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

Download AR Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! AR Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When providing basic nursing care, which of the following is the primary responsibility of a nurse aide? A) Administering medications B) Performing minor surgeries C) Ensuring patient comfort and safety D) Diagnosing patient conditions Correct Answer: C) Ensuring patient comfort and safety Rationale: The primary role of a nurse aide is to assist in the basic care of patients, ensuring their comfort and safety, which is fundamental to their health and well-being. 2. A resident with limited mobility needs to be repositioned. What is the best action for the nurse aide to take? A) Wait for a physical therapist to reposition the resident. B) Reposition the resident promptly, using proper body mechanics. C) Ask the resident to reposition themselves. D) Leave the resident as they are to avoid discomfort. Correct Answer: B) Reposition the resident promptly, using proper body mechanics. Rationale: To promote the resident's health and prevent complications such as pressure ulcers, the nurse aide should reposition the resident using proper body mechanics. B) The speed at which the resident eats. C) The nutritional requirements and dietary restrictions of the resident. D) The temperature of the food served. Correct Answer: C) The nutritional requirements and dietary restrictions of the resident. Rationale: It is important to consider the resident's nutritional needs and any dietary restrictions to promote their health and well-being. 8. What is the most appropriate way for a nurse aide to address a resident who has hearing impairment? A) Speak loudly and slowly. B) Use hand gestures while speaking. C) Face the resident directly and speak clearly. D) Write down what you want to say. Correct Answer: C) Face the resident directly and speak clearly. Rationale: Facing the resident and speaking clearly allows them to lip- read and better understand what is being said, facilitating communication. 9. A resident with dementia is exhibiting signs of agitation. What should the nurse aide do? A) Restrain the resident to prevent harm. B) Ignore the behavior as it is common in dementia patients. C) Engage the resident in a calming activity or conversation. D) Leave the resident alone until they calm down. Correct Answer: C) Engage the resident in a calming activity or conversation. Rationale: Providing a calming environment and engaging the resident in activities can help reduce agitation and improve their comfort. 10. When transferring a resident from a bed to a wheelchair, what is the most important safety consideration? A) Completing the transfer as quickly as possible. B) Ensuring the wheelchair is locked before the transfer. C) Having another resident assist with the transfer. D) Checking if the resident is comfortable with the transfer. Correct Answer: B) Ensuring the wheelchair is locked before the transfer. Rationale: Locking the wheelchair ensures stability and prevents accidents during the transfer process. 11. How should a nurse aide respond if a resident refuses to take their medication? A) Force the resident to take the medication. B) Report the refusal to the nurse in charge. C) Leave the medication with the resident to take later. D) Persuade the resident by explaining the consequences of not taking the medication. Correct Answer: B) Report the refusal to the nurse in charge. Rationale: A resident's refusal to take medication should be reported to the nurse for further assessment and appropriate action. 12. What is the correct procedure for a nurse aide to follow when a resident falls? A) Help the resident up immediately. B) Leave the resident and seek help. C) Assess the resident for injuries and report the fall to the nurse. D) Move the resident to a more comfortable location. Correct Answer: C) Assess the resident for injuries and report the fall to the nurse. Rationale: After a fall, it is important to assess for injuries and report the incident to ensure proper documentation and follow-up care. 13. Which of the following is a key aspect of providing specialized care for residents with changes in health? A) Focusing solely on physical health. B) Ignoring minor complaints from the resident. C) Communicating changes in the resident's condition to the healthcare team. D) Avoiding the use of medical equipment. C) Avoid reporting concerns to the supervisor D) Minimize communication with other team members Answer: B) Follow the care plan developed by the healthcare team Rationale: Following the care plan ensures that residents receive appropriate and individualized care based on their changing health needs. Question: In preventing falls among residents, the Nurse Aide should: A) Keep the call bell out of reach B) Encourage residents to walk alone in dimly lit areas C) Use non-slip mats on wet floors D) Rush residents when assisting with transfers Answer: C) Use non-slip mats on wet floors Rationale: Non-slip mats help prevent slips and falls, especially in areas prone to wetness. Question: Proper hand hygiene is crucial for: A) Spreading infections among residents B) Preventing the transmission of pathogens C) Saving time during care procedures D) Disregarding infection control practices Answer: B) Preventing the transmission of pathogens Rationale: Proper hand hygiene is essential for reducing the spread of infections in healthcare settings. Question: When assisting residents with feeding, the Nurse Aide should: A) Rush residents to finish quickly B) Encourage residents to eat alone C) Provide assistance as needed D) Discourage residents from eating certain foods Answer: C) Provide assistance as needed Rationale: Providing assistance with feeding ensures that residents receive adequate nutrition and hydration. Question: Which of the following is a sign of effective communication with residents? A) Ignoring residents' requests B) Speaking in a condescending tone C) Listening actively to residents D) Interrupting residents frequently Answer: C) Listening actively to residents Rationale: Active listening promotes effective communication and understanding between the Nurse Aide and residents. Question: In the event of a resident emergency, the Nurse Aide should: A) Panic and call for help B) Provide care beyond their scope of practice C) Follow emergency procedures as trained D) Leave the resident unattended Answer: C) Follow emergency procedures as trained Rationale: Following established emergency procedures ensures a timely and appropriate response to resident emergencies. Question: Maintaining resident confidentiality is essential for: Question: Residents' rights in healthcare settings include: A) Limiting residents' participation in care decisions B) Ensuring residents' autonomy and dignity C) Withholding information from residents D) Disregarding residents' choices Answer: B) Ensuring residents' autonomy and dignity Rationale: Upholding residents' rights to autonomy and dignity is fundamental to person-centered care and ethical practice in healthcare. 1. Which of the following best describes the role of a Nurse Aide in the healthcare team? A. Details-oriented tasks B. Providing direct care to patients C. Making treatment decisions D. Prescribing medication Correct Answer: B. Providing direct care to patients Rationale: Nurse Aides support nurses and physicians by providing hands-on care to patients. 2. When it comes to promotion of safety, which action by the Nurse Aide is most appropriate? A. Encouraging patients to ignore safety precautions B. Administering medications without proper training C. Assisting patients with ambulation to prevent falls D. Leaving potentially hazardous objects within patient reach Correct Answer: C. Assisting patients with ambulation to prevent falls Rationale: Promoting safety is a crucial aspect of a Nurse Aide's role, and preventing falls is a key safety measure. 3. In promoting the function and health of residents, which intervention by the Nurse Aide is most effective? A. Providing emotional support only B. Encouraging independence in activities of daily living C. Discouraging residents from engaging in social activities D. Restricting movement to prevent accidents Correct Answer: B. Encouraging independence in activities of daily living Rationale: Encouraging independence helps residents maintain function and overall health. 4. Basic nursing care provided by the Nurse Aide includes: A. Diagnosing medical conditions B. Administering IV medications C. Assisting with feeding and personal hygiene D. Developing treatment plans Correct Answer: C. Assisting with feeding and personal hygiene Rationale: Basic nursing care involves helping patients with activities of daily living. 5. When providing specialized care for residents with changes in health, what is a vital aspect for the Nurse Aide to monitor? A. Ignoring changes in vital signs B. Reporting any changes in resident condition to the nurse C. Administering medication without instruction D. Disregarding changes in resident behavior Correct Answer: B. Reporting any changes in resident condition to the nurse Rationale: Monitoring changes in health status and promptly reporting them is essential for timely intervention. 6. Case Study: Mrs. Jones, an elderly resident, has been experiencing shortness of breath. What should the Nurse Aide do first? C. Ignore her behavior until it escalates D. Restrict her movements to prevent agitation Correct Answer: B. Approach her calmly and provide reassurance Rationale: Calm and reassuring communication can help de-escalate agitated behavior in residents with dementia. 11. Case Study: Mr. Johnson, a resident with a urinary catheter, complains of burning sensation during urination. What action should the Nurse Aide take? A. Flush the catheter with sterile water B. Remove the catheter immediately C. Report the complaint to the nurse for further assessment D. Ignore the complaint since it's common with catheters Correct Answer: C. Report the complaint to the nurse for further assessment Rationale: Any complaints related to urinary catheters should be promptly reported to the nurse for evaluation. 12. Case Study: Ms. Adams, a resident with chronic pain, requests pain medication. What should the Nurse Aide do first? A. Administer the medication without consulting the nurse B. Ask the resident to wait until the scheduled time for medication C. Inform the nurse about the resident's request for pain relief D. Ignore the request since chronic pain is expected in elderly residents Correct Answer: C. Inform the nurse about the resident's request for pain relief Rationale: Nurse Aides should communicate resident requests for pain relief to the nurse for proper assessment and management. 13. Case Study: Mr. Lee, a resident with a history of falls, is unsteady on his feet. What is the Nurse Aide's priority intervention? A. Encouraging Mr. Lee to walk independently B. Providing assistance and supervision during ambulation C. Leaving Mr. Lee alone to prevent falls D. Ignoring Mr. Lee's unsteadiness since it's common in elderly residents Correct Answer: B. Providing assistance and supervision during ambulation Rationale: Residents with a history of falls require assistance and close supervision to prevent accidents. 14. Case Study: Mrs. King, a resident with dementia, displays wandering behavior. How should the Nurse Aide manage this situation? A. Restricting Mrs. King to her room to prevent wandering B. Encouraging Mrs. King to wander freely to explore the facility C. Providing engaging activities to redirect Mrs. King's attention D. Ignoring Mrs. King's wandering behavior as it's part of dementia Correct Answer: C. Providing engaging activities to redirect Mrs. King's attention Rationale: Engaging activities can help redirect wandering behavior and enhance the resident's well-being. 15. Case Study: Mr. Brown, a resident with diabetes, experiences a hypoglycemic episode. What should the Nurse Aide do first? A. Offer Mr. Brown sugary foods to raise his blood sugar B. Administer insulin without checking blood sugar levels C. Contact the nurse immediately for assessment and intervention D. Ignore the situation since fluctuations in blood sugar are common in diabetes Correct Answer: C. Contact the nurse immediately for assessment and intervention Rationale: Hypoglycemic episodes require prompt assessment and intervention by healthcare providers. 16. Case Study: Ms. Taylor, a resident recovering from a hip fracture, is at risk of developing blood clots. What intervention should the Nurse Aide prioritize for Ms. Taylor's safety? A. Encouraging ambulation and leg exercises B. Restricting movement to prevent further injury C. Ignoring the risk of blood clots since it's common after fractures D. Leaving Ms. Taylor sedentary to avoid complications D. Applying pressure to the insertion site to stop the leakage Correct Answer: C. Reporting the leakage to the nurse for assessment and intervention Rationale: Any issues with feeding tube insertion sites, such as leakage, should be reported to the nurse for appropriate management. 21. Case Study: Mr. Clark, a resident with a history of seizures, experiences a seizure episode. What should the Nurse Aide do during the seizure? A. Restraining Mr. Clark to prevent movement B. Placing a spoon in Mr. Clark's mouth to prevent biting the tongue C. Moving nearby objects away to prevent injury D. Ignoring the seizure since it's Mr. Clark's condition Correct Answer: C. Moving nearby objects away to prevent injury Rationale: During a seizure, the Nurse Aide should ensure the resident's safety by moving objects away to prevent injury. 22. Case Study: Mrs. Lake, a resident with incontinence, experiences skin breakdown around the perineal area. What intervention should the Nurse Aide prioritize for skin care? A. Neglecting the perineal skin breakdown until it worsens B. Applying a barrier cream to protect the skin C. Ignoring the skin breakdown as it's common in incontinent residents D. Keeping the area moist to promote healing Correct Answer: B. Applying a barrier cream to protect the skin Rationale: Proper skin care, including the use of barrier creams, is essential to prevent and manage skin breakdown in incontinent residents. 23. Case Study: Mr. Hall, a resident with dementia, exhibits resistance to bathing. What is the most appropriate approach for the Nurse Aide to encourage bathing? A. Forcing Mr. Hall to take a bath B. Avoiding bathing to reduce stress on Mr. Hall C. Providing a relaxing environment and explaining the bathing process D. Ignoring Mr. Hall's resistance to bathing as part of his behavior Correct Answer: C. Providing a relaxing environment and explaining the bathing process Rationale: Creating a calm and reassuring environment can help reduce resistance and encourage residents with dementia to bathe. 24. Case Study: Ms. Rivers, a resident with dysphagia, requires modification of food consistency. What intervention should the Nurse Aide prioritize for Ms. Rivers' safety? A. Ignoring the need for food consistency modifications B. Providing regular food consistency without modifications C. Following the prescribed food consistency guidelines D. Encouraging residents to choose their preferred food consistency Correct Answer: C. Following the prescribed food consistency guidelines Rationale: Following the prescribed food consistency guidelines is crucial to prevent aspiration and promote safe swallowing in residents with dysphagia. 25. Case Study: Mr. Knight, a resident with a leg wound, requires wound care. What should the Nurse Aide do before performing wound care? A. Use bare hands to clean and dress the wound B. Wash hands thoroughly and wear gloves before wound care C. Ignore hand hygiene since it's not necessary for wound care D. Rush through the wound care process to save time Correct Answer: B. Wash hands thoroughly and wear gloves before wound care Rationale: Proper hand hygiene and wearing gloves are essential infection control measures before performing wound care. 26. Case Study: Mrs. Bishop, a resident with pneumonia, requires chest physiotherapy. What intervention should the Nurse Aide prioritize during chest physiotherapy? A. Providing chest compressions without instruction B. Encouraging deep breathing and coughing exercises C. Skipping physiotherapy sessions to prevent fatigue D. Ignoring the intervention since it's not necessary for pneumonia Rationale: Range of motion exercises and gentle movements help relieve pain and stiffness in residents with arthritis. 31. Case Study: Mr. Queen, a resident with depression, displays withdrawal and lack of interest in activities. What is the Nurse Aide's role in supporting Mr. Queen's emotional well-being? A. Ignoring Mr. Queen's withdrawal and lack of interest B. Encouraging social interactions and engaging activities C. Leaving Mr. Queen alone to cope with his depression D. Restricting access to activities to prevent further withdrawal Correct Answer: B. Encouraging social interactions and engaging activities Rationale: Social interactions and engaging activities can help combat depression and improve emotional well-being in residents. 32. Case Study: Ms. King, a resident with a history of falls, requests assistance to the bathroom. What is the Nurse Aide's priority intervention to prevent falls? A. Providing assistance promptly and using safety devices as needed B. Asking Ms. King to wait until the next scheduled bathroom break C. Ignoring Ms. King's request for assistance D. Leaving Ms. King to walk independently to the bathroom Correct Answer: A. Providing assistance promptly and using safety devices as needed Rationale: Prompt assistance and using safety devices can help prevent falls in residents with a history of falls.