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

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IN 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 surgeries c) Assisting with activities of daily living (ADLs) d) Diagnosing common illnesses Correct Answer : c) Assisting with activities of daily living (ADLs) Rationale: The Nurse Aide's role is to support patients with ADLs, which are fundamental tasks necessary for daily self-care and include bathing, dressing, and feeding.
2. A resident with limited mobility is at risk of developing pressure ulcers. Which action by the Nurse Aide best promotes skin integrity? a) Keeping the resident in the same position b) Applying a moisturizer once a week c) Regularly changing the resident's position d) Encouraging the resident to remain in bed Correct Answer : c) Regularly changing the resident's position Rationale: Regular repositioning is essential to alleviate pressure on the skin, thereby preventing pressure ulcers in residents with limited mobility.

5. Which technique is most effective in preventing the spread of infection? a) Wearing gloves at all times b) Frequent handwashing c) Using hand sanitizer only d) Limiting resident contact Correct Answer : b) Frequent handwashing Rationale: Handwashing is the most effective method to prevent infection transmission, as it removes pathogens that can be spread by touch.
6. A resident with dysphagia is having difficulty swallowing. How should the Nurse Aide position the resident during meals? a) Lying flat on their back b) In a high Fowler's position c) In a Trendelenburg position d) Seated with the head tilted forward Correct Answer : b) In a high Fowler's position Rationale: A high Fowler's position, with the resident sitting upright at 60 - 90 degrees, aids in swallowing and reduces the risk of aspiration.
7. When a Nurse Aide encounters a resident who is agitated and confused, what is the best approach?

a) Restrain the resident immediately b) Speak loudly and firmly c) Engage in active listening and provide reassurance d) Ignore the behavior as it will pass Correct Answer : c) Engage in active listening and provide reassurance Rationale: Active listening and reassurance can help calm an agitated resident by making them feel understood and safe.

8. What is the most appropriate action for a Nurse Aide to take when a resident expresses feelings of loneliness? a) Advise the resident to make more friends b) Schedule a family visit without consent c) Provide companionship and engage in conversation d) Increase the dosage of the resident's antidepressants Correct Answer : c) Provide companionship and engage in conversation Rationale: Offering companionship and engaging in meaningful conversation can alleviate feelings of loneliness and improve the resident's emotional well-being.
9. In promoting the safety of residents, which of the following is a crucial practice for a Nurse Aide? a) Leaving cleaning supplies in resident rooms for easy access b) Ensuring walkways are free of obstacles

Correct Answer : b) Ensuring the wheelchair brakes are locked Rationale: Locking the wheelchair brakes prevents the chair from moving during the transfer, reducing the risk of falls and injury.

12. A resident is experiencing shortness of breath. What should the Nurse Aide do first? a) Offer the resident a glass of water b) Elevate the resident's legs c) Notify the supervising nurse immediately d) Provide reassurance and ask the resident to take deep breaths Correct Answer : c) Notify the supervising nurse immediately Rationale: Immediate notification of the supervising nurse is necessary for prompt assessment and intervention in a potentially life-threatening situation.
13. Which of the following actions by a Nurse Aide best demonstrates the promotion of a resident's dignity? a) Choosing clothing for the resident without their input b) Discussing the resident's personal information in public areas c) Providing privacy during personal care activities d) Making decisions for the resident without consulting them Correct Answer : c) Providing privacy during personal care activities

Rationale: Respecting privacy during personal care upholds the resident's dignity and promotes a sense of autonomy and respect.

14. When a resident refuses to eat, what is the most appropriate response by the Nurse Aide? a) Force the resident to eat b) Skip the meal and try again later c) Explore the reasons for refusal and report to the supervising nurse d) Offer alternative food choices without consulting the dietitian Correct Answer : c) Explore the reasons for refusal and report to the supervising nurse Rationale: Understanding the cause of the refusal and reporting it allows for appropriate interventions to ensure the resident's nutritional needs are met.
15. A Nurse Aide is caring for a resident who is at the end of life. The most important aspect of care to focus on is: a) Encouraging the resident to stay active b) Providing curative treatments c) Ensuring the resident is always alone d) Offering comfort and support Correct Answer : d) Offering comfort and support

Rationale: Unexplained bruises can be signs of abuse or underlying health conditions. It is essential to report any such findings immediately to the supervising nurse for further evaluation. What is the first step a nurse aide should take when encountering a fire in a resident’s room? A. Extinguish the fire. B. Alert the firefighting team. C. Remove the resident from danger. D. Close all doors and windows. Correct Answer : C Rationale: The first step in a fire emergency is always to ensure the safety of the resident by removing them from immediate danger before taking other actions. Which of the following measures should a nurse aide employ to prevent falls in residents? A. Keep the resident sedated. B. Ensure that the resident's environment is clutter-free. C. Limit the resident's activities. D. Keep the resident strictly confined to bed. Correct Answer : B Rationale: A clutter-free environment helps prevent falls by reducing the risk of tripping over objects.

An elderly resident is at risk for pressure ulcers. Which of the following interventions is the most effective? A. Turn and reposition the resident every two hours. B. Massage the reddened areas frequently. C. Limit fluid intake. D. Increase the resident's calorie intake. Correct Answer : A Rationale: Regular turning and repositioning helps to alleviate pressure on the skin, thereby preventing pressure ulcers. What is an important consideration in promoting the respiratory function of bedridden residents? A. Increase fluid intake. B. Encourage deep breathing exercises regularly. C. Use daily oxygen therapy for all residents. D. Restrict physical activity. Correct Answer : B Rationale: Deep breathing exercises help expand the lungs and improve respiratory function, which is crucial for bedridden residents. Which of the following best demonstrates the correct technique for performing hand hygiene?

C. Giving medications to sedate the resident. D. Isolating the resident from social interactions. Correct Answer : B Rationale: A structured routine can provide a sense of security and familiarity, thereby reducing agitation in residents with dementia. A resident who recently suffered a stroke has difficulty swallowing. What is the most critical intervention? A. Encourage regular oral intake of fluids and solids. B. Elevate the head of the bed during meals. C. Feed the resident as quickly as possible. D. Perform oral suctioning after each meal. Correct Answer : B Rationale: Elevating the head of the bed during meals helps reduce the risk of aspiration in residents with swallowing difficulties.

Repeat the format for additional 30 questions.

I'll provide condensed versions for brevity: When using a mechanical lift, the nurse aide should: A. Only use one person to operate the lift. B. Ensure the resident’s arms are outside the slings.

C. Check that the lift is in working order before use. D. Leave the resident in the lift unattended. Correct Answer : C Rationale: Ensuring the lift is in working order is crucial for the safety of both the resident and the nurse aide.

1. A resident is at risk for falls due to mobility issues. Which intervention by the nurse aide is most appropriate to promote safety while transferring the resident? A. Utilizing a mechanical lift B. Performing a stand-by assist C. Encouraging the resident to transfer independently D. Rushing the transfer process to save time Answer : A. Utilizing a mechanical lift Rationale: Using a mechanical lift is the safest method for transferring a resident at risk for falls, as it minimizes the risk of injury to both the resident and the nurse aide.
2. When caring for a resident with dementia, which approach by the nurse aide is best to promote a calm and safe environment? A. Using physical restraints as needed

A. Applying a thick layer of petroleum jelly to the wound B. Keeping the wound covered with a dry dressing C. Massaging the area around the ulcer to improve circulation D. Leaving the wound exposed to air to promote drying Answer : B. Keeping the wound covered with a dry dressing Rationale: Keeping the wound covered with a dry dressing helps protect it from contamination and promotes faster healing by creating a moist environment for cell repair.

5. A resident with diabetes is experiencing hypoglycemia. Which action should the nurse aide take first to provide specialized care for the resident? A. Administering insulin to raise blood sugar levels B. Providing the resident with a sugary snack C. Notifying the nurse or healthcare provider D. Encouraging the resident to exercise to lower blood sugar levels Answer : B. Providing the resident with a sugary snack Rationale: Providing a sugary snack is the first-line treatment for hypoglycemia to quickly raise the resident's blood sugar levels and prevent further complications.

6. When providing oral care to a resident, the nurse aide should prioritize which aspect of hygiene to promote the resident's overall health? A. Brushing and flossing the resident's teeth B. Applying lotion to the resident's skin C. Combing the resident's hair D. Trimming the resident's nails Answer : A. Brushing and flossing the resident's teeth Rationale: Oral care is essential for maintaining oral health and preventing infection, which can have systemic effects on the resident's overall health.
7. A resident has a history of falls and is at risk for skin breakdown. Which intervention should the nurse aide prioritize to promote the resident's safety and skin integrity? A. Repositioning the resident every two hours B. Applying lotion to the resident's skin C. Encouraging the resident to walk independently D. Increasing fluid intake for the resident Answer : A. Repositioning the resident every two hours Rationale: Repositioning helps prevent pressure ulcers by relieving pressure on vulnerable areas of the skin and promoting circulation.

1 0. A resident is experiencing shortness of breath and chest pain. What should the nurse aide do first to address the resident's symptoms? A. Administer oxygen to the resident B. Assist the resident to a comfortable position C. Notify the nurse or healthcare provider D. Offer the resident pain medication Answer : B. Assist the resident to a comfortable position Rationale: Assisting the resident to a comfortable position can help improve breathing and alleviate discomfort while further interventions are implemented.

11. When caring for a resident with limited mobility, which technique should the nurse aide use to promote proper body mechanics and prevent injury? A. Using a wide base of support when lifting B. Lifting with the back rather than the legs C. Twisting at the waist when moving the resident D. Rushing through the lifting process to save time Answer : A. Using a wide base of support when lifting

Rationale: Using a wide base of support when lifting helps distribute the weight evenly and reduces the risk of injury to the nurse aide's back and the resident.

12. Which of the following is an important consideration when assisting residents with dining to promote their nutrition and hydration? A. Encouraging residents to skip meals if they are not hungry B. Offering a variety of foods based on personal preferences C. Restricting fluid intake to prevent frequent bathroom trips D. Serving meals quickly to save time Answer : B. Offering a variety of foods based on personal preferences Rationale: Offering a variety of foods based on residents' preferences helps promote their appetite and ensures they receive adequate nutrition and hydration.
13. A resident is experiencing signs of dehydration, such as dry mouth and dark urine. What action should the nurse aide take first to promote the resident's hydration? A. Provide the resident with a glass of water B. Encourage the resident to rest in bed C. Apply lotion to the resident's skin D. Limit the resident's fluid intake