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

Download CO Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! CO 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 common illnesses Correct Answer: C Rationale: The primary role of a nurse aide is to assist residents with activities of daily living, which includes bathing, dressing, and feeding, rather than performing medical procedures or diagnoses. 2. A resident has a sudden onset of shortness of breath. What is the first action a nurse aide should take? A) Wait to see if it resolves on its own B) Provide reassurance and call for help C) Administer oxygen if within the scope of practice D) Leave the resident to find a nurse Correct Answer: B Rationale: The nurse aide should provide immediate reassurance to the resident and call for help. Administering oxygen or leaving the resident unattended could be harmful. C) Wearing gloves at all times D) Drying hands with a paper towel Correct Answer: B Rationale: Proper hand hygiene involves washing hands for at least 20 seconds to effectively remove germs and prevent the spread of infection. 8. A resident with limited mobility needs to be repositioned. What is the best practice for a nurse aide to follow? A) Reposition the resident every four hours B) Use a mechanical lift without assistance C) Reposition the resident every two hours D) Wait for the resident to request repositioning Correct Answer: C Rationale: To prevent pressure ulcers and promote circulation, it is recommended to reposition residents with limited mobility every two hours. 9. When communicating with a resident who has hearing impairment, the nurse aide should: A) Speak loudly and slowly B) Use complex medical terminology C) Face the resident and speak clearly D) Write down all communication Correct Answer: C Rationale: Facing the resident and speaking clearly helps in ensuring the resident can lip-read and understand the communication better. 10. Which of the following is a correct procedure for infection control? A) Reusing gloves for different residents to conserve supplies B) Disinfecting hands before and after resident contact C) Wearing the same gown throughout the shift to save time D) Cleaning only visible dirt on surfaces Correct Answer: B Rationale: Disinfecting hands before and after contact with each resident is essential to prevent the spread of infection. 11. A nurse aide notices a resident's skin is warm and red. What should the nurse aide do first? A) Apply a cold compress to the area B) Report the observation to a nurse C) Document the finding in the resident's chart D) Check the resident's temperature Correct Answer: B Rationale: Reporting changes in a resident's condition, such as warm and red skin, to a nurse is important for prompt assessment and intervention. 12. In promoting the function and health of residents, what is a key responsibility of the nurse aide? A) Prescribing exercise routines B) Assisting with prescribed physical therapy exercises C) Performing all tasks for the residents to ensure they rest D) Encouraging residents to remain in bed Correct Answer: B Rationale: Assisting residents with prescribed physical therapy exercises helps maintain their mobility and promotes overall health. 13. What is the most effective way for a nurse aide to manage time while caring for multiple residents? A) Complete tasks for one resident before moving to the next B) Prioritize tasks based on the urgency of residents' needs C) Perform care tasks only when residents request them D) Skip non-essential tasks to save time Correct Answer: B Rationale: Prioritizing tasks based on the urgency of residents' needs ensures that all residents receive timely and appropriate care. 14. A resident expresses feelings of loneliness. How should the nurse aide respond? C) Assist residents with brushing their teeth twice daily D) Skip oral hygiene routines Correct Answer: C) Assist residents with brushing their teeth twice daily Rationale: Regular oral hygiene helps prevent dental issues and promotes overall health and well-being. Basic Nursing Care Provided by the Nurse Aide When measuring a resident's vital signs, the Nurse Aide should: A) Record the vital signs inaccurately B) Use an old and damaged blood pressure cuff C) Follow the facility's protocol for taking vital signs D) Skip measuring vital signs altogether Correct Answer: C) Follow the facility's protocol for taking vital signs Rationale: Following established protocols ensures accurate recording of vital signs and contributes to proper patient care. Providing Specialized Care for Residents with Changes in Health A resident with diabetes is experiencing low blood sugar. What should the Nurse Aide do first? A) Offer sugary drinks B) Administer insulin C) Call for medical assistance D) Ignore the situation Correct Answer: A) Offer sugary drinks Rationale: Providing quick-acting sugar helps raise the resident's blood sugar levels and prevents further complications. Role of the Nurse Aide In the case of a fall, the Nurse Aide should: A) Document the incident after a few hours B) Inform the charge nurse immediately C) Blame the resident for falling D) Avoid reporting the fall Correct Answer: B) Inform the charge nurse immediately Rationale: Prompt reporting of falls allows for timely assessment and appropriate interventions to prevent future falls. Promotion of Safety When handling infectious waste, the Nurse Aide should: A) Dispose of it in regular trash bins B) Wear personal protective equipment (PPE) C) Delegate waste disposal to another staff member D) Skip proper waste disposal procedures Correct Answer: B) Wear personal protective equipment (PPE) Rationale: Wearing PPE prevents the spread of infections and ensures the safety of both the Nurse Aide and residents. Promotion of Function and Health of Residents How can the Nurse Aide promote skin integrity in immobile residents? A) Reposition residents every 8 hours B) Apply massage oil to the skin C) Keep linens dry and clean D) Limit fluid intake Correct Answer: C) Keep linens dry and clean Rationale: Maintaining dry and clean linens helps prevent skin breakdown and pressure ulcers in immobile residents. Basic Nursing Care Provided by the Nurse Aide When assisting with feeding, the Nurse Aide should: A) Rush through meals to save time B) Encourage residents to feed themselves if they struggle C) Provide assistance as needed and ensure proper nutrition D) Skip feeding residents who have difficulty eating Correct Answer: C) Provide assistance as needed and ensure proper nutrition Rationale: Proper assistance with feeding ensures residents receive adequate nutrition and hydration. Basic Nursing Care Provided by the Nurse Aide What is the correct procedure for changing a resident's bed linens? A) Change linens only when visibly soiled B) Change linens daily, regardless of cleanliness C) Change linens weekly D) Change linens regularly and as needed Correct Answer: D) Change linens regularly and as needed Rationale: Regular changing of bed linens promotes cleanliness and prevents infections. Providing Specialized Care for Residents with Changes in Health A resident with dementia is becoming increasingly agitated. What should the Nurse Aide do? A) Administer sedatives to calm the resident B) Engage the resident in calming activities C) Ignore the behavior until it subsides D) Restrict the resident's movements Correct Answer: B) Engage the resident in calming activities Rationale: Engaging in calming activities can help redirect the resident's focus and reduce agitation without the need for sedatives. 1. Which of the following duties is within the scope of practice for a nurse aide? - A) Administering medications - B) Taking vital signs - C) Diagnosing medical conditions - D) Prescribing treatment **Answer: B** **Rationale:** Nurse aides are responsible for tasks such as taking vital signs but are not licensed to diagnose, prescribe, or administer medications. 2. In reporting changes in a resident’s condition, the nurse aide should: - A) Wait until the end of their shift - B) Report immediately to the nurse - C) Ignore if it’s a minor change - D) Document in their notes only **Answer: B** **Rationale:** Immediate reporting of changes ensures prompt medical attention and appropriate adjustments to care. 3. The main goal of a care plan is to: - A) Give orders to the nurse aide - B) Provide a structured approach for individual care - C) Control the resident’s activities - D) Minimize staff workload **Answer: B** **Rationale:** A care plan outlines personalized care strategies to meet each resident’s specific needs. **Promotion of Safety:** 4. When repositioning a resident to prevent pressure ulcers, how often should it be done? - A) Every hour - B) Every 2 hours - C) Every 4 hours - D) Twice per shift **Answer: B** **Rationale:** Repositioning every 2 hours helps prevent pressure ulcers by alleviating pressure on bony prominences. 5. Which action is most effective in minimizing the risk of falls? - A) Keeping the side rails up at all times - B) Ensuring proper lighting in the resident's room - C) Restricting resident's movement - D) Utilizing restraints - A) Brushing teeth once a day - B) Using mouthwash only - C) Brushing at least twice a day and flossing daily - D) Rinsing mouth with water only **Answer: C** **Rationale:** Comprehensive oral care involves brushing and flossing to maintain dental hygiene and prevent infections. 11. While performing personal care, the nurse aide notices a reddened area on the resident's skin. What should the nurse aide do? - A) Apply lotion and continue with care - B) Report it to the nurse immediately - C) Cover it with a bandage - D) Ignore it as normal and continue **Answer: B** **Rationale:** Reporting skin changes promptly helps prevent the development of further complications like pressure ulcers. 12. Effective hand hygiene should include: - A) Washing hands with soap and water for at least 20 seconds - B) Using hand sanitizer only when it's convenient - C) Only washing hands when visibly dirty - D) Wearing gloves instead of washing hands **Answer: A** **Rationale:** Proper hand washing with soap and water for at least 20 seconds significantly reduces the spread of infections. **Providing Specialized Care for Residents with Changes in Health:** 13. When caring for a resident with diabetes, the nurse aide should be aware of signs of hypoglycemia which include: - A) Elevated blood pressure - B) Sweating and trembling - C) Excessive thirst - D) Dry skin and slow pulse **Answer: B** **Rationale:** Symptoms such as sweating and trembling indicate low blood sugar levels, which require prompt attention. 14. A nurse aide should take special care when assisting a resident with severe arthritis by: - A) Encouraging fast movements to increase flexibility - B) Assisting with slow and gentle range-of-motion exercises - C) Limiting movement to prevent pain - D) Applying cold packs constantly **Answer: B** **Rationale:** Gentle exercises help maintain joint function without causing undue pain or discomfort. 15. For a resident with dementia, the best approach to communication is: - A) Asking complex, open-ended questions - B) Using short, simple sentences - C) Speaking loudly and rapidly - D) Giving multiple instructions at once **Answer: B** **Rationale:** Clear, simple communication is more easily understood and less confusing for residents with cognitive impairments. **Additional Questions:** 16. Which of the following vital signs is out of the normal range for an adult resident? - A) Blood pressure: 120/80 mmHg - B) Heart rate: 90 beats per minute - C) Respiratory rate: 18 breaths per minute - D) Temperature: 101°F (38.3°C) **Answer: D** **Rationale:** A temperature of 101°F indicates a fever, which is above the normal range for an adult. **Answer: B** **Rationale:** Accurate measurement ensures proper assessment and management of the resident’s fluid balance. 22. For a resident with impaired mobility, the nurse aide should help minimize muscle atrophy by: - A) Immobilizing affected limbs - B) Encouraging frequent repositioning and exercise - C) Restricting activities to prevent injury - D) Limiting movement as much as possible **Answer: B** **Rationale:** Regular movement and exercise help maintain muscle strength and prevent atrophy. 23. In the case of a fire drill while caring for a resident, the nurse aide should: - A) Panic and hurriedly evacuate - B) Follow the facility’s emergency procedures calmly - C) Ignore the alarm - D) Wait for instructions before doing anything **Answer: B** **Rationale:** Following established procedures ensures the safety of both residents and staff during emergencies. 24. When a resident with dementia becomes agitated, the nurse aide should FIRST: - A) Restrain the resident to prevent harm - B) Speak calmly and reassure the resident - C) Leave the resident alone - D) Call for immediate medical assistance **Answer: B** **Rationale:** Calm communication helps de-escalate agitation, reducing the risk of harm and distress. 25. Assisting a resident to maintain independence includes: - A) Doing everything for the resident - B) Encouraging the resident to perform as many tasks as possible independently - C) Limiting activities to avoid frustrations - D) Only allowing independence in non-essential activities **Answer: B** **Rationale:** Promoting independence enhances self-esteem and functional abilities. 26. When monitoring a resident for signs of infection, the nurse aide should be alert for: - A) Elevated temperature - B) Increased energy - C) Decreased heart rate - D) Reduced appetite **Answer: A** **Rationale:** A high temperature is a common sign of infection. 27. The best way to assist a resident with Alzheimer’s disease in dressing is to: - A) Choose outfits with complex fasteners - B) Offer one piece of clothing at a time and use clear instructions - C) Let them choose from many options - D) Dress them completely without assistance **Answer: B** **Rationale:** Simplifying choices and using step-by-step instructions helps prevent confusion and frustration. 28. For a resident experiencing urinary incontinence, the nurse aide should: - A) Increase fluid intake to flush the bladder - B) Use absorbent products and frequent toileting - C) Limit access to liquids - B) Limiting physical activities - C) Providing restraints to prevent falls - D) Ignoring their fall history to prevent anxiety **Answer: A** **Rationale:** Fall mats can help minimize injuries from accidental falls. 34. When providing post-mortem care, the nurse aide should: - A) Ignore standard precautions as the resident is deceased - B) Continue to follow standard precautions - C) Use minimal personal protective equipment (PPE) - D) Avoid any contact with the body **Answer: B** **Rationale:** Standard precautions are necessary to prevent the spread of infection and ensure respectful handling. 35. For a resident with COPD, the nurse aide should: - A) Avoid activities that cause shortness of breath - B) Encourage deep breathing and use of incentive spirometer - C) Restrict fluid intake - D) Keep the resident in a supine position **Answer: B** **Rationale:** Deep breathing and using an incentive spirometer help improve lung function and respiratory effort. 36. When a resident experiences a stroke, the primary focus of the nurse aide should be: - A) Encouraging them to move affected limbs quickly - B) Providing support for impaired functions and facilitating rehabilitation - C) Ignoring the affected side - D) Restricting all physical activities **Answer: B** **Rationale:** Appropriate support and rehabilitation help promote recovery and maximize function. 37. The best approach for feeding a resident with aspiration risk is to: - A) Allow rapid consumption of food - B) Encourage small, slow bites and upright positioning - C) Offer thin liquids frequently - D) Avoid oral intake completely **Answer: B** **Rationale:** Small, slow bites and an upright position reduce the risk of choking and aspiration. 38. If a resident suffering from heart failure becomes short of breath, the nurse aide should: - A) Lay them flat on the bed - B) Help them sit up and provide supplemental oxygen if prescribed - C) Encourage fast walking to improve circulation - D) Offer fluids to thin the blood **Answer: B** **Rationale:** Sitting up helps ease breathing and providing oxygen can aid in maintaining adequate oxygen levels. 39. A priority in the care of a resident with osteoporosis is: - A) Encouraging high-impact exercises to strengthen bones - B) Preventing falls to avoid fractures - C) Limiting calcium intake - D) Ignoring bone health aspects **Answer: B** **Rationale:** Preventing falls and potential fractures is crucial for residents with osteoporosis due to their fragile bones.