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

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KY Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

1. Case Study: A resident has been repositioned every two hours to prevent pressure ulcers. The CNA notices redness on the resident's sacrum. What action should the CNA take next? A. Apply a cold pack to the area B. Continue repositioning every two hours C. Notify the nurse immediately D. Document the redness in the resident's chart Correct Answer : C. Notify the nurse immediately Rationale: The development of redness on the sacrum indicates the beginning stages of a pressure ulcer. The nurse should be notified promptly to initiate appropriate interventions.
2. Case Study: A resident with dementia becomes agitated and starts hitting other residents. What is the most appropriate action for the CNA to take? A. Administer a sedative to calm the resident B. Call for security to restrain the resident C. Remove other residents from the agitated resident's vicinity D. Confront the resident and ask them to stop Correct Answer : C. Remove other residents from the agitated resident's vicinity

Correct Answer : C. Use a bedside commode to reduce the need for walking to the bathroom Rationale: Using a bedside commode can help reduce the risk of falls by minimizing the distance the resident needs to walk to use the bathroom.

5. Case Study: A resident with diabetes is at risk of developing foot ulcers. What should the CNA do to promote foot care for this resident? A. Wash the resident's feet with hot water daily B. Apply lotion between the toes C. Encourage the resident to walk barefoot D. Inspect the resident's feet daily for signs of injury Correct Answer : D. Inspect the resident's feet daily for signs of injury Rationale: Regular foot inspections can help detect early signs of foot ulcers and prevent complications in residents with diabetes.
6. Case Study: A resident has dysphagia and is on a thickened liquids diet. What should the CNA do to ensure the resident's safety during meal times? A. Serve the resident thin liquids to promote hydration B. Offer large portions of food to encourage eating C. Allow the resident to eat quickly to minimize the risk of aspiration

D. Monitor the resident for signs of swallowing difficulties Correct Answer : D. Monitor the resident for signs of swallowing difficulties Rationale: Residents with dysphagia are at risk for aspiration, so monitoring for signs of swallowing difficulties during meals is crucial for their safety.

7. Case Study: A resident with a urinary catheter reports lower abdominal pain and cloudy urine. What action should the CNA take? A. Ignore the resident's complaints as they are common with a catheter B. Notify the nurse immediately C. Increase the resident's fluid intake D. Remove the urinary catheter to alleviate the pain Correct Answer : B. Notify the nurse immediately Rationale: Lower abdominal pain and cloudy urine can be signs of a urinary tract infection, which requires prompt evaluation and treatment by the nurse.
8. Case Study: A resident with COPD experiences shortness of breath while walking. What is the most appropriate action for the CNA to take? A. Encourage the resident to stop walking and rest B. Press on the resident's chest to help with breathing

A. Yell at the resident to stop the behavior B. Offer a snack or beverage to distract the resident C. Physically restrain the resident to prevent harm D. Ignore the resident's behavior to avoid confrontation Correct Answer : B. Offer a snack or beverage to distract the resident Rationale: Offering a snack or beverage can help redirect the resident's attention and provide a calming effect, potentially reducing aggressive behavior.

11. Case Study: A resident with a recent hip fracture is at risk for falls. What interventions can the CNA implement to promote safety for this resident? A. Encourage the resident to ambulate independently B. Keep the resident's call light out of reach C. Use a gait belt when assisting the resident with transfers D. Allow the resident to walk barefoot in their room Correct Answer : C. Use a gait belt when assisting the resident with transfers Rationale: Using a gait belt provides support and stability during transfers, reducing the risk of falls for residents with hip fractures.

12. Case Study: A resident with a pacemaker complains of dizziness and palpitations. What should the CNA do in this situation? A. Ignore the resident's complaints as they are common with a pacemaker B. Notify the nurse immediately C. Increase the resident's physical activity D. Apply cold compresses to the resident's forehead Correct Answer : B. Notify the nurse immediately Rationale: Dizziness and palpitations in a resident with a pacemaker can indicate an irregular heartbeat or malfunction of the device, requiring prompt assessment by the nurse.
13. Case Study: A resident with limited mobility is at risk for developing pressure ulcers on the sacrum. What actions should the CNA take to prevent pressure ulcers in this resident? A. Keep the resident in one position to reduce movement B. Use a pressure-relieving mattress or cushion C. Apply heat packs to the sacrum to increase blood flow D. Massage the sacrum with lotion to prevent skin breakdown Correct Answer : B. Use a pressure-relieving mattress or cushion Rationale: Using pressure-relieving surfaces can distribute weight evenly and reduce the risk of pressure ulcers in residents with limited mobility.

Rationale: Elevating the head of the bed can help prevent aspiration by promoting proper positioning and aiding in the flow of formula through the feeding tube.

16. Case Study: A resident with a Foley catheter reports burning and discomfort during urination. What should the CNA do in response to the resident's complaint? A. Ignore the resident's complaints as they are common with a catheter B. Notify the nurse immediately C. Replace the catheter with a new one D. Encourage the resident to drink more fluids Correct Answer : B. Notify the nurse immediately Rationale: Burning and discomfort during urination in a resident with a Foley catheter can indicate a urinary tract infection or catheter-related issue that requires assessment and intervention by the nurse.
17. Case Study: A resident with a tracheostomy is experiencing difficulty breathing and has a change in the color of secretions. What should the CNA do in this situation? A. Suction the resident's tracheostomy without proper training B. Notify the nurse immediately C. Encourage the resident to cough forcefully D. Leave the resident alone to see if the symptoms improve

Correct Answer : B. Notify the nurse immediately Rationale: Changes in breathing patterns and tracheostomy secretions can indicate a respiratory issue or blockage that requires immediate attention from the nurse.

18. Case Study: A resident with a colostomy bag reports leakage of stool around the stoma site. What intervention should the CNA perform to address this issue? A. Apply lotion around the stoma site to reduce irritation B. Change the colostomy bag and assess the stoma site for skin breakdown C. Leave the colostomy bag in place and monitor for further leakage D. Apply pressure to the stoma site to stop the leakage Correct Answer : B. Change the colostomy bag and assess the stoma site for skin breakdown Rationale: Addressing leakage from a colostomy bag involves changing the bag, cleaning the stoma site, and assessing for skin breakdown to prevent complications and promote skin integrity.
19. Case Study: A resident with a urinary catheter develops fever and chills. What should the CNA do in response to these symptoms? A. Advise the resident to drink more fluids B. Notify the nurse immediately

A. Keep the area moist by applying lotion continuously B. Avoid covering the wound with a dressing C. Change the wound dressing daily to promote healing D. Clean the wound with hydrogen peroxide Correct Answer : C. Change the wound dressing daily to promote healing Rationale: Changing the wound dressing daily helps maintain a clean environment, promotes healing, and reduces the risk of infection for residents with pressure ulcers.

22. Case Study: A resident with dementia experiences incontinence and refuses to use incontinence products. How can the CNA promote continence management for this resident? A. Restrict the resident's fluid intake B. Encourage the resident to use the toilet every 2 hours C. Use physical restraints to prevent accidents D. Initiate a toileting schedule based on the resident's usual patterns Correct Answer : D. Initiate a toileting schedule based on the resident's usual patterns Rationale: Establishing a toileting schedule based on the resident's usual patterns can help manage incontinence and promote continence while respecting the resident's preferences and routines.

23. Case Study: A resident with diabetes has a wound on the foot that is not healing properly. What interventions should the CNA implement to promote wound healing in this resident? A. Apply direct pressure to the wound to stop bleeding B. Keep the wound uncovered to allow air to reach it C. Keep the resident's blood sugar levels under control D. Avoid cleaning the wound to prevent pain Correct Answer : C. Keep the resident's blood sugar levels under control Rationale: Maintaining optimal blood sugar levels can promote wound healing in residents with diabetes by facilitating proper circulation and immune response to the wound site.
24. Case Study: A resident with a nasogastric tube is experiencing discomfort and coughing during feedings. What should the CNA do in response to these symptoms? A. Continue feeding the resident despite the symptoms B. Notify the nurse immediately C. Elevate the head of the resident's bed during feedings D. Decrease the feeding rate to minimize discomfort Correct Answer : B. Notify the nurse immediately

Correct Answer : B. Use proper body mechanics and a gait belt during the transfer Rationale: Using proper body mechanics and a gait belt during transfers can help maintain resident safety, prevent falls, and minimize the risk of injury for residents with a history of falls.

27. Case Study: A resident with dementia is agitated and wandering aimlessly around the facility. What strategies can the CNA use to address this behavior? A. Restrain the resident to prevent wandering B. Provide a structured routine and environment C. Ignore the resident's behavior to avoid confrontation D. Keep the resident isolated in a quiet room Correct Answer : B. Provide a structured routine and environment Rationale: Providing a structured routine and familiar environment can help reduce agitation, confusion, and wandering behavior in residents with dementia by promoting a sense of security and predictability.
28. Case Study: A resident with a tracheostomy is at risk for infection. What measures should the CNA implement to prevent infection in this resident? A. Change the tracheostomy tube without proper training B. Keep the patient lying flat on their back at all times

C. Clean around the tracheostomy site using sterile techniques D. Use tap water to clean tracheostomy equipment Correct Answer : C. Clean around the tracheostomy site using sterile techniques Rationale: Proper cleaning and care of the tracheostomy site using sterile techniques can prevent infections and complications in residents with tracheostomies.

29. Case Study: A resident with a history of seizures experiences tremors and confusion. What should the CNA do in response to these symptoms? A. Restrict the resident's movements to prevent injury B. Notify the nurse immediately C. Administer antiseizure medication without a nurse's order D. Encourage the resident to engage in physical activities Correct Answer : B. Notify the nurse immediately Rationale: Tremors and confusion in a resident with a history of seizures can indicate a seizure activity or other neurological issue that requires immediate assessment and intervention by the nurse.
30. When providing care for a resident with dementia, a Nurse Aide should:

B) Encouraging the resident to walk independently without supervision. C) Using a gait belt for a resident with mobility issues. D) Allowing the resident to determine the need for assistive devices. Correct Answer : C Rationale: A gait belt provides stability and support, reducing the risk of falls during ambulation for residents with mobility challenges.

4. When a resident refuses to eat, a Nurse Aide should: A) Insist on the importance of nutrition and continue offering food. B) Respect the resident's decision and report to the nurse. C) Prepare alternative meal options in hopes of acceptance. D) Leave the resident alone and remove the meal tray. Correct Answer : B Rationale: It's important to respect the resident's autonomy while also ensuring their well-being is monitored by reporting the incident to a nurse.
5. The primary role of the Nurse Aide in providing basic nursing care is to: A) Diagnose resident health issues and prescribe treatments. B) Assist residents with activities of daily living and report changes in health. C) Implement complex medical procedures independently.

D) Provide emotional support exclusively, without performing physical tasks. Correct Answer : B Rationale: Nurse Aides support residents with daily tasks and are vital in observing and reporting any health changes to the nursing staff.

6. When a resident exhibits signs of depression, the Nurse Aide should: A) Offer advice based on personal experiences with depression. B) Engage the resident in social activities and report observations to the nurse. C) Ignore the signs as they are common in long-term care settings. D) Tell the resident to cheer up and focus on positive aspects of life. Correct Answer : B Rationale: Social engagement can be beneficial for residents with depression, and it's crucial to report such observations for appropriate follow-up.
7. The correct procedure for a Nurse Aide to follow when a resident falls includes: A) Immediately helping the resident back into bed or a chair. B) Leaving the resident on the floor to prevent further injury. C) Assessing the resident for injuries and calling for nurse assistance. D) Moving the resident to a more private area before providing help.