Use a cotton swab. b. Brush at least twice a day with fluoride toothpaste. c. Only brush once a day. d. Avoid brushing if the resident has dentures. Correct Answer : b. Brush at least twice a day with fluoride toothpaste. Rationale: Regular oral hygiene helps prevent dental diseases.
11. While performing perineal care, the nurse aide should:

a. Always use warm water. b. Use the same cloth for the entire body. c. Work from back to front. d. Use soap sparingly. Correct Answer : a. Always use warm water. Rationale: Warm water is gentle and helps clean the area effectively without causing discomfort.

12. To prevent pressure sores, nurse aides should: a. Reposition residents every four hours. b. Apply talcum powder to the skin. c. Ensure residents remain in the same position all night. d. Keep residents' skin clean and dry. Correct Answer : d. Keep residents' skin clean and dry. Rationale: Clean, dry skin is less likely to develop pressure sores, and regular repositioning is also crucial.

5. Providing Specialized Care for Residents with Changes in Health