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

Download GA Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! GA 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) Use simple, clear sentences and visual cues. B) Speak loudly and quickly to ensure understanding. C) Avoid eye contact to reduce anxiety. D) Offer multiple choices to give the resident control. Correct Answer: A Rationale: Simple, clear sentences and visual cues can help residents with dementia understand and follow instructions, which is crucial in their care. 2. A resident has been diagnosed with a contagious illness. What is the most important action for the nurse aide to take to promote safety? A) Use personal protective equipment (PPE) when providing care. B) Ensure the resident stays in bed at all times. C) Limit all social interactions with the resident. D) Increase the frequency of vital signs monitoring. Correct Answer: A Rationale: Using PPE is essential to prevent the spread of infection and protect both the resident and the caregiver. 3. Which of the following is a primary role of the nurse aide in promoting the function and health of residents? Rationale: Blood pressure for a resident with hypertension should be monitored according to their individual care plan, which is based on their specific health needs. 8. The nurse aide's role in providing specialized care for a resident with a new colostomy includes: A) Changing the colostomy bag independently. B) Observing and reporting any changes in the stoma appearance. C) Teaching the resident how to change the colostomy bag. D) Prescribing a diet that will ensure proper digestion. Correct Answer: B Rationale: Observation and reporting are within the scope of practice for a nurse aide, while other tasks may require additional training or licensure. 9. When a resident refuses to eat, what should the nurse aide do? A) Force the resident to eat to maintain nutritional status. B) Respect the resident's wishes and report the refusal to the nurse. C) Leave the food at the bedside in case they change their mind. D) Offer alternative meal options immediately. Correct Answer: B Rationale: Respecting the resident's autonomy is important, and refusal to eat should be reported so that appropriate interventions can be considered. 10. A nurse aide finds a resident on the floor. After checking for injuries and finding none, what is the next step? A) Help the resident back into bed without reporting the incident. B) Leave the resident on the floor and seek help. C) Report the fall to the nurse immediately, even if there are no visible injuries. D) Wait to see if the resident experiences pain before reporting. Correct Answer: C Rationale: All falls should be reported immediately to ensure a proper assessment and to prevent future incidents. 11. In promoting the health of residents, which activity is most beneficial for a nurse aide to encourage? A) Remaining in bed to conserve energy. B) Watching television for most of the day. C) Engaging in regular, appropriate physical exercise. D) Avoiding social interactions to reduce stress. Correct Answer: C Rationale: Regular physical exercise can improve strength, mobility, and overall health. 12. A resident with diabetes has a small cut on their foot. What is the most appropriate action for the nurse aide? A) Clean the cut with soap and water and apply a bandage. B) Ignore the cut as it is minor. C) Report the cut to the nurse immediately. D) Wait for the cut to heal on its own. Correct Answer: C Rationale: For a resident with diabetes, even small cuts can lead to serious complications and should be reported immediately. 13. The nurse aide is responsible for monitoring residents for signs of abuse. Which of the following is a potential sign of abuse? A) Frequent visits from family members. B) Laughter coming from a resident's room. C) Unexplained bruises or injuries. D) Residents participating in group activities. Correct Answer: C Rationale: Unexplained bruises or injuries could indicate abuse and should be reported for further investigation. 14. When a resident expresses sadness over the loss of a spouse, the nurse aide should: A) Change the subject to distract the resident from their grief. B) Monitoring vital signs only when asked C) Assisting with activities of daily living D) Administering medications without supervision Correct Answer: C) Assisting with activities of daily living Rationale: Basic nursing care involves helping residents with daily activities such as bathing, dressing, and eating. Question: When providing specialized care for residents with changes in health, the Nurse Aide should: A) Disregard changes in residents' conditions B) Communicate observations to the nursing staff C) Avoid involving the resident in care decisions D) Assume all changes are temporary Correct Answer: B) Communicate observations to the nursing staff Rationale: Effective communication of changes in residents' health is crucial for timely intervention and appropriate care planning. Question: Which of the following is an essential component of promoting resident safety in a healthcare setting? A) Allowing residents to wander unsupervised B) Encouraging residents to perform tasks beyond their capabilities C) Ensuring proper use of assistive devices D) Ignoring infection control protocols Correct Answer: C) Ensuring proper use of assistive devices Rationale: Proper use of assistive devices reduces the risk of accidents and promotes resident safety. Question: Why is it important for Nurse Aides to document care provided to residents? A) To avoid liability B) To fulfill regulatory requirements C) To communicate effectively with the healthcare team D) All of the above Correct Answer: D) All of the above Rationale: Documentation is essential for legal protection, regulatory compliance, and effective communication among healthcare professionals. Question: What should Nurse Aides prioritize when assisting residents with dementia? A) Ignoring residents' emotions B) Following a strict routine C) Providing person-centered care D) Restricting residents' movements Correct Answer: C) Providing person-centered care Rationale: Person-centered care focuses on understanding and meeting the individual needs and preferences of residents with dementia. Question: How can Nurse Aides contribute to preventing pressure ulcers in residents? A) Limiting residents' fluid intake B) Repositioning residents regularly C) Using harsh chemicals for skin care D) Ignoring signs of skin breakdown Correct Answer: B) Repositioning residents regularly Rationale: Regular repositioning helps relieve pressure on vulnerable areas and reduces the risk of pressure ulcers. Rationale: Respecting residents' privacy and confidentiality fosters trust and maintains dignity in care delivery. Question: How can Nurse Aides assist residents in maintaining their personal hygiene? A) Rushing through hygiene routines to save time B) Allowing residents to skip baths or showers C) Encouraging residents to perform hygiene tasks independently D) Providing assistance based on residents' needs and preferences Correct Answer: D) Providing assistance based on residents' needs and preferences Rationale: Tailoring assistance to residents' needs and preferences promotes their comfort and well-being during personal hygiene routines. Question: Residents with limited mobility may benefit from: A) Being left in one position for extended periods B) Regular range-of-motion exercises C) Avoiding assistance with transfers D) Using restraints to prevent falls Correct Answer: B) Regular range-of-motion exercises Rationale: Range-of-motion exercises help maintain mobility and prevent complications related to immobility in residents. Question: How can Nurse Aides support residents' emotional well-being? A) Disregarding residents' emotional cues B) Providing a listening ear and emotional support C) Avoiding social interactions with residents D) Minimizing residents' autonomy Correct Answer: B) Providing a listening ear and emotional support Rationale: Offering emotional support and being attentive to residents' feelings can enhance their emotional well-being. Question: Proper body mechanics for Nurse Aides include: A) Lifting heavy objects alone B) Using the back for lifting C) Encouraging residents to assist with lifting tasks D) Using proper lifting techniques and equipment Correct Answer: D) Using proper lifting techniques and equipment Rationale: Using proper lifting techniques and equipment helps prevent injuries to both Nurse Aides and residents. Question: Nurse Aides should be vigilant for signs of dehydration in residents, such as: A) Increased urine output B) Dry skin and mucous membranes C) Excessive thirst D) Frequent bowel movements Correct Answer: B) Dry skin and mucous membranes Rationale: Dry skin and mucous membranes are common signs of dehydration in residents that Nurse Aides should monitor. Question: How can Nurse Aides assist residents with maintaining proper nutrition? A) Limiting residents' food choices B) Encouraging residents to skip meals C) Providing assistance with eating as needed D) Ignoring residents' dietary preferences d) To avoid unpleasant odors **Rationale:** Proper hand hygiene is crucial for preventing the spread of infections. 4. The best way to ensure the safety of a resident who is at risk of falling is to: a) Use physical restraints b) Provide frequent supervision and create a fall-prevention plan (Correct Answer) c) Administer sedatives d) Limit the resident's mobility **Rationale:** Frequent supervision and a fall-prevention plan effectively ensure the safety of residents. ### Promotion of Function and Health of Residents 5. Why is it important for nurse aides to encourage residents to participate in physical activities? a) To reduce boredom b) To improve physical and mental health (Correct Answer) c) To keep residents out of the nurse aide's way d) To increase the facility's physical therapy billing **Rationale:** Physical activities improve physical and mental health. 6. In promoting residents' independence, a nurse aide should: a) Do everything for the resident to save time b) Encourage and assist residents in doing as much as they can for themselves (Correct Answer) c) Wait for family members to assist the resident d) Avoid involving the resident in decision-making **Rationale:** Promoting independence encourages residents to be active participants in their care. ### Basic Nursing Care Provided by the Nurse Aide 7. When changing bed linens, a nurse aide should: a) Pull the linens off briskly to save time b) Roll the linens away from the body to prevent the spread of infection (Correct Answer) c) Shake the linens out to remove wrinkles d) Place dirty linens on the floor temporarily **Rationale:** Rolling linens away from the body minimizes the risk of spreading infection. 8. If a resident begins to choke while eating, a nurse aide should first: a) Call for emergency assistance immediately b) Perform the Heimlich maneuver (Correct Answer) c) Offer a drink of water d) Slap the resident's back firmly **Rationale:** Performing the Heimlich maneuver can dislodge the obstruction causing the choking. ### Providing Specialized Care for Residents with Changes in Health 9. For residents with dementia, the best approach to communicate is to: a) Explain complex tasks thoroughly b) Use simple, clear statements and repeat if necessary (Correct Answer) c) Avoid all engagement d) Speak loudly to ensure understanding 14. A resident with Alzheimer's disease becomes agitated and aggressive. The nurse aide should: a) Restrain the resident immediately b) Try to calm the resident using a soothing voice and redirect their attention (Correct Answer) c) Challenge the behavior directly d) Leave the resident alone until they calm down **Rationale:** A soothing voice and redirection can help calm agitation. 15. What is the recommended procedure for taking a radial pulse of a resident? a) Using the thumb to feel the pulse b) Counting the beats for a full 30 seconds and multiplying by two (Correct Answer) c) Estimating the number by feeling briefly d) Applying a strong pressure to feel the pulse better **Rationale:** Counting for 30 seconds and multiplying by two provides an accurate pulse rate. 16. For a resident experiencing constipation, the nurse aide should: a) Increase the resident's fiber intake and encourage fluids (Correct Answer) b) Administer laxatives without consultation c) Encourage a sedentary lifestyle d) Ignore the problem until the resident explicitly asks for help **Rationale:** Fiber and fluids are effective natural methods for preventing and managing constipation. 17. Which intervention is appropriate for a resident with a urinary catheter? a) Keep the catheter tubing coiled loosely and positioned below the bladder (Correct Answer) b) Routinely disconnect the catheter to watch for debris c) Tape the catheter tubing tightly to the resident’s thigh d) Allow the catheter bag to be above the bladder level **Rationale:** The catheter tubing should always be below the level of the bladder to ensure proper drainage. 18. Proper body mechanics for a nurse aide when lifting a resident include: a) Bending at the waist b) Using a wide stance with knees bent and lifting with the legs (Correct Answer) c) Twisting the torso d) Keeping feet close together **Rationale:** Proper body mechanics include using the legs to prevent injury. 19. When documenting care in a resident's chart, a nurse aide should: a) Enter information subjectively b) Record observations and care provided accurately and timely (Correct Answer) c) Write as briefly as possible without providing details d) Fill in the chart at the end of the shift without referring to earlier notes **Rationale:** Accurate and timely documentation ensures effective continuity of care. 20. A resident who has been immobile for an extended period is at risk of developing: a) Asthma **Rationale:** Reporting the pain ensures timely intervention, and assisting with comfort measures can provide immediate relief. 25. A nurse aide witnesses another aide abusing a resident. The appropriate action is to: a) Confront the abuser b) Report the incident immediately to a supervisor (Correct Answer) c) Ignore it to avoid causing trouble d) Discuss it with coworkers to gather opinions **Rationale:** Immediate reporting ensures that the resident's safety is prioritized. 26. How should a nurse aide assist a resident who has difficulty swallowing? a) Give them large pieces of food b) Provide them with thickened liquids and cut food into small, manageable pieces (Correct Answer) c) Rush them through meals to avoid fatigue d) Offer dry, sticky foods **Rationale:** Thickened liquids and properly sized food help residents with dysphagia eat safely. 27. A nurse aide observes that a resident's urine output has decreased significantly. The appropriate action is to: a) Inform the nurse promptly (Correct Answer) b) Increase the resident's fluid intake without consulting the nurse c) Document the observation and wait for the nurse's round d) Ignore it as it might resolve on its own **Rationale:** Decreased urine output can be a sign of a serious medical condition needing prompt attention. 28. When preparing a resident for a meal, a nurse aide should: a) Serve the meal regardless of the resident's comfort b) Help the resident with hand hygiene and ensure they are in a comfortable, upright position (Correct Answer) c) Ignore dietary restrictions d) Leave the food on a low surface beside the bed **Rationale:** Proper hygiene and positioning are crucial for comfort and safety during mealtime. 29. If a resident is on a fluid restriction, a nurse aide should: a) Monitor and document all fluid intake accurately (Correct Answer) b) Allow unlimited fluid access c) Only check fluids at meal times d) Delegate the responsibility entirely to the nurse **Rationale:** Accurate monitoring and documentation help manage the resident’s health condition effectively. 30. The nurse aide’s role in caring for residents with end-stage renal disease (ESRD) includes: a) Adjusting the dialysis machine settings b) Assisting with daily activities and providing comfort measures (Correct Answer) c) Prescribing medications d) Performing surgical procedures **Rationale:** Assisting with daily activities and providing comfort measures are within the nurse aide's scope of practice. 31. If a resident's wound dressing becomes saturated, the nurse aide should: a) Change it immediately **Rationale:** Proper skin care and monitoring for irritation are critical in ostomy management. 36. A resident complains of dizziness when standing. The appropriate nurse aide response is to: a) Assist the resident to sit or lie down immediately (Correct Answer) b) Encourage the resident to continue standing c) Offer a caffeinated beverage d) Ignore the complaint as a minor issue **Rationale:** Assisting the resident to sit or lie down helps prevent falls and injury. 37. In managing a resident with COPD, the nurse aide should avoid: a) Assisting the resident with positioning for easier breathing b) Encouraging physical exertion beyond the resident's capacity (Correct Answer) c) Monitoring oxygen use as prescribed d) Providing frequent rest periods **Rationale:** Encouraging physical exertion beyond capacity could exacerbate COPD symptoms. 38. In using a mechanical lift for resident transfers, a nurse aide should: a) Operate it without reading the instructions b) Ensure they have been properly trained and follow the manufacturer’s guidelines (Correct Answer) c) Use it only when other staff members are unavailable d) Ignore resident's preference for transfer method **Rationale:** Proper training and adherence to guidelines ensure safe use of mechanical lifts. 39. When a resident exhibits symptoms of dehydration, the nurse aide should: a) Offer large quantities of fluids rapidly b) Report symptoms to the nurse and provide small, frequent sips of water if allowed (Correct Answer) c) Restrict fluid intake d) Encourage caffeinated beverages **Rationale:** Reporting to a nurse and providing small, manageable sips of water addresses dehydration effectively.