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

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Utah Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

1. When providing basic nursing care, which of the following is the most important aspect a nurse aide must consider? A) The resident's medical diagnosis B) The cost-effectiveness of treatment C) The resident's individual needs and preferences D) The time it takes to provide care Correct Answer : C Rationale: The resident's individual needs and preferences are paramount when providing care, as this ensures a person-centered approach that respects their dignity and autonomy.
2. A nurse aide notices a change in a resident's skin integrity. What is the first action they should take? A) Apply a bandage to the area B) Report the change to the supervising nurse C) Change the resident's position D) Wait to see if the condition improves Correct Answer : B Rationale: Reporting changes in a resident's health status, such as skin integrity, is crucial for timely intervention and prevention of complications.

5. A resident with limited mobility needs to be transferred from the bed to a chair. What is the most important safety consideration for the nurse aide to keep in mind? A) Completing the transfer as quickly as possible B) Ensuring the resident's comfort during the transfer C) Using proper body mechanics and assistive devices D) Having another resident assist with the transfer Correct Answer : C Rationale: Using proper body mechanics and assistive devices not only ensures the safety of the resident but also prevents injury to the nurse aide.
6. When a nurse aide is assigned to care for a resident with dementia, which approach is most effective in promoting the resident's function and health? A) Keeping the resident in a quiet, isolated room B) Engaging the resident in familiar and meaningful activities C) Frequently changing the resident's routine D) Limiting the resident's interaction with other residents Correct Answer : B Rationale: Engaging residents with dementia in familiar and meaningful activities can enhance their cognitive function and quality of life.

7. What is the primary role of the nurse aide in the promotion of health among residents? A) Prescribing treatments for common ailments B) Providing emotional support and companionship C) Conducting physical therapy sessions D) Leading educational health workshops Correct Answer : B Rationale: Emotional support and companionship are key components of holistic care and can significantly impact a resident's mental and emotional well-being.
8. A nurse aide is caring for a resident who has recently undergone surgery. Which action is essential for promoting the resident's safety? A) Encouraging the resident to rest continuously B) Monitoring the resident for signs of infection C) Adjusting the resident's diet without consulting a dietitian D) Recommending alternative therapies without evidence Correct Answer : B Rationale: Monitoring for signs of infection post-surgery is critical for early detection and prompt treatment.
9. In the context of basic nursing care, how should a nurse aide respond to a resident who refuses to eat?

B) Provide accurate information and reassurance about the procedure C) Leave the resident alone to calm down D) Dismiss the resident's concerns as irrational Correct Answer : B Rationale: Providing accurate information and reassurance can help alleviate anxiety and empower the resident to face the procedure with confidence.

12. How can a nurse aide effectively contribute to the promotion of health and prevention of illness in residents? A) By diagnosing and treating illnesses independently B) Through consistent observation and reporting of health changes C) By ignoring minor complaints to focus on more serious issues D) By isolating residents who show signs of illness Correct Answer : B Rationale: Consistent observation and timely reporting of health changes are crucial for early intervention and prevention of further complications.
13. What is the most appropriate action for a nurse aide when a resident exhibits signs of depression? A) Ignore the signs as they will likely pass B) Engage the resident in social activities and report the observations to a nurse

C) Advise the resident to 'cheer up' and focus on positive thoughts D) Prescribe antidepressant medication Correct Answer : B Rationale: Engaging the resident in social activities can improve their mood, and reporting the observations to a nurse ensures that the resident receives professional care.

14. In the event of a fire emergency, what is the priority action for a nurse aide? A) Save the residents' personal belongings B) Ensure all residents are evacuated to a safe area C) Attempt to extinguish the fire D) Wait for firefighters to arrive before taking any action Correct Answer : B Rationale: The safety of residents is the utmost priority, and ensuring their evacuation to a safe area is the first responsibility of the nurse aide. Question: When assisting a resident with mobility, the Nurse Aide should prioritize: A) Administering medication B) Ensuring proper body mechanics C) Completing paperwork D) Checking social media updates

D) Limiting social activities Answer : B) Maximizing independence Rationale: By promoting independence, residents can maintain their physical and mental well-being. Question: Basic nursing care provided by the Nurse Aide includes: A) Administering medications B) Changing sterile dressings C) Assisting with activities of daily living D) Performing complex medical procedures Answer : C) Assisting with activities of daily living Rationale: Nurse Aides play a crucial role in helping residents with tasks like bathing, dressing, and eating. Question: When providing specialized care for residents with changes in health, the Nurse Aide should: A) Disregard changes in behavior B) Report any unusual symptoms to the nurse

C) Avoid communicating with the resident D) Skip monitoring vital signs Answer : B) Report any unusual symptoms to the nurse Rationale: Timely reporting of changes in health status is essential for early intervention and appropriate care. Question: The key responsibility of the Nurse Aide in promoting resident safety is to: A) Keep personal belongings in resident rooms B) Ensure proper identification of residents C) Allow unsupervised mobility for residents D) Disregard infection control protocols Answer : B) Ensure proper identification of residents Rationale: Proper identification helps prevent errors in care delivery and enhances resident safety. Question: When assisting a resident with eating, the Nurse Aide should: A) Rush the resident to finish quickly

A) Wearing personal protective equipment (PPE) only when convenient B) Proper handwashing before and after resident care C) Sharing utensils between residents D) Reusing disposable gloves Answer : B) Proper handwashing before and after resident care Rationale: Hand hygiene is fundamental in preventing the spread of infections in healthcare settings. Question: What is the significance of documenting care provided to residents? A) It is unnecessary and time-consuming B) It ensures accountability and continuity of care C) It is solely the responsibility of the nurse D) It is optional and can be skipped Answer : B) It ensures accountability and continuity of care Rationale: Accurate documentation helps track residents' progress and ensures all team members are informed about care provided.

Question: Which task is within the scope of practice for a Nurse Aide? A) Diagnosing medical conditions B) Administering medications C) Interpreting lab results D) Assisting with ambulation Answer : D) Assisting with ambulation Rationale: Nurse Aides are trained to provide hands-on care and assistance with daily living activities. Question: What should the Nurse Aide do if a resident refuses a prescribed medication? A) Force the resident to take it B) Administer the medication without consent C) Document the refusal and report to the nurse D) Ignore the refusal and give the medication later Answer : C) Document the refusal and report to the nurse Rationale: Documenting refusals is essential for proper care planning and evaluation by the healthcare team.

Rationale: Regular repositioning helps prevent pressure ulcers by reducing pressure on vulnerable areas of the skin. Question: How can the Nurse Aide promote nutrition and hydration for residents? A) Limiting access to water throughout the day B) Encouraging residents to skip meals C) Offering a variety of nutritious foods and fluids D) Disregarding residents' dietary preferences Answer : C) Offering a variety of nutritious foods and fluids Rationale: Providing choices and promoting a balanced diet supports residents' nutritional needs. Question: Which approach is appropriate when communicating with residents with cognitive impairments? A) Using complex medical jargon B) Speaking loudly and forcefully C) Using simple, clear language and cues D) Ignoring residents' attempts to communicate Answer : C) Using simple, clear language and cues

Rationale: Clear communication helps residents with cognitive impairments understand and engage effectively. Question: How can the Nurse Aide contribute to fall prevention in a healthcare setting? A) Leaving obstacles in walkways B) Encouraging residents to move independently C) Using bed alarms as the only fall prevention measure D) Assisting residents with walking and transferring Answer : D) Assisting residents with walking and transferring Rationale: Providing physical support and assistance reduces the risk of falls in residents. Question: Why is it important for the Nurse Aide to respect residents' rights to privacy and dignity? A) It is optional and not a priority B) To maintain a culture of respect and trust C) To prioritize efficiency over residents' comfort D) To limit residents' independence

Answer : C) Assess the resident for injuries and report to the nurse Rationale: Prompt assessment and reporting of falls are critical to ensure appropriate follow-up and prevent future incidents.

Advanced Concepts in: Role of the Nurse Aide

1. The primary role of a nurse aide includes which of the following?

• a) Prescribing medications
• b) Conducting diagnostic tests
• c) Assisting with activities of daily living (ADLs)
• d) Diagnosing medical conditions ** Answer :** c) Assisting with activities of daily living (ADLs) Rationale: The nurse aide's main responsibility is to help residents with ADLs, such as bathing, dressing, and eating, ensuring they can carry out their daily routines comfortably and safely. 2. Which action is within the scope of practice for a nurse aide?
• a) Changing a sterile dressing

• b) Assessing a resident's pain level
• c) Taking vital signs
• d) Administering intravenous medications ** Answer :** c) Taking vital signs Rationale: Taking vital signs is within the nurse aide’s scope of practice, whereas the other tasks are typically performed by licensed nurses or other healthcare professionals.

Promotion of Safety

3. To promote safety, the best practice when transferring a resident from bed to wheelchair is to:

• a) Use your own strength to lift the resident.
• b) Use a mechanical lift if available.
• c) Ask the resident to stand up quickly.
• d) Ask another resident for help. ** Answer :** b) Use a mechanical lift if available. Rationale: Using a mechanical lift reduces the risk of injury to both the resident and the nursing aide, ensuring a safer transfer process.