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

Download IL Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! IL 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 get the resident's attention. C) Avoid eye contact to reduce anxiety. D) Assume the resident cannot understand and make decisions. Correct Answer: A Rationale: Simple, clear communication and visual cues can help residents with dementia understand and respond to the nurse aide, promoting a sense of safety and respect for their autonomy. 2. A resident has been diagnosed with a pressure ulcer. What is the nurse aide's role in this scenario? A) Apply a prescribed ointment and reposition the resident every two hours. B) Leave the ulcer exposed to air at all times to promote healing. C) Only report the ulcer to the nurse if it appears infected. D) Provide a high-protein diet to the resident without consulting the dietician. Correct Answer: A Rationale: Repositioning the resident and applying ointment as prescribed are essential steps in preventing further deterioration of the pressure ulcer and promoting healing. C) Scrubbing hands for a minimum of 5 seconds. D) Drying hands with a common towel to conserve resources. Correct Answer: B Rationale: Proper handwashing technique involves keeping hands lower than elbows to prevent contamination from dirty water and scrubbing for at least 20 seconds. 8. When transferring a resident from a bed to a wheelchair, the nurse aide should: A) Bend at the waist to lift the resident. B) Use a gait belt and keep the resident's feet flat on the floor. C) Have the resident hold onto the nurse aide's neck for support. D) Position the wheelchair at a 90-degree angle to the bed. Correct Answer: B Rationale: Using a gait belt and proper body mechanics ensures safety for both the resident and the nurse aide during transfers. 9. A resident with a history of falls should have which of the following included in their care plan? A) Restraints to keep them in bed or a chair. B) Supervised ambulation and non-slip footwear. C) Complete bed rest to avoid any risk of falling. D) Lowered bed rails to facilitate easy exit from the bed. Correct Answer: B Rationale: Supervised ambulation and appropriate footwear can help prevent falls while promoting mobility and independence. 10. When a resident refuses a scheduled bath, the nurse aide should: A) Insist on the bath, stating it is part of the care plan. B) Report the refusal to the nurse and document the incident. C) Skip the bath and proceed to the next resident. D) Punish the resident by restricting their activities. Correct Answer: B Rationale: The nurse aide should respect the resident's autonomy while ensuring the refusal is communicated to the nursing staff for further assessment. 11. The correct procedure for donning personal protective equipment (PPE) is: A) Gloves, gown, mask, goggles. B) Gown, mask, goggles, gloves. C) Mask, gloves, gown, goggles. D) Goggles, gown, gloves, mask. Correct Answer: B Rationale: The proper sequence for donning PPE minimizes the risk of contamination and ensures the safety of both the resident and the healthcare provider. 12. A resident with a urinary catheter complains of discomfort. The nurse aide should first: A) Provide pain medication from the medication cart. B) Check the catheter and tubing for kinks or obstruction. C) Tell the resident that discomfort is normal and will pass. D) Ignore the complaint as it is a common issue. Correct Answer: B Rationale: Checking for kinks or obstructions can alleviate discomfort and prevent complications associated with urinary catheters. 13. When a resident expresses anxiety about upcoming surgery, the nurse aide should: A) Tell the resident that there is nothing to worry about. B) Listen empathetically and notify the nursing staff. C) Change the subject to distract the resident. D) Provide detailed information about the surgical procedure. Correct Answer: B Rationale: Providing a listening ear and communicating concerns to the nursing staff can help address the resident's anxiety appropriately. Promotion of Function and Health of Residents: What is a vital aspect of promoting skin health in bedridden residents? A) Changing linens weekly. B) Massaging bony prominences. C) Repositioning residents every two hours. D) Allowing moisture to accumulate on the skin. Correct Answer: C) Repositioning residents every two hours. Rationale: Regular repositioning helps prevent pressure ulcers and promotes skin integrity in bedridden residents. Basic Nursing Care Provided by the Nurse Aide: When measuring a resident's temperature orally, where should the thermometer be placed? A) Under the armpit. B) In the ear canal. C) In the rectum. D) Under the tongue. Correct Answer: D) Under the tongue. Rationale: Placing the thermometer under the tongue is the correct method for obtaining an oral temperature reading. Providing Specialized Care for Residents with Changes in Health: A resident with diabetes experiences hypoglycemia. What should the nurse aide do first? A) Administer insulin. B) Offer the resident a sugary snack. C) Call the physician. D) Encourage the resident to rest. Correct Answer: B) Offer the resident a sugary snack. Rationale: Providing a sugary snack can help raise the resident's blood sugar levels quickly in cases of hypoglycemia. Role of the Nurse Aide: How can a nurse aide maintain resident privacy and dignity during personal care tasks? A) Leave the door open for easy access. B) Speak loudly to communicate effectively. C) Use a curtain to provide privacy. D) Ask the resident's permission before proceeding. Correct Answer: D) Ask the resident's permission before proceeding. Rationale: Seeking the resident's consent before performing personal care tasks upholds their dignity and respects their privacy. Promotion of Safety: Which action by the nurse aide promotes fall prevention in residents? A) Encouraging residents to walk barefoot. B) Providing nonskid footwear. C) Keeping the floors wet for cleaning. D) Using dim lighting in resident areas. Correct Answer: B) Providing nonskid footwear. Rationale: Nonskid footwear helps residents maintain traction and reduces the risk of slipping and falling. Promotion of Function and Health of Residents: What strategy can nurse aides use to encourage mobility in residents? A) Limiting range of motion exercises. B) Using mechanical lifts for all transfers. C) Allowing residents to perform tasks independently. D) Keeping residents confined to their beds. Correct Answer: C) Allowing residents to perform tasks independently. Rationale: Encouraging residents to perform tasks independently promotes mobility and fosters their sense of independence. Basic Nursing Care Provided by the Nurse Aide: How often should a nurse aide assist with oral care for a resident with dentures? A) Once a day. D) Offering high-sugar snacks throughout the day. Correct Answer: C) Providing assistance with feeding as needed. Rationale: Offering assistance with feeding helps ensure residents receive adequate nutrition and hydration. Basic Nursing Care Provided by the Nurse Aide: Which position is ideal for a resident who has difficulty breathing? A) Lying flat on the back. B) Sitting upright. C) Lying on the side. D) Standing. Correct Answer: B) Sitting upright. Rationale: Sitting upright helps improve breathing for residents with difficulties and promotes optimal lung function. Providing Specialized Care for Residents with Changes in Health: How can nurse aides support residents with dementia during meal times? A) Rushing residents to finish quickly. B) Providing a quiet and calm environment. C) Offering unfamiliar foods. D) Ignoring residents' cues. Correct Answer: B) Providing a quiet and calm environment. Rationale: Creating a quiet and calm meal environment can help residents with dementia focus on eating and reduce agitation. 1. **Which of the following tasks is within the scope of practice for a nurse aide?** A) Administering medications B) Performing wound care C) Assisting with bathing and dressing D) Diagnosing patient conditions **Correct Answer: C) Assisting with bathing and dressing** **Rationale: Nurse aides are trained to assist with daily living activities such as bathing and dressing. Administering medications, performing wound care, and diagnosing patient conditions are responsibilities typically held by nurses or physicians.** 2. **A nurse aide notices a resident has a bed sore. What is the most appropriate first action?** A) Apply a topical antibiotic B) Report the sore to the supervising nurse C) Ignore it and continue with other duties D) Cover it with a bandage **Correct Answer: B) Report the sore to the supervising nurse** **Rationale: Bed sores can indicate serious underlying issues and require assessment and intervention by a nurse. The nurse aide should report any observation of bed sores to the supervising nurse immediately.** ### Promotion of Safety 3. **What is the primary purpose of having side rails up on a resident's bed?** A) To provide a sense of security B) To ensure the resident remains in bed C) To restrain the resident D) For aesthetic purposes **Correct Answer: A) To provide a sense of security** **Rationale: Side rails provide security for residents, especially those at risk of falling. However, they should be used judiciously to avoid unintended restraint.** 4. **A resident is using oxygen therapy. Which of the following items should be avoided in their room?** A) Cotton clothing B) Electrical equipment C) Oil-based lotions 8. **How should a nurse aide assist a resident with oral care if the resident is unconscious?** A) Position the resident flat on their back B) Use a toothbrush and water C) Position the resident in a side-lying position D) Use a mouthwash **Correct Answer: C) Position the resident in a side-lying position** **Rationale: Positioning the resident on their side helps prevent aspiration, which is critical in unconscious residents. Water can be used, but care must be taken to avoid it entering the airway.** ### Providing Specialized Care for Residents with Changes in Health 9. **A resident with dementia is showing signs of agitation and confusion. What is the most appropriate initial action for the nurse aide to take?** A) Restrain the resident for their safety B) Speak to the resident in a calm and reassuring manner C) Leave the resident alone to calm down D) Administer a sedative **Correct Answer: B) Speak to the resident in a calm and reassuring manner** **Rationale: A calm and reassuring approach can help reduce a resident's agitation and confusion. Restraints and medications should only be used when absolutely necessary and under the direction of a nurse or physician.** 10. **How should a nurse aide care for the skin of a resident with diabetes?** A) Apply alcohol-based lotions to the feet B) Soak the feet daily C) Perform daily inspections of the skin, especially the feet D) Restrict the resident from walking **Correct Answer: C) Perform daily inspections of the skin, especially the feet** **Rationale: Daily inspections are crucial for identifying early signs of skin complications, particularly in the feet, which are prone to ulcers and injuries in diabetic residents. Alcohol-based lotions are drying and should be avoided.** ### Combined Sections 11. **Which of the following protocols should a nurse aide follow when caring for a resident with an indwelling catheter?** A) Disconnect the catheter daily for cleaning B) Ensure the catheter bag is below bladder level at all times C) Replace the catheter monthly D) Allow the resident to change the catheter themselves **Correct Answer: B) Ensure the catheter bag is below bladder level at all times** **Rationale: Keeping the catheter bag below bladder level helps prevent backflow of urine, which can lead to infection. The catheter should not be disconnected or changed by the nurse aide or resident without proper medical direction.** 12. **What should a nurse aide do first if they find a resident is not breathing?** A) Start chest compressions B) Call for help immediately C) Give two rescue breaths D) Place the resident in a recovery position **Correct Answer: B) Call for help immediately** **Rationale: Calling for help ensures that additional resources and emergency services can be summoned. While waiting for help to arrive, the nurse aide can then initiate CPR if trained and if the situation calls for it.** 13. **A resident complains of chest pain. What is the most appropriate immediate response by the nurse aide?** A) Offer the resident water and reassurance **Rationale: A scheduled toileting program facilitates regular bowel and bladder function and can help prevent incontinence. Administering medications is beyond the nurse aide's scope, and restricting fluids is not advisable without professional direction.** 17. **When a resident is being transferred out of bed using a mechanical lift, what is crucial for the nurse aide to verify?** A) The resident is positioned comfortably B) The lift's battery is fully charged C) The lift’s weight capacity is appropriate for the resident D) The resident’s roommate is present to assist **Correct Answer: C) The lift’s weight capacity is appropriate for the resident** **Rationale: Ensuring the lift can safely handle the resident's weight is paramount to prevent accidents and injuries during transfers. The resident's comfort and the equipment's operational state are also important, but safety comes first.** 18. **How should a nurse aide manage a resident diagnosed with Alzheimer’s disease who exhibits wandering behaviors?** A) Lock the resident in their room B) Use verbal and visual cues to guide the resident back to their room C) Restrict the resident's movement D) Administer a sedative **Correct Answer: B) Use verbal and visual cues to guide the resident back to their room** **Rationale: Gentle guidance with verbal and visual cues can help redirect a resident who is wandering. Sedating or restraining without proper assessment and orders is inappropriate.** 19. **When caring for a resident with congestive heart failure (CHF), which of the following should the nurse aide monitor closely?** A) Fluid intake and output B) Skin turgor C) Grip strength D) Abdominal circumference **Correct Answer: A) Fluid intake and output** **Rationale: Monitoring fluid balance is critical in CHF patients as fluid overload can exacerbate their condition. Observing for signs of edema and changes in weight is also key.** 20. **What is the main goal of rehabilitation for a resident who has had a hip replacement?** A) To achieve maximum joint function B) To perform all activities of daily living unaided C) To avoid moving the affected joint D) To immediately return to previous activity levels **Correct Answer: A) To achieve maximum joint function** **Rationale: Rehabilitation aims to restore joint function and mobility while preventing complications. Gradual progress with a focus on safety and joint integrity is central to a successful recovery.** 21. **A resident with COPD is experiencing difficulty breathing. What position should the nurse aide assist them into?** A) Supine B) Semi-Fowler’s C) Prone D) Sitting upright **Correct Answer: D) Sitting upright** **Rationale: An upright position helps expand the lungs and can alleviate breathing difficulties in residents with COPD. Lying flat or in a prone position might worsen their symptoms.** ### Infection Control 22. **Which of the following practices helps in preventing the spread of infections in a healthcare setting?** A) Wearing the same gloves for different procedures ### Monitoring and Reporting 26. **If a nurse aide observes that a resident’s urine is dark and has a foul odor, what should be the next step?** A) Ignore the finding and proceed with care B) Document the observation and inform the nurse C) Increase the resident's fluid intake on their own D) Administer an over-the-counter medication **Correct Answer: B) Document the observation and inform the nurse** **Rationale: Changes in urine color and odor can indicate a potential infection or other health issues. It must be documented and reported to the nurse for further evaluation and intervention.** 27. **A nurse aide notices that a resident is more confused than usual. What is the initial action to take?** A) Investigate potential changes in the resident's environment or routine B) Restrain the resident to prevent wandering C) Start taking vital signs D) Ignore it as a normal change in condition **Correct Answer: A) Investigate potential changes in the resident's environment or routine** **Rationale: Increased confusion can result from changes in the environment, routine, infection, or other health issues. It is essential to investigate and report these changes to the nurse for further assessment.** ### End-of-Life Care 28. **What is the nurse aide's primary responsibility when providing end- of-life care?** A) Prevent the resident from dying B) Provide physical comfort and emotional support C) Encourage the resident to exercise D) Isolate the resident to avoid disturbing others **Correct Answer: B) Provide physical comfort and emotional support** **Rationale: End-of-life care focuses on providing comfort and supporting the emotional and psychological needs of the resident and their family. The goal is not to prevent death but to ensure dignity and peace.** 29. **A resident in palliative care refuses to eat. How should the nurse aide respond?** A) Insist that the resident eats at least small meals B) Respect the resident's wishes and provide comfort measures C) Force feed the resident if necessary D) Offer only supplements **Correct Answer: B) Respect the resident's wishes and provide comfort measures** **Rationale: In palliative care, it is crucial to honor the resident’s choices and focus on comfort measures rather than forcing them to eat, which might cause distress.** ### Ethical and Legal Responsibilities 30. **A nurse aide hears a colleague making inappropriate jokes about a resident. What is the appropriate action to take?** A) Laugh along with the colleague B) Ignore it since it was just a joke C) Report the behavior to the supervisor D) Confront the resident about the jokes **Correct Answer: C) Report the behavior to the supervisor** **Rationale: Making inappropriate jokes about a resident is unprofessional and disrespectful. It is essential to report such behavior to maintain a respectful and ethical environment.** 31. **If a resident refuses care, what is the initial response by the nurse aide?** A) Respectfully accept the refusal and inform the nurse