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

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GA Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

1. When providing care for a resident with dementia, a nurse aide should: A) Use simple, clear sentences and visual cues. B) Speak loudly and quickly to ensure understanding. C) Avoid eye contact to reduce anxiety. D) Offer multiple choices to give the resident control. Correct Answer : A Rationale: Simple, clear sentences and visual cues can help residents with dementia understand and follow instructions, which is crucial in their care.
2. A resident has been diagnosed with a contagious illness. What is the most important action for the nurse aide to take to promote safety? A) Use personal protective equipment (PPE) when providing care. B) Ensure the resident stays in bed at all times. C) Limit all social interactions with the resident. D) Increase the frequency of vital signs monitoring. Correct Answer : A Rationale: Using PPE is essential to prevent the spread of infection and protect both the resident and the caregiver.
3. Which of the following is a primary role of the nurse aide in promoting the function and health of residents?

D) Check back in a few days to see if the condition has improved. Correct Answer : B Rationale: Early detection and reporting of changes in skin integrity can prevent further deterioration and promote healing.

6. When transferring a resident with partial mobility from a bed to a wheelchair, what is the best practice for a nurse aide? A) Encourage the resident to move independently without assistance. B) Use a mechanical lift for all transfers to ensure safety. C) Provide support and guidance while encouraging as much independence as possible. D) Carry the resident to expedite the transfer process. Correct Answer : C Rationale: Supporting residents in using their remaining mobility promotes strength and independence while ensuring safety.
7. A resident with hypertension should have their blood pressure monitored: A) Once a week during the night shift. B) Only when they request it. C) At intervals as directed by their care plan. D) Every hour on the hour. Correct Answer : C

Rationale: Blood pressure for a resident with hypertension should be monitored according to their individual care plan, which is based on their specific health needs.

8. The nurse aide's role in providing specialized care for a resident with a new colostomy includes: A) Changing the colostomy bag independently. B) Observing and reporting any changes in the stoma appearance. C) Teaching the resident how to change the colostomy bag. D) Prescribing a diet that will ensure proper digestion. Correct Answer : B Rationale: Observation and reporting are within the scope of practice for a nurse aide, while other tasks may require additional training or licensure.
9. When a resident refuses to eat, what should the nurse aide do? A) Force the resident to eat to maintain nutritional status. B) Respect the resident's wishes and report the refusal to the nurse. C) Leave the food at the bedside in case they change their mind. D) Offer alternative meal options immediately. Correct Answer : B Rationale: Respecting the resident's autonomy is important, and refusal to eat should be reported so that appropriate interventions can be considered.

12. A resident with diabetes has a small cut on their foot. What is the most appropriate action for the nurse aide? A) Clean the cut with soap and water and apply a bandage. B) Ignore the cut as it is minor. C) Report the cut to the nurse immediately. D) Wait for the cut to heal on its own. Correct Answer : C Rationale: For a resident with diabetes, even small cuts can lead to serious complications and should be reported immediately.
13. The nurse aide is responsible for monitoring residents for signs of abuse. Which of the following is a potential sign of abuse? A) Frequent visits from family members. B) Laughter coming from a resident's room. C) Unexplained bruises or injuries. D) Residents participating in group activities. Correct Answer : C Rationale: Unexplained bruises or injuries could indicate abuse and should be reported for further investigation.
14. When a resident expresses sadness over the loss of a spouse, the nurse aide should: A) Change the subject to distract the resident from their grief.

B) Listen empathetically and provide support. C) Tell the resident to focus on the positive aspects of life. D) Avoid discussing the topic to prevent further sadness. Correct Answer : B Rationale: Providing empathetic listening and support can help residents cope with grief and loss. Question: While assisting a resident with mobility, the Nurse Aide should prioritize: A) Speed to quickly complete the task B) Resident's safety and comfort C) Following personal preferences of the Nurse Aide D) Completing the task without communication Correct Answer : B) Resident's safety and comfort Rationale: Prioritizing the safety and comfort of the resident is essential to prevent falls or injuries during mobility assistance. Question: When promoting resident safety, the Nurse Aide should: A) Encourage residents to perform tasks without assistance B) Leave potentially hazardous items within easy reach

B) Monitoring vital signs only when asked C) Assisting with activities of daily living D) Administering medications without supervision Correct Answer : C) Assisting with activities of daily living Rationale: Basic nursing care involves helping residents with daily activities such as bathing, dressing, and eating. Question: When providing specialized care for residents with changes in health, the Nurse Aide should: A) Disregard changes in residents' conditions B) Communicate observations to the nursing staff C) Avoid involving the resident in care decisions D) Assume all changes are temporary Correct Answer : B) Communicate observations to the nursing staff Rationale: Effective communication of changes in residents' health is crucial for timely intervention and appropriate care planning. Question: Which of the following is an essential component of promoting resident safety in a healthcare setting?

A) Allowing residents to wander unsupervised B) Encouraging residents to perform tasks beyond their capabilities C) Ensuring proper use of assistive devices D) Ignoring infection control protocols Correct Answer : C) Ensuring proper use of assistive devices Rationale: Proper use of assistive devices reduces the risk of accidents and promotes resident safety. Question: Why is it important for Nurse Aides to document care provided to residents? A) To avoid liability B) To fulfill regulatory requirements C) To communicate effectively with the healthcare team D) All of the above Correct Answer : D) All of the above Rationale: Documentation is essential for legal protection, regulatory compliance, and effective communication among healthcare professionals.

Question: When assisting with feeding residents, Nurse Aides should: A) Rush through meals to save time B) Encourage residents to eat quickly C) Respect residents' preferences and dietary needs D) Limit residents' food intake Correct Answer : C) Respect residents' preferences and dietary needs Rationale: Respecting residents' preferences and dietary requirements promotes their dignity and nutritional well-being. Question: In the context of infection control, Nurse Aides should: A) Wear personal protective equipment (PPE) only when convenient B) Dispose of contaminated items in regular waste bins C) Follow hand hygiene protocols consistently D) Share equipment among residents Correct Answer : C) Follow hand hygiene protocols consistently Rationale: Consistent hand hygiene is crucial in preventing the spread of infections in healthcare settings.

Question: What is the role of Nurse Aides in promoting a safe environment for residents? A) Encouraging residents to perform tasks independently B) Reporting safety hazards promptly C) Allowing clutter in resident rooms D) Disregarding residents' complaints about discomfort Correct Answer : B) Reporting safety hazards promptly Rationale: Reporting safety hazards promptly ensures a safe environment for residents and staff. Question: When communicating with residents, Nurse Aides should: A) Use medical jargon to sound professional B) Respect residents' privacy and confidentiality C) Minimize interactions to save time D) Disregard residents' emotional needs Correct Answer : B) Respect residents' privacy and confidentiality

Rationale: Range-of-motion exercises help maintain mobility and prevent complications related to immobility in residents. Question: How can Nurse Aides support residents' emotional well-being? A) Disregarding residents' emotional cues B) Providing a listening ear and emotional support C) Avoiding social interactions with residents D) Minimizing residents' autonomy Correct Answer : B) Providing a listening ear and emotional support Rationale: Offering emotional support and being attentive to residents' feelings can enhance their emotional well-being. Question: Proper body mechanics for Nurse Aides include: A) Lifting heavy objects alone B) Using the back for lifting C) Encouraging residents to assist with lifting tasks D) Using proper lifting techniques and equipment Correct Answer : D) Using proper lifting techniques and equipment

Rationale: Using proper lifting techniques and equipment helps prevent injuries to both Nurse Aides and residents. Question: Nurse Aides should be vigilant for signs of dehydration in residents, such as: A) Increased urine output B) Dry skin and mucous membranes C) Excessive thirst D) Frequent bowel movements Correct Answer : B) Dry skin and mucous membranes Rationale: Dry skin and mucous membranes are common signs of dehydration in residents that Nurse Aides should monitor. Question: How can Nurse Aides assist residents with maintaining proper nutrition? A) Limiting residents' food choices B) Encouraging residents to skip meals C) Providing assistance with eating as needed D) Ignoring residents' dietary preferences

c) Providing basic care and assisting with activities of daily living (Correct Answer ) d) Diagnosing medical conditions Rationale: Nurse aides primarily provide basic care and assistance with activities of daily living.

2. The scope of practice for a nurse aide is defined by: a) The nurse aide's personal preferences b) Regulatory boards and healthcare facility policies (Correct Answer ) c) The demands of the attending physicians d) The expectations of the residents Rationale: Nurse aide's scope of practice is regulated by healthcare facility policies and regulatory boards.

Promotion of Safety

3. What is the most important reason for a nurse aide to practice proper hand hygiene? a) To maintain personal cleanliness b) To prevent the spread of infections (Correct Answer ) c) To impress supervisors

d) To avoid unpleasant odors Rationale: Proper hand hygiene is crucial for preventing the spread of infections.

4. The best way to ensure the safety of a resident who is at risk of falling is to: a) Use physical restraints b) Provide frequent supervision and create a fall-prevention plan (Correct Answer ) c) Administer sedatives d) Limit the resident's mobility Rationale: Frequent supervision and a fall-prevention plan effectively ensure the safety of residents.

Promotion of Function and Health of Residents

5. Why is it important for nurse aides to encourage residents to participate in physical activities? a) To reduce boredom b) To improve physical and mental health (Correct Answer ) c) To keep residents out of the nurse aide's way