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

Download HI Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! HI 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) Assisting with ambulation c) Ensuring the resident's environment is safe d) Performing minor surgeries Correct Answer: c) Ensuring the resident's environment is safe Rationale: The nurse aide's primary responsibility is to ensure a safe environment to prevent harm or injury to the resident. 2. A resident with dementia is showing signs of agitation. What is the most appropriate initial action by the nurse aide? a) Restrain the resident immediately b) Offer reassurance and try to identify the cause of agitation c) Ignore the behavior as it is common in dementia patients d) Administer an antipsychotic medication Correct Answer: b) Offer reassurance and try to identify the cause of agitation Rationale: Offering reassurance and identifying the cause of agitation can help in managing the resident's behavior without resorting to restraints or medication initially. D) Offer the resident water Correct Answer: C Rationale: Chest pain could indicate a serious condition like a heart attack, requiring immediate medical attention. Question: When providing personal care to a resident, the nurse aide should: A) Rush through the tasks B) Respect the resident's privacy C) Skip documenting the care provided D) Disregard the resident's dignity Correct Answer: B Rationale: Respecting the resident's privacy is crucial in maintaining their dignity and ensuring high-quality care. Question: Which of the following is an example of promoting resident safety? A) Leaving spills on the floor B) Encouraging residents to walk alone C) Using proper body mechanics when lifting D) Ignoring call bells Correct Answer: C Rationale: Using proper body mechanics when lifting residents prevents injuries to both residents and nurse aides. Question: A resident with diabetes is at risk of foot ulcers. The nurse aide should: A) Avoid inspecting the resident's feet B) Encourage the resident to go barefoot C) Apply lotion between the toes D) Ensure proper foot care and footwear Correct Answer: D Rationale: Proper foot care and suitable footwear are essential in preventing foot ulcers in diabetic patients. Question: Which action promotes the function and health of residents with limited mobility? A) Encouraging regular physical activity B) Restricting movement to prevent falls C) Providing high-sugar snacks D) Ignoring range-of-motion exercises Correct Answer: A Rationale: Regular physical activity helps maintain and improve mobility in residents with limited movement. Question: A resident with dementia is becoming agitated. The nurse aide should: A) Ignore the resident's behavior B) Administer sedatives immediately C) Investigate the cause of agitation D) Restrict the resident to bed Correct Answer: C Rationale: Understanding the cause of agitation helps in providing appropriate care and support to residents with dementia. Question: How can a nurse aide prevent pressure ulcers in bedridden residents? A) Reposition the resident every 24 hours B) Use a donut-shaped cushion C) Keep the skin dry and clean D) Avoid using pressure-relieving mattresses Correct Answer: C Rationale: Keeping the skin dry and clean is crucial in preventing pressure ulcers in bedridden residents. Question: When assisting a resident with feeding, the nurse aide should: A) Force-feed the resident B) Rush through the meal A) Limit fluid intake B) Ignore the resident's needs C) Provide prompt toileting assistance D) Use restraint devices Correct Answer: C Rationale: Providing prompt toileting assistance helps maintain the resident's dignity and comfort. Question: Which action promotes a safe environment for residents? A) Leaving clutter in hallways B) Ensuring adequate lighting C) Allowing spills to remain unattended D) Ignoring trip hazards Correct Answer: B Rationale: Ensuring adequate lighting promotes a safe environment and reduces the risk of falls for residents. Question: A resident has difficulty swallowing. The nurse aide should: A) Offer large bites of food B) Rush through meals C) Provide thickened liquids as ordered D) Disregard the resident's swallowing issues Correct Answer: C Rationale: Providing thickened liquids as ordered helps prevent aspiration in residents with swallowing difficulties. Question: How can a nurse aide promote the emotional well-being of residents? A) Minimize social interactions B) Disregard residents' feelings C) Encourage participation in activities D) Ignore signs of distress Correct Answer: C Rationale: Encouraging residents to participate in activities promotes their emotional well-being and social engagement. Question: A resident is at risk of falls. The nurse aide should: A) Encourage independence in mobility B) Provide a cluttered environment C) Use bed rails as restraints D) Ignore the risk of falls Correct Answer: A Rationale: Encouraging independence in mobility while ensuring safety measures helps prevent falls in at-risk residents. Question: How can the nurse aide assist residents with dementia in maintaining their daily routine? A) Disrupt the routine frequently B) Avoid personalized care C) Use visual cues and reminders D) Ignore the resident's preferences Correct Answer: C Rationale: Using visual cues and reminders helps residents with dementia maintain their daily routines and reduce confusion. Question: A resident is recovering from a stroke and has limited mobility on one side. The nurse aide should: A) Discourage the resident from attempting tasks B) Provide support on the affected side C) Ignore the resident's needs for assistance D) Rush through tasks to save time Correct Answer: B Rationale: Providing support on the affected side helps residents with limited mobility after a stroke perform tasks safely and effectively. 1. **What is the primary responsibility of a nurse aide when they notice a patient's change in condition?** *Rationale: Frequent handwashing is the most effective way to prevent the spread of infections in healthcare settings.* 5. **When a fire alarm goes off in a healthcare facility, what is the first action a nurse aide should take?** - A. Open all windows in the room. - B. Evacuate all patients immediately. - C. Close all doors to contain smoke. - D. Follow the facility's emergency plan. **Correct Answer: D. Follow the facility's emergency plan.** *Rationale: The emergency plan will provide the specific procedures for safely evacuating or managing the situation.* 6. **While assisting a resident with mobility, which action is most necessary to ensure their safety?** - A. Encouraging the resident to move quickly. - B. Using a gait belt or transfer belt. - C. Having the resident hold onto furniture for support. - D. Holding the resident's arm tightly. **Correct Answer: B. Using a gait belt or transfer belt.** *Rationale: A gait belt helps control and support the resident's movement, increasing safety during ambulation.* ### Promotion of Function and Health of Residents 7. **Which dietary modification can help a resident who is at risk of aspiration?** - A. Providing thin liquids only. - B. Offering pureed foods. - C. Encouraging dry, solid foods. - D. Limiting fluid intake. **Correct Answer: B. Offering pureed foods.** *Rationale: Pureed foods reduce the risk of aspiration by making swallowing easier for residents with dysphagia.* 8. **During range-of-motion (ROM) exercises, which of the following is most important to monitor?** - A. The speed of exercises. - B. The resident's level of discomfort or pain. - C. The time taken to perform the exercises. - D. The resident's grip strength. **Correct Answer: B. The resident's level of discomfort or pain.** *Rationale: Discomfort or pain can indicate injury or strain, which should be avoided during ROM exercises.* 9. **How can a nurse aide best promote independence for a resident with limited mobility?** - A. Doing everything for the resident. - B. Encouraging and assisting the resident with ADLs. - C. Providing all meals in bed. - D. Using restraints to limit movement. **Correct Answer: B. Encouraging and assisting the resident with ADLs.** *Rationale: Encouraging residents to perform as much as they can promotes independence and self-esteem.* ### Basic Nursing Care Provided by the Nurse Aide 10. **What is the first step a nurse aide should take when preparing to perform peri-care for a resident?** - A. Put on gloves. - B. Warm the water. - C. Explain the procedure to the resident. - C. Using adaptive utensils to promote independence. - D. Pureeing all food regardless of preference. **Correct Answer: C. Using adaptive utensils to promote independence.** *Rationale: Adaptive utensils can aid residents with Parkinson's disease in eating more independently, improving their nutrition intake.* 15. **What is the key sign of dehydration a nurse aide should look for in elderly residents?** - A. Excessive sweating. - B. Frequent urination. - C. Dry, flaky skin. - D. Swollen ankles. **Correct Answer: C. Dry, flaky skin.** *Rationale: Dry, flaky skin is a common sign of dehydration, particularly in elderly residents.* ### Mixed Questions for Comprehensive Understanding 16. **Which of the following best describes the purpose of a nurse aide's role in a healthcare team?** - A. Diagnose and prescribe medications. - B. Assist residents with activities of daily living. - C. Manage the healthcare facility. - D. Perform surgical procedures. **Correct Answer: B. Assist residents with activities of daily living.** *Rationale: The nurse aide's primary role is to assist residents with their activities of daily living (ADLs), ensuring their comfort and safety.* 17. **How can a nurse aide support a resident's emotional health?** - A. By providing activities that the resident enjoys. - B. By ensuring the resident stays in their room. - C. By minimizing all social interactions. - D. By focusing solely on physical needs. **Correct Answer: A. By providing activities that the resident enjoys.** *Rationale: Engaging the resident in enjoyable activities can improve their emotional well-being.* 18. **What is the most effective way to prevent pressure ulcers in a bedridden resident?** - A. Massaging reddened areas frequently. - B. Turning the resident every 2 hours. - C. Increasing the resident's fluid intake. - D. Using scented lotions daily. **Correct Answer: B. Turning the resident every 2 hours.** *Rationale: Regularly turning bedridden residents helps prevent pressure ulcers by relieving pressure on vulnerable areas.* 19. **Which of the following observations should a nurse aide report immediately?** - A. A resident refusing breakfast. - B. A resident who appears more tired than usual. - C. A resident's sudden and severe chest pain. - D. A resident skipping a recreational activity. **Correct Answer: C. A resident's sudden and severe chest pain.** *Rationale: Sudden and severe chest pain could indicate a medical emergency, such as a heart attack, and needs immediate attention.* 20. **When performing catheter care, what is the most critical aspect to maintain?** - A. The catheter tubing should be kept tightly secured. - B. The drainage bag should be hung above the bladder level. - C. Threaten the resident with penalties. - D. Document and ignore the refusal. **Correct Answer: B. Respect the refusal, try to find the underlying reason, and offer alternatives.** *Rationale: Understanding the reason behind the refusal and offering alternatives can help address the resident's concerns and respect their autonomy.* 25. **Which measure should a nurse aide implement when providing post-mortem care?** - A. Keep the body in the same position. - B. Remove all tubes and catheters. - C. Raise the head of the bed slightly. - D. Prevent family members from viewing the body. **Correct Answer: C. Raise the head of the bed slightly.** *Rationale: Raising the head helps prevent discoloration and ensures dignity during post-mortem care.* 26. **How can a nurse aide support a resident with chronic pain?** - A. Disregard the resident's complaints. - B. Encourage regular physical therapy exercises. - C. Provide pain medication without nurse's orders. - D. Limit the resident's activities to avoid pain. **Correct Answer: B. Encourage regular physical therapy exercises.** *Rationale: Physical therapy can help manage chronic pain and improve the resident’s overall function and quality of life.* 27. **A resident is exhibiting signs of depression, which of the following nursing aide actions would be most appropriate?** - A. Isolating the resident in their room. - B. Encouraging participation in social activities. - C. Ignoring the resident to avoid upsetting them. - D. Reporting the signs to the nurse. **Correct Answer: D. Reporting the signs to the nurse.** *Rationale: Reporting ensures that the resident gets appropriate professional help and support for their mental health.*