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

Download AL Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! AL Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When providing care for a resident with dementia, a nurse aide should: A) Speak loudly to ensure the resident hears the instructions. B) Use simple, clear sentences and visual cues to aid understanding. C) Avoid eye contact to reduce anxiety. D) Assume the resident cannot understand and make decisions without input. Correct Answer: B Rationale: Residents with dementia may have difficulty processing complex information. Using simple, clear sentences and visual cues can help them understand and respond to care. 2. In the event of a fire in the facility, the FIRST action a nurse aide should take is: A) Evacuate all residents to a safe area. B) Attempt to extinguish the fire immediately. C) Close all doors and windows to contain the fire. D) Activate the fire alarm and follow the facility's emergency plan. Correct Answer: D Rationale: The safety of all residents and staff is paramount. Activating the fire alarm and following the emergency plan ensures an organized response to the crisis. B) Remove the first glove, then touch the outside of the second glove with the bare hand. C) Grasp the outside of one glove with the other gloved hand and peel it off inside out. D) Pull both gloves off at the same time without touching the skin. Correct Answer: C Rationale: The correct technique prevents contamination of the hands by ensuring that the outside of the gloves does not touch the skin. 8. A resident with a urinary catheter complains of pain during urination. The nurse aide should: A) Tell the resident that this is normal and not to worry. B) Offer the resident more fluids to flush the catheter. C) Check the catheter and tubing for kinks or obstruction. D) Report the resident's complaint to the nurse immediately. Correct Answer: D Rationale: Pain during urination could indicate an infection or other complication. Reporting to the nurse ensures timely evaluation and treatment. 9. When a resident refuses to eat, the nurse aide should: A) Insist that the resident must eat to stay healthy. B) Skip the meal and report the refusal to the nurse. C) Offer alternatives and encourage the resident to eat what they can. D) Leave the resident alone and remove the meal tray. Correct Answer: C Rationale: Offering choices and encouragement respects the resident's autonomy and may stimulate appetite. 10. The most effective way to prevent the spread of infection in a long- term care facility is to: A) Administer antibiotics to residents regularly. B) Isolate all residents who are ill. C) Practice standard precautions consistently. D) Require all visitors to wear masks at all times. Correct Answer: C Rationale: Consistent practice of standard precautions, such as hand hygiene and the use of personal protective equipment, is key to preventing infection spread. 11. When a resident is receiving oxygen therapy, it is important for the nurse aide to: A) Adjust the flow of oxygen as the resident seems to need it. B) Ensure that there are no open flames or smoking materials in the room. C) Open windows to allow fresh air to circulate. D) Apply petroleum jelly to the resident's nostrils if they are dry. Correct Answer: B Rationale: Oxygen therapy requires strict safety measures, including avoiding open flames and smoking materials, to prevent fires. 12. The correct procedure for measuring a resident's blood pressure includes: A) Taking the measurement after the resident has exercised. B) Allowing the resident to sit quietly for at least 5 minutes before measuring. C) Using a cuff that is too small to get a reading more quickly. D) Reporting only the systolic reading to the nurse. Correct Answer: B Rationale: Accurate blood pressure measurement requires the resident to be at rest to avoid artificially high readings. 13. A resident with a terminal illness expresses feelings of anger and sadness. The nurse aide's best response is to: A) Tell the resident to stay positive and that everything will be fine. B) Change the subject to distract the resident from their feelings. C) Listen empathetically and provide support without judgment. D) Advise the resident to discuss these feelings with their family. Correct Answer: C Rationale: Using proper body mechanics and transfer aids reduces the risk of injury to both the resident and the Nurse Aide during transfers. Question: How can a Nurse Aide promote resident safety in a long-term care facility? A. Encourage residents to wander unsupervised. B. Keep the environment clutter-free and well-lit. C. Ignore call lights from residents. D. Rush when assisting residents with activities of daily living. Correct Answer: B. Keep the environment clutter-free and well-lit. Rationale: A clutter-free and well-lit environment reduces the risk of falls and accidents among residents, promoting their safety. Question: What is the Nurse Aide's role in promoting the function and health of residents? A. Discourage residents from participating in recreational activities. B. Assist residents with activities that promote independence. C. Limit residents' access to healthcare providers. D. Avoid assisting residents with personal hygiene tasks. Correct Answer: B. Assist residents with activities that promote independence. Rationale: By assisting residents with activities that promote independence, the Nurse Aide contributes to maintaining and improving the residents' function and health. Question: How should the Nurse Aide provide basic nursing care to residents effectively? A. Rush through care tasks to save time. B. Follow the care plan and communicate effectively with the healthcare team. C. Skip documentation of care provided. D. Use any available supplies without considering resident preferences. Correct Answer: B. Follow the care plan and communicate effectively with the healthcare team. Rationale: Following the care plan and communicating with the healthcare team ensures continuity of care and promotes the well-being of residents. Question: What considerations should the Nurse Aide keep in mind when providing specialized care for residents with changes in health? A. Ignore changes in residents' conditions. B. Communicate observations to the nursing staff promptly. C. Disregard residents' preferences for care. D. Assume residents' needs will remain constant. Correct Answer: B. Communicate observations to the nursing staff promptly. Rationale: Prompt communication of changes in residents' health status allows for timely interventions and appropriate specialized care. Which of the following actions falls under the role of the nurse aide in providing basic nursing care: a) Administering medication b) Assisting with range of motion exercises c) Diagnosing medical conditions d) Changing sterile dressings Answer: b) Assisting with range of motion exercises Rationale: Nurse aides play a role in assisting residents with activities of daily living such as range of motion exercises. In promoting safety for residents, nurse aides should: a) Encourage residents to walk unassisted to improve independence Rationale: Ensuring residents receive medications on time is crucial for their health and well-being. Nurse aides promoting the function and health of residents should: a) Discourage residents from participating in social activities b) Avoid providing emotional support to residents c) Encourage residents to engage in physical exercise within their abilities d) Neglect residents' nutritional needs Answer: c) Encourage residents to engage in physical exercise within their abilities Rationale: Encouraging physical exercise helps residents maintain their mobility and overall health. How can nurse aides contribute to the promotion of safety in the healthcare setting: a) Encouraging residents to engage in risky behaviors b) Keeping the environment clean and free of hazards c) Ignoring residents' call bells d) Allowing residents to use broken equipment Answer: b) Keeping the environment clean and free of hazards Rationale: A clean and hazard-free environment promotes safety for residents and staff. When providing specialized care for residents with changes in health, nurse aides should: a) Stick to a rigid care routine regardless of residents' changing needs b) Communicate effectively with the healthcare team about any observed changes in residents' condition c) Disregard residents' preferences and choices d) Provide care without consulting the care plan Answer: b) Communicate effectively with the healthcare team about any observed changes in residents' condition Rationale: Communication with the healthcare team is essential for providing appropriate specialized care for residents with changing health needs. Which action by the nurse aide promotes the function and health of residents most effectively: a) Allowing residents to remain in bed all day b) Encouraging residents to participate in activities of daily living c) Restricting residents' fluid intake d) Avoiding interactions with residents Answer: b) Encouraging residents to participate in activities of daily living Rationale: Encouraging residents to be active in their care promotes their independence and overall health. Which of the following is a primary role of the nurse aide in promoting safety for residents? A. Administering medications B. Monitoring vital signs C. Assisting with ambulation and transfers D. Providing wound care Correct Answer: C. Assisting with ambulation and transfers Rationale: Assisting with ambulation and transfers helps prevent falls and promotes the safety of the residents by providing physical support and guidance. 2. When promoting function and health of residents, the nurse aide should prioritize: A. Encouraging independence in activities of daily living B. Limiting residents' physical activity to prevent injury C. Restricting access to social activities D. Discouraging participation in rehabilitative therapies Correct Answer: A. Encouraging independence in activities of daily living Correct Answer: B. Assisting the resident with ambulation using proper techniques Rationale: Assisting the resident with ambulation using proper techniques reduces the risk of falls and promotes safety for residents with mobility issues. 7. The nurse aide is caring for a resident with dementia. Which approach promotes the resident's dignity and well-being? A. Ignoring the resident's needs and preferences B. Speaking loudly and using complex language C. Providing clear and simple instructions D. Restraining the resident to prevent wandering Correct Answer: C. Providing clear and simple instructions Rationale: Providing clear and simple instructions respects the resident's dignity and helps them understand and follow directions. 8. When caring for a resident with a pressure ulcer, the nurse aide should: A. Avoid turning the resident to prevent discomfort B. Keep the pressure ulcer dry and uncovered C. Follow the care plan for wound care D. Apply heat to the pressure ulcer to promote healing Correct Answer: C. Follow the care plan for wound care Rationale: Following the care plan for wound care is essential for promoting healing and preventing complications in residents with pressure ulcers. 9. Which of the following is a common sign of dehydration in residents? A. Increased urine output B. Dry skin and mucous membranes C. Rapid weight gain D. Low blood pressure Correct Answer: B. Dry skin and mucous membranes Rationale: Dry skin and mucous membranes are common signs of dehydration in residents and should be monitored by the nurse aide. 10. A resident has difficulty swallowing (dysphagia). Which of the following actions by the nurse aide is appropriate? A. Offer foods and liquids of varying textures without consulting the nurse B. Encourage the resident to eat quickly to avoid aspiration C. Position the resident upright during meals D. Discourage the resident from using any swallowing techniques Correct Answer: C. Position the resident upright during meals Rationale: Positioning the resident upright during meals helps prevent aspiration and promotes safe swallowing for residents with dysphagia. 11. When caring for a resident with a urinary catheter, the nurse aide should: A. Secure the catheter tubing to the bed frame B. Ensure the catheter bag is always positioned below the level of the bladder C. Empty the catheter bag once a week D. Avoid washing hands before and after catheter care Correct Answer: B. Ensure the catheter bag is always positioned below the level of the bladder Rationale: Positioning the catheter bag below the level of the bladder helps prevent urinary reflux and infection in residents with urinary catheters. 12. Which of the following actions by the nurse aide promotes skin integrity in bedridden residents? A. Massaging pressure points to relieve discomfort B. Repositioning the resident at least every 2 hours C. Using harsh soaps when bathing the resident C. Providing verbal cues and gentle assistance with brushing D. Skipping oral care if the resident refuses Correct Answer: C. Providing verbal cues and gentle assistance with brushing Rationale: Providing verbal cues and gentle assistance with brushing promotes oral hygiene for residents with dementia by maintaining dental health and preventing oral infections. 17. The nurse aide is assisting with a resident's daily bath. Which of the following actions promotes resident comfort and safety? A. Using extremely hot water for the bath B. Rushing through the bath to save time C. Ensuring the resident's privacy is maintained D. Strictly following a fixed time schedule for bathing Correct Answer: C. Ensuring the resident's privacy is maintained Rationale: Ensuring the resident's privacy is maintained during a bath promotes comfort, dignity, and safety while respecting the resident's autonomy. 18. A resident with diabetes is receiving insulin injections. The nurse aide should: A. Administer insulin without verifying the resident's identity B. Dispose of used insulin syringes in a regular trash bin C. Store insulin at room temperature D. Follow the resident's individualized insulin administration plan Correct Answer: D. Follow the resident's individualized insulin administration plan Rationale: Following the resident's individualized insulin administration plan is essential for accurate and safe insulin administration and management in residents with diabetes. 19. When providing care for a resident with a feeding tube, the nurse aide should: A. Use the feeding tube for administering medications without consulting the nurse B. Flush the feeding tube with milk instead of water C. Position the resident upright during feeding tube administration D. Ignore signs of discomfort or tube migration Correct Answer: C. Position the resident upright during feeding tube administration Rationale: Positioning the resident upright during feeding tube administration helps prevent complications like aspiration and promotes safe and effective feeding tube care.