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

Download CA Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! CA 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) Assisting with activities of daily living D) Diagnosing health conditions Correct Answer: C Rationale: The primary role of a nurse aide is to assist residents with activities of daily living, which are essential for maintaining the dignity and independence of the residents. 2. A resident has developed a pressure ulcer. What is the most appropriate initial action by the nurse aide? A) Apply a high-grade disinfectant B) Re-position the resident frequently C) Increase the resident's fluid intake D) Prescribe antibiotics Correct Answer: B Rationale: Frequent re-positioning is crucial in preventing the progression of pressure ulcers by reducing prolonged pressure on the affected area. B) Transfer the resident quickly to save time C) Ensure the resident's comfort during the transfer D) Have another staff member assist with the transfer Correct Answer: D Rationale: Assistance from another staff member ensures safety for both the resident and the nurse aide during transfers. 8. In the context of basic nursing care, which task is outside the scope of practice for a nurse aide? A) Taking and recording vital signs B) Assisting with personal hygiene C) Initiating intravenous therapy D) Helping with feeding and hydration Correct Answer: C Rationale: Initiating intravenous therapy is a medical procedure that falls outside the scope of practice for a nurse aide. 9. When considering the promotion of safety, what is a critical action for a nurse aide to perform regularly? A) Reviewing the facility's policy manual daily B) Checking the expiration dates on all medications C) Conducting safety drills with residents D) Observing and reporting any potential hazards Correct Answer: D Rationale: Regular observation and reporting of potential hazards are essential in maintaining a safe environment for residents. 10. A resident expresses feelings of isolation. How should the nurse aide respond? A) Encourage the resident to make more effort to socialize B) Arrange for regular visits from a social worker C) Increase the resident's medication dosage D) Facilitate opportunities for the resident to engage with others Correct Answer: D Rationale: Facilitating engagement opportunities can help alleviate feelings of isolation and improve the resident's quality of life. 11. What is an appropriate action for a nurse aide when a resident refuses to eat? A) Force the resident to eat to maintain nutritional status B) Skip the meal and try again later C) Report the issue to the supervising nurse D) Offer alternative food choices to the resident Correct Answer: C Rationale: A refusal to eat could indicate an underlying issue that requires attention from the supervising nurse. 12. When a resident falls, what is the first step a nurse aide should take? A) Get the resident back on their feet immediately B) Leave the resident and seek help C) Assess the resident for injuries D) Complete an incident report Correct Answer: C Rationale: Assessing for injuries is crucial to determine the appropriate course of action following a fall. 13. Which of the following is a primary goal in the promotion of function and health of residents? A) Ensuring residents are compliant with all facility rules B) Maximizing independence through supportive care C) Keeping residents in their rooms to avoid accidents D) Focusing solely on physical health aspects Correct Answer: B Rationale: Supportive care that maximizes independence is key to promoting the function and health of residents. 14. In providing specialized care for residents with health changes, what is a crucial consideration for the nurse aide? A) The cost-effectiveness of treatments B) Encourage independence in activities of daily living C) Perform all tasks for the residents to save time D) Limit social activities for residents to prevent overstimulation Correct Answer: B) Encourage independence in activities of daily living Rationale: Encouraging residents to be independent fosters their autonomy and self-esteem, contributing to their overall function and health. Question: Which action by a nurse aide demonstrates basic nursing care provided to residents? A) Engaging residents in meaningful conversations B) Ensuring residents are well-groomed and clean C) Administering medications without proper training D) Ignoring residents' requests for assistance Correct Answer: B) Ensuring residents are well-groomed and clean Rationale: Basic nursing care includes maintaining residents' hygiene and appearance, which are essential for their physical and emotional well-being. Question: A resident with a recent stroke requires specialized care. What should the nurse aide prioritize in this situation? A) Encouraging the resident to skip physical therapy sessions B) Providing assistance with speech therapy exercises C) Limiting social interaction to prevent overstimulation D) Ignoring signs of discomfort or pain Correct Answer: B) Providing assistance with speech therapy exercises Rationale: Specialized care for a resident post-stroke involves addressing specific therapeutic needs, such as speech therapy, to support their recovery and rehabilitation. Question: In the context of promoting safety, what should a nurse aide do to prevent falls among residents? A) Keep the floors wet to minimize slipping B) Ensure proper lighting in resident rooms and hallways C) Place obstacles in the walking paths to increase awareness D) Ignore residents who request assistance with ambulation Correct Answer: B) Ensure proper lighting in resident rooms and hallways Rationale: Adequate lighting helps residents navigate their surroundings safely and reduces the risk of falls, emphasizing the importance of promoting safety in the healthcare setting. Question: When providing care for residents with dementia, what approach should the nurse aide take to ensure effective communication? A) Speak loudly to ensure the resident understands B) Use simple and clear language C) Avoid eye contact to prevent agitation D) Rush through conversations to save time Correct Answer: B) Use simple and clear language Rationale: Clear and simple communication techniques help residents with dementia comprehend information better and enhance their ability to engage in meaningful interactions. Question: How can a nurse aide contribute to preventing pressure ulcers in bedridden residents? A) Change the resident's position every few hours B) Use harsh chemicals for bed baths C) Provide a firm mattress for increased support D) Ignore redness or irritation on the resident's skin Question: In caring for residents with diabetes, what should the nurse aide be mindful of to promote their health and well-being? A) Encourage high-sugar snacks for quick energy boosts B) Monitor blood glucose levels regularly as instructed C) Disregard dietary restrictions to maintain rapport D) Leave insulin administration to the nursing staff Correct Answer: B) Monitor blood glucose levels regularly as instructed Rationale: Regular monitoring of blood glucose levels is essential in managing diabetes effectively and preventing complications, emphasizing the nurse aide's role in supporting residents' health. Question: How should a nurse aide handle residents' complaints or concerns about their care? A) Dismiss residents' feedback as unimportant B) Listen actively and address their issues respectfully C) Avoid discussing complaints to prevent conflicts D) Minimize interactions with residents to avoid complaints Correct Answer: B) Listen actively and address their issues respectfully Rationale: Listening to residents' feedback attentively and addressing their concerns respectfully fosters trust and promotes a positive care environment, reflecting the nurse aide's commitment to resident- centered care. Question: When assisting residents with personal hygiene, what is crucial for the nurse aide to maintain? A) Rush through the tasks to save time B) Respect residents' privacy and dignity C) Perform tasks hastily to finish quickly D) Disregard residents' preferences for personal care Correct Answer: B) Respect residents' privacy and dignity Rationale: Respecting residents' privacy and dignity during personal care routines upholds their autonomy and promotes a sense of respect and dignity in the care process. Question: How can a nurse aide provide culturally sensitive care to residents from diverse backgrounds? A) Assume all residents have similar cultural beliefs B) Disregard cultural practices in care routines C) Respect and incorporate residents' cultural beliefs and practices D) Avoid interacting with residents from different cultural backgrounds Correct Answer: C) Respect and incorporate residents' cultural beliefs and practices Rationale: Acknowledging and incorporating residents' cultural beliefs and practices into care routines demonstrate respect for diversity and enhances the quality of care provided by the nurse aide. Question: In managing residents' pain, what should the nurse aide prioritize? A) Administering pain medication without consulting the nurse B) Ignoring residents' reports of pain C) Documenting pain levels accurately and reporting to the nurse D) Promising residents immediate relief from all pain Correct Answer: C) Documenting pain levels accurately and reporting to the nurse Rationale: Accurate documentation of pain levels and timely reporting to the healthcare team are essential in ensuring residents receive appropriate pain management, highlighting the nurse aide's role in holistic care provision. Question: How can a nurse aide contribute to promoting residents' social well-being? Correct Answer: B) Provide compassionate and dignified care Rationale: Offering compassionate and dignified care to residents at the end of life honors their wishes, respects their dignity, and supports their emotional well-being during this sensitive time. 1. **Which of the following tasks is performed by a nurse aide in order to assist with the admissions process for a new resident?** - a) Diagnosing medical conditions - b) Developing care plans - c) Taking vital signs - d) Performing surgery - **Correct Answer: c) Taking vital signs** - **Rationale: Nurse aides are not medically licensed to diagnose conditions or perform surgeries, but they are trained to take vital signs as part of the admissions process.** 2. **Which member of the healthcare team should the nurse aide report changes in a resident’s condition to?** - a) The resident's family - b) The physician directly - c) The assigned nurse - d) Administration office - **Correct Answer: c) The assigned nurse** - **Rationale: Nurse aides should report changes in a resident's condition to the assigned nurse who will then decide the necessary actions or whether to involve other healthcare professionals.** 3. **When handling medical records, what is the most important aspect for the nurse aide to ensure?** - a) Legibility of the doctor’s handwriting - b) Compliance with HIPAA regulations - c) The attractive design of the record sheets - d) Keeping records in a common area for easy access - **Correct Answer: b) Compliance with HIPAA regulations** - **Rationale: Compliance with HIPAA regulations is paramount to maintaining patient confidentiality and ensuring legal and ethical standards are met.** 4. **While dressing a resident, the nurse aide notices a severe skin tear. What should be the nurse aide's immediate action?** - a) Cover the tear and continue dressing - b) Document it after finishing all tasks - c) Report it immediately to the nurse - d) Try to treat it to prevent infection - **Correct Answer: c) Report it immediately to the nurse** - **Rationale: Skin tears require proper medical attention, and it is essential to inform the nurse immediately to get the necessary care.** 5. **What is the primary role of the nurse aide when a resident experiences a life-threatening emergency?** - a) Perform surgery - b) Provide immediate CPR if certified - c) Diagnose the cause of the emergency - d) Call the patient's family - **Correct Answer: b) Provide immediate CPR if certified** - **Rationale: Nurse aides are often certified in CPR and can provide emergency care while waiting for advanced medical help.** ### Promotion of Safety 6. **What is the best way for a nurse aide to ensure a resident’s safety when using a mechanical lift?** - a) Operate the lift without additional help - b) Follow the manufacturer’s guidelines and facility policies - c) Allow the resident to direct the procedure - d) Use the lift only during emergencies - **Rationale: Using standard precautions such as hand hygiene and appropriate PPE is critical in preventing infection transmission.** ### Promotion of Function and Health of Residents 11. **In encouraging a resident to exercise, which approach should the nurse aide take?** - a) Insist the resident follow a strict exercise schedule - b) Suggest simple exercises that can be done safely - c) Wait for the resident to ask about exercise - d) Only encourage exercise for ambulatory residents - **Correct Answer: b) Suggest simple exercises that can be done safely** - **Rationale: Suggesting safe, simple exercises promotes physical activity without overwhelming the resident.** 12. **Why is good hydration important for residents, and how can a nurse aide promote it?** - a) It helps with medication absorption; provide liquids during medication passes - b) It prevents the need for urination; limit fluid intake - c) It causes weight gain; monitor food intake - d) It leads to increased sleep patterns; encourage fluids at bedtime - **Correct Answer: a) It helps with medication absorption; provide liquids during medication passes** - **Rationale: Offering fluids during medication administration can improve hydration and assist with the proper absorption of medications.** 13. **Which dietary adjustment would a nurse aide recommend for a resident with difficulty swallowing?** - a) Encourage raw vegetables - b) Provide thickened liquids and pureed foods - c) Suggest large meals twice a day - d) Limit food intake - **Correct Answer: b) Provide thickened liquids and pureed foods** - **Rationale: Thickened liquids and pureed foods can help prevent aspiration in residents with swallowing difficulties.** 14. **Which is an appropriate intervention to prevent pressure ulcers in bedridden residents?** - a) Reposition the resident every hour while in bed - b) Use donut-shaped cushions - c) Ensure the resident remains in one position - d) Massage bony prominences vigorously - **Correct Answer: a) Reposition the resident every hour while in bed** - **Rationale: Regular repositioning helps to distribute pressure and prevent skin breakdown.** 15. **Which activity can best promote mental health and cognitive function in residents with dementia?** - a) Isolate them to avoid confusion - b) Engage them in structured, familiar activities - c) Encourage them to watch television all day - d) Limit their participation in group activities - **Correct Answer: b) Engage them in structured, familiar activities** - **Rationale: Structured and familiar activities can provide cognitive stimulation and reduce anxiety in residents with dementia.** ### Basic Nursing Care Provided by the Nurse Aide 16. **When performing a bed bath, what should the nurse aide do to maintain the resident's privacy and dignity?** - a) Close the curtain and cover the resident with a towel or sheet - b) Leave the door open in case the resident needs something - c) Bathe the resident in front of other residents for efficiency - d) Only close the door, without covering the resident - **Correct Answer: a) Close the curtain and cover the resident with a towel or sheet** ### Providing Specialized Care for Residents with Changes in Health 21. **Which of the following is a critical aspect of care for residents with diabetes?** - a) Avoiding all carbohydrates - b) Monitoring blood sugar levels regularly - c) Limiting protein intake - d) Discouraging physical activity - **Correct Answer: b) Monitoring blood sugar levels regularly** - **Rationale: Regular monitoring of blood sugar levels is essential for managing diabetes.** 22. **A resident with Alzheimer's disease shows increased agitation during the evening. What strategy could help reduce this behavior?** - a) Administering a double dose of medication - b) Providing a calm and structured environment - c) Allowing the resident to wander freely - d) Ignoring the agitation until it passes - **Correct Answer: b) Providing a calm and structured environment** - **Rationale: A calm and structured environment can help reduce agitation in residents with Alzheimer's disease.** 23. **When providing care to a resident with congestive heart failure (CHF), what should the nurse aide monitor regularly?** - a) Frequency of urination - b) Blood sugar levels - c) Sodium intake and signs of fluid retention - d) Caloric intake - **Correct Answer: c) Sodium intake and signs of fluid retention** - **Rationale: Monitoring sodium intake and fluid retention is vital in managing congestive heart failure.** 24. **Which intervention is appropriate for a resident experiencing difficulty breathing (dyspnea)?** - a) Reclining the resident's head lower than their chest - b) Encouraging the resident to hold their breath for extended periods - c) Elevating the head of the bed and encouraging deep breathing - d) Restricting fluid intake - **Correct Answer: c) Elevating the head of the bed and encouraging deep breathing** - **Rationale: Elevating the head of the bed and encouraging deep breaths can alleviate dyspnea.** 25. **What is a key responsibility of the nurse aide when caring for a resident receiving palliative care?** - a) Focusing solely on curing the resident's disease - b) Providing comfort and managing symptoms - c) Ignoring the resident's emotional needs - d) Reducing the frequency of care - **Correct Answer: b) Providing comfort and managing symptoms** - **Rationale: Palliative care focuses on providing comfort and managing symptoms rather than curing the disease.** 26. **Which of the following best describes appropriate communication with a resident who has hearing loss?** - a) Shouting to ensure they hear you - b) Speaking clearly and at a moderate pace, facing the resident - c) Using complex medical terminology - d) Whispering to avoid startling them - **Correct Answer: b) Speaking clearly and at a moderate pace, facing the resident** - **Rationale: Clear, moderate-paced communication and maintaining eye contact help residents with hearing loss understand better.** 27. **A resident with chronic obstructive pulmonary disease (COPD) should be encouraged to:** - a) Avoid all physical activity - b) Exercise in short, manageable sessions - c) Record care immediately after it is provided using precise and specific terms - d) Only document care for critical activities - **Correct Answer: c) Record care immediately after it is provided using precise and specific terms** - **Rationale: Immediate and precise documentation ensures accuracy and provides a clear record of care provided.** 32. **Which of the following practices is essential when handling biohazard materials?** - a) Disposing of them in regular trash bins - b) Double-bagging them and labeling them appropriately - c) Storing them in a resident’s room - d) Wearing simple cotton gloves - **Correct Answer: b) Double-bagging them and labeling them appropriately** - **Rationale: Proper containment and labeling ensure safe handling and disposal of biohazard materials.** 33. **In an incident where a nurse aide must evacuate residents during a fire, what is the primary priority?** - a) Saving medical records - b) Evacuating ambulatory residents first - c) Transporting non-ambulatory residents to safety - d) Waiting for the fire department’s arrival before taking action - **Correct Answer: b) Evacuating ambulatory residents first** - **Rationale: Ambulatory residents can quickly move to safety, allowing more time to assist non-ambulatory residents effectively.** 34. **What should a nurse aide do if they suspect a resident is experiencing abuse?** - a) Confront the suspected abuser directly - b) Document observations and immediately report to the nurse in charge - c) Discuss suspicions with other residents - d) Ignore the suspicions to avoid conflict - **Correct Answer: b) Document observations and immediately report to the nurse in charge** - **Rationale: Proper documentation and immediate reporting ensure that abuse suspicions are addressed promptly and appropriately.** 35. **Which method is least effective in promoting resident independence?** - a) Allowing residents to participate in their own care - b) Encouraging the use of assistive devices - c) Completing all tasks for the resident - d) Tailoring activities to the resident’s abilities - **Correct Answer: c) Completing all tasks for the resident** - **Rationale: Completing all tasks for the resident undermines their independence and can lead to decreased ability to perform self-care.**