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

Download FL Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! FL 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 diagnostic tests C) Ensuring patient comfort and safety D) Conducting physical therapy sessions Correct Answer: C) Ensuring patient comfort and safety Rationale: The primary role of a nurse aide in basic nursing care is to ensure that the patient's environment is safe and that they are comfortable, as this is fundamental to promoting their health and well- being. 2. A resident with limited mobility is at risk of developing pressure ulcers. What is the most effective method for a nurse aide to prevent this complication? A) Apply a barrier cream every two hours. B) Keep the resident in a fixed position for comfort. C) Regularly reposition the resident at least every two hours. D) Increase the resident's fluid intake. Correct Answer: C) Regularly reposition the resident at least every two hours. Rationale: Regular repositioning is essential to alleviate pressure on the skin, which is a key preventive measure against pressure ulcers in residents with limited mobility. A) Restricting movement to prevent injury B) Encouraging independence in activities of daily living C) Providing complete care without resident participation D) Limiting social interactions to reduce stress Correct Answer: B) Encouraging independence in activities of daily living Rationale: Promoting independence in daily activities helps maintain and improve residents' functional abilities and overall health. 8. When transferring a resident from a bed to a wheelchair, what is the most important safety consideration? A) The resident's preference for transfer side B) The type of shoes the resident is wearing C) The height of the wheelchair seat D) The use of a gait belt for support Correct Answer: D) The use of a gait belt for support Rationale: Using a gait belt provides stability and support for the resident during transfers, reducing the risk of falls and injury. 9. A resident with congestive heart failure is experiencing shortness of breath. What should the nurse aide do first? A) Lay the resident flat on their back. B) Provide supplemental oxygen. C) Elevate the head of the bed. D) Restrict fluid intake immediately. Correct Answer: C) Elevate the head of the bed. Rationale: Elevating the head of the bed can help alleviate shortness of breath by reducing the pressure on the chest and improving lung expansion. 10. When observing a resident's skin, which of the following findings should be reported immediately? A) A new bruise on the arm B) Persistent redness over a bony prominence C) A healed scar from a previous surgery D) Freckles on the face Correct Answer: B) Persistent redness over a bony prominence Rationale: Persistent redness may indicate the beginning stages of a pressure ulcer, which requires immediate attention to prevent further deterioration. 11. In the case of a resident who refuses to eat, what is the most appropriate action for the nurse aide to take? A) Force the resident to eat for their health. B) Skip the meal and try again later. C) Offer alternative food choices. D) Report the refusal to the supervising nurse. Correct Answer: D) Report the refusal to the supervising nurse. Rationale: A resident's refusal to eat could be a sign of an underlying issue that needs to be assessed by a nurse. 12. A resident with Alzheimer's disease is agitated and pacing. What is the best way for the nurse aide to respond? A) Restrain the resident for their safety. B) Distract the resident with a calming activity. C) Ignore the behavior as it is common in Alzheimer's patients. D) Sedate the resident with medication. Correct Answer: B) Distract the resident with a calming activity. Rationale: Providing a calming activity can help reduce agitation and is a non-invasive approach to managing behavioral symptoms in Alzheimer's disease. 13. When a resident is receiving end-of-life care, what is the primary focus of the nurse aide? A) Preparing the family for the resident's death B) Ensuring the resident's legal documents are in order C) Providing comfort and support to the resident D) Discussing the prognosis with the resident Correct Answer: C) Providing comfort and support to the resident A) Wearing gloves only when convenient B) Using the same gloves for multiple residents C) Washing hands before and after resident care D) Reusing disposable equipment Correct Answer: C) Washing hands before and after resident care Rationale: Proper hand hygiene is essential to prevent the spread of infections in healthcare settings. Question: A resident with limited mobility needs to be repositioned frequently. What is the primary reason for this? A) To prevent pressure ulcers B) To save time for the Nurse Aide C) To keep the resident awake D) To help with digestion Correct Answer: A) To prevent pressure ulcers Rationale: Repositioning helps prevent pressure ulcers by relieving pressure on bony prominences. Question: How can a Nurse Aide assist a resident with dementia during mealtime? A) Rushing the resident to finish quickly B) Providing clear instructions and cues C) Ignoring the resident's needs D) Leaving the resident alone Correct Answer: B) Providing clear instructions and cues Rationale: Residents with dementia benefit from clear instructions and cues to help with mealtime. Question: Which of the following is an example of a specialized care task for a resident with diabetes? A) Assisting with bathing B) Monitoring blood glucose levels C) Making the bed D) Answering phone calls Correct Answer: B) Monitoring blood glucose levels Rationale: Residents with diabetes require regular monitoring of their blood glucose levels to manage their condition effectively. Question: What is the purpose of using a gait belt when assisting a resident with mobility? A) To restrain the resident B) To assist with balance and support C) To speed up the transfer process D) To replace the need for assistance Correct Answer: B) To assist with balance and support Rationale: A gait belt helps Nurse Aides provide support and maintain the resident's balance during transfers. Question: How can a Nurse Aide promote the emotional well-being of residents in a long-term care facility? A) Ignoring residents' emotional needs B) Providing opportunities for social interaction C) Keeping residents isolated D) Using a robotic approach to care Correct Answer: B) Providing opportunities for social interaction Rationale: Social interaction is essential for the emotional well-being of residents in long-term care settings. Question: Which action demonstrates effective communication by a Nurse Aide? A) Using medical jargon with residents B) Speaking loudly to residents C) Listening actively to residents' concerns D) Avoiding eye contact Correct Answer: C) Listening actively to residents' concerns Rationale: Active listening is crucial for effective communication and building rapport with residents. Correct Answer: B) Following the resident's preferences Rationale: Respecting and following the resident's preferences promotes individualized care and comfort. Question: Which action by the Nurse Aide ensures resident safety during ambulation? A) Leaving the resident unattended B) Using appropriate assistive devices C) Rushing the resident D) Ignoring signs of fatigue Correct Answer: B) Using appropriate assistive devices Rationale: Using assistive devices helps support residents during ambulation and reduces the risk of falls. Question: How can a Nurse Aide support residents' nutritional needs? A) Restricting residents' food intake B) Assisting residents with meal choices C) Skipping meal assistance D) Serving food without considering preferences Correct Answer: B) Assisting residents with meal choices Rationale: Involving residents in meal choices promotes their autonomy and ensures their nutritional needs are met. Question: What is the Nurse Aide's responsibility in promoting residents' hydration? A) Limiting residents' access to water B) Encouraging fluid intake as appropriate C) Ignoring residents' requests for water D) Withholding fluids as punishment Correct Answer: B) Encouraging fluid intake as appropriate Rationale: Proper hydration is essential for residents' health, and Nurse Aides should encourage adequate fluid intake. Question: How can a Nurse Aide assist a resident with impaired skin integrity? A) Applying lotion to intact skin only B) Avoiding turning and repositioning C) Keeping linens dry and clean D) Ignoring signs of skin breakdown Correct Answer: C) Keeping linens dry and clean Rationale: Maintaining dry and clean linens helps prevent further skin breakdown and promotes healing. Question: Which measure is crucial for the Nurse Aide when caring for residents with dysphagia? A) Offering large portions of food B) Providing thickened liquids as ordered C) Rushing residents through meals D) Ignoring residents' swallowing difficulties Correct Answer: B) Providing thickened liquids as ordered Rationale: Following the prescribed consistency of liquids helps prevent aspiration in residents with dysphagia. Question: How can a Nurse Aide assist residents with respiratory conditions? A) Encouraging smoking B) Ensuring a smoke-free environment C) Providing oxygen without orders D) Ignoring signs of respiratory distress Correct Answer: B) Ensuring a smoke-free environment Rationale: Maintaining a smoke-free environment is crucial for residents with respiratory conditions to promote respiratory health. 1. **Which of the following tasks is within the scope of practice for a Certified Nurse Aide (CNA)?** - A. Administering medication - B. Diagnosing patient conditions - C. Assisting patients with activities of daily living 5. **What is the best way to encourage a resident to engage in physical activity?** - A. Force them to join every activity session - B. Gently encourage participation in activities that interest them - C. Leave them alone if they are unwilling - D. Set strict exercise schedules **Correct Answer: B** **Rationale:** Encouraging participation in activities of interest helps promote engagement and physical activity without forcing residents. 6. **A resident is reluctant to eat meals. What should be the nurse aide’s first course of action?** - A. Force-feed the resident - B. Consult with the dietitian for meal preferences - C. Ignore the resident’s reluctance - D. Immediately report it to the supervisor **Correct Answer: B** **Rationale:** Consulting with the dietitian can help identify meal preferences that might encourage the resident to eat. ### Basic Nursing Care Provided by the Nurse Aide 7. **What is the primary purpose of frequent repositioning of residents who are immobile?** - A. Increase entertainment opportunities - B. Prevent pressure ulcers - C. Reduce staff workload - D. Make the bed look tidy **Correct Answer: B** **Rationale:** Frequent repositioning helps prevent pressure ulcers by relieving pressure on vulnerable areas of the body. 8. **Which vital sign measurement is typically out of a CNA’s scope of practice?** - A. Blood Pressure - B. Pulse - C. Temperature - D. Interpretation of EKGs **Correct Answer: D** **Rationale:** Interpreting EKGs is beyond the scope of practice for CNAs, who are trained to measure vitals but not interpret complex diagnostic equipment. ### Providing Specialized Care for Residents with Changes in Health 9. **How should a nurse aide approach care for a resident with dementia who is becoming increasingly agitated?** - A. Restrain the resident to prevent harm - B. Use a calm, reassuring tone and simplify surroundings - C. Ignore the resident until they calm down - D. Administer sedatives **Correct Answer: B** **Rationale:** Using a calm and reassuring tone along with simplifying surroundings can help in reducing agitation in residents with dementia. 10. **When caring for a resident with diabetes, what is a critical consideration?** - A. Ensure they engage in rigorous physical activity daily - B. Monitor their blood glucose levels regularly - C. Provide unlimited access to sugary snacks - D. Ignore their dietary restrictions **Correct Answer: B** **Correct Answer: C** **Rationale:** Reporting significant discrepancies in blood pressure readings to a supervisor or nurse is important for proper assessment and medical attention. 15. **In managing residents with arthritis, what should the nurse aide prioritize?** - A. Encouraging frequent movement and warmth application - B. Keeping them completely immobile - C. Allocating all physical therapy to professionals - D. Letting them manage pain on their own **Correct Answer: A** **Rationale:** Encouraging movement within comfort boundaries and warmth application can help manage pain and stiffness in arthritis patients. 16. **What is a primary concern when transferring a resident from bed to wheelchair?** - A. Their dietary restrictions - B. Their comfort during the transfer - C. Avoiding injury to both the resident and the aide - D. The television program on **Correct Answer: C** **Rationale:** Ensuring the transfer is safe for both the resident and the aide is the primary concern to prevent injuries. 17. **For a resident with oxygen therapy, the nurse aide should:** - A. Remove the oxygen if the resident finds it uncomfortable - B. Ensure that oxygen tubing is free of kinks - C. Adjust the oxygen flow rate as per the resident’s comfort - D. Disconnect oxygen during ADLs **Correct Answer: B** **Rationale:** Ensuring the oxygen tubing is free of kinks is crucial for effective oxygen delivery, without altering the prescribed flow rate. 18. **A CNA is providing foot care for a diabetic resident. Which of the following is true?** - A. Toenails can be trimmed without supervision - B. The CNA should inspect the feet daily for sores or infections - C. Apply lotion between the toes to prevent cracking - D. Soak the feet for at least 30 minutes **Correct Answer: B** **Rationale:** Inspecting the feet daily for sores or infections is critical in diabetic foot care to prevent complications. 19. **If a resident refuses a bath, the nurse aide should:** - A. Insist until the resident agrees - B. Report the refusal to the nurse and document it - C. Let the resident go without a bath indefinitely - D. Skip all other ADLs **Correct Answer: B** **Rationale:** Reporting and documenting the refusal allows for proper follow-up and respects the resident's rights and preferences. 20. **A nurse aide is caring for a resident with a feeding tube. The nurse aide’s responsibilities include:** - A. Monitoring for signs of distress during feedings - B. Adjusting the feeding rate as needed - C. Deciding the feeding schedule - D. Administering medication through the tube **Correct Answer: B** **Rationale:** CNAs report directly to licensed nurses to ensure that their observations and concerns are logistically and medically addressed. ### Ethical and Legal Considerations 25. **Informed consent is required for:** - A. All activities performed by CNAs - B. Any procedure that involves a risk or change to the patient - C. Attendance in recreational activities - D. Requests for additional bedding **Correct Answer: B** **Rationale:** Informed consent is required for any procedure that involves risk or change, allowing patients or their legal representatives to understand the procedure and agree to it. 26. **Confidentiality of resident information is governed by:** - A. Occupational Safety and Health Administration (OSHA) regulations - B. Health Insurance Portability and Accountability Act (HIPAA) - C. Food and Drug Administration (FDA) guidelines - D. Centers for Disease Control and Prevention (CDC) recommendations **Correct Answer: B** **Rationale:** HIPAA governs the confidentiality and protection of resident information in healthcare settings. ### Specialized Care for Residents with Changes in Health 27. **For a resident with a colostomy, a nurse aide should:** - A. Provide emotional support and respect privacy - B. Change the colostomy device without instruction - C. Instruct the resident on dietary changes - D. Ignore the colostomy site **Correct Answer: A** **Rationale:** Providing emotional support and respecting privacy are critical in caring for residents with a colostomy, while tasks like device changes should follow specific instructions. 28. **When assisting a resident with Parkinson’s disease, the nurse aide should:** - A. Encourage rapid movement to maintain muscle strength - B. Assist with daily activities as tremors and rigidity may hamper independence - C. Minimize social interactions - D. Administer medications **Correct Answer: B** **Rationale:** Assisting with daily activities is important as Parkinson’s disease can limit a resident’s ability to perform them independently due to tremors and muscle rigidity. 29. **Residents with COPD (Chronic Obstructive Pulmonary Disease) may require which of the following?** - A. High humidity environments - B. High-calorie, low-sodium diets - C. Frequent, short walks with rest periods - D. Restriction of fluid intake **Correct Answer: C** **Rationale:** Frequent, short walks with rest periods can help maintain physical function and manage symptoms without exacerbating COPD. 30. **A resident is experiencing incontinence. The nurse aide’s responsibilities include:** - A. Restricting fluid intake to prevent accidents **Rationale:** Ensuring the safety of the resident and calling for help are priorities in any emergency situation to mitigate harm while waiting for professional intervention. 34. **If a resident experiences a seizure, the nurse aide should:** - A. Place a padded object in the mouth to prevent biting - B. Hold the resident down to prevent movement - C. Move furniture away and protect the head, without restraining movements - D. Leave the room to get the nurse **Correct Answer: C** **Rationale:** Moving furniture away and protecting the head without restraining movements can help prevent injury during a seizure episode. ### Advanced Patient Care 35. **The role of a CNA in administering range-of-motion exercises includes:** - A. Forcing the movement to the maximum range - B. Gently guiding movements and encouraging the resident to perform them actively - C. Only supervising while physical therapists do the exercises - D. Skipping exercises if the resident is in pain **Correct Answer: B** **Rationale:** Gently guiding movements and encouraging active participation helps maintain joint flexibility and muscle strength within comfort levels. 36. **Monitoring fluid balance in residents involves:** - A. Encouraging unlimited water intake - B. Recording all fluid intake and output accurately - C. Restricting all fluids - D. Ignoring fluid balance when the resident is not thirsty **Correct Answer: B** **Rationale:** Accurately recording fluid intake and output is essential for monitoring fluid balance, especially in residents with specific medical conditions. ### Practice and Supervision 37. **A CNA notices that a resident has a sudden and significant change in mood. The appropriate action is to:** - A. Inform the supervising nurse promptly - B. Ignore it as it may be temporary - C. Attempt to medicate the resident to calm them - D. Reprimand the resident for improper behavior **Correct Answer: A** **Rationale:** Notifying the supervising nurse can ensure the resident receives appropriate assessment and intervention for mood changes, which could indicate underlying health issues. 38. **Which of the following is NOT within a CNA’s scope of practice?** - A. Assisting with dressing and personal hygiene - B. Monitoring vital signs - C. Administering injection medication - D. Documenting care provided **Correct Answer: C** **Rationale:** Administering injection medication is outside the scope of practice for CNAs and must be performed by a licensed nurse. ### Care for Special Populations 39. **What should a nurse aide focus on when assisting residents with mental health disorders?**