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

Download IN Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! IN Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When providing basic nursing care, which of the following is a primary responsibility of a Nurse Aide? a) Administering prescription medication b) Performing minor surgeries c) Assisting with activities of daily living (ADLs) d) Diagnosing common illnesses Correct Answer: c) Assisting with activities of daily living (ADLs) Rationale: The Nurse Aide's role is to support patients with ADLs, which are fundamental tasks necessary for daily self-care and include bathing, dressing, and feeding. 2. A resident with limited mobility is at risk of developing pressure ulcers. Which action by the Nurse Aide best promotes skin integrity? a) Keeping the resident in the same position b) Applying a moisturizer once a week c) Regularly changing the resident's position d) Encouraging the resident to remain in bed Correct Answer: c) Regularly changing the resident's position Rationale: Regular repositioning is essential to alleviate pressure on the skin, thereby preventing pressure ulcers in residents with limited mobility. a) Restrain the resident immediately b) Speak loudly and firmly c) Engage in active listening and provide reassurance d) Ignore the behavior as it will pass Correct Answer: c) Engage in active listening and provide reassurance Rationale: Active listening and reassurance can help calm an agitated resident by making them feel understood and safe. 8. What is the most appropriate action for a Nurse Aide to take when a resident expresses feelings of loneliness? a) Advise the resident to make more friends b) Schedule a family visit without consent c) Provide companionship and engage in conversation d) Increase the dosage of the resident's antidepressants Correct Answer: c) Provide companionship and engage in conversation Rationale: Offering companionship and engaging in meaningful conversation can alleviate feelings of loneliness and improve the resident's emotional well-being. 9. In promoting the safety of residents, which of the following is a crucial practice for a Nurse Aide? a) Leaving cleaning supplies in resident rooms for easy access b) Ensuring walkways are free of obstacles c) Keeping doors to stairwells open d) Allowing residents to smoke in their rooms Correct Answer: b) Ensuring walkways are free of obstacles Rationale: Keeping walkways clear of obstacles is essential to prevent falls and ensure the safe movement of residents and staff. 10. A resident with diabetes has a foot wound that is not healing well. The Nurse Aide should: a) Apply a tight bandage to reduce blood flow b) Soak the foot in hot water c) Check the wound regularly and report any changes d) Encourage the resident to walk frequently Correct Answer: c) Check the wound regularly and report any changes Rationale: Regular monitoring of the wound and reporting changes to the nursing staff are important for timely medical intervention and prevention of complications. 11. When assisting a resident with a transfer from bed to wheelchair, what is the most important safety consideration? a) Completing the transfer as quickly as possible b) Ensuring the wheelchair brakes are locked c) Having another resident assist d) Using a gait belt for residents who can walk independently Correct Answer: b) Ensuring the wheelchair brakes are locked Rationale: Locking the wheelchair brakes prevents the chair from moving during the transfer, reducing the risk of falls and injury. 12. A resident is experiencing shortness of breath. What should the Nurse Aide do first? a) Offer the resident a glass of water b) Elevate the resident's legs c) Notify the supervising nurse immediately d) Provide reassurance and ask the resident to take deep breaths Correct Answer: c) Notify the supervising nurse immediately Rationale: Immediate notification of the supervising nurse is necessary for prompt assessment and intervention in a potentially life-threatening situation. 13. Which of the following actions by a Nurse Aide best demonstrates the promotion of a resident's dignity? a) Choosing clothing for the resident without their input b) Discussing the resident's personal information in public areas c) Providing privacy during personal care activities d) Making decisions for the resident without consulting them Correct Answer: c) Providing privacy during personal care activities **Rationale:** Unexplained bruises can be signs of abuse or underlying health conditions. It is essential to report any such findings immediately to the supervising nurse for further evaluation. What is the first step a nurse aide should take when encountering a fire in a resident’s room? A. Extinguish the fire. B. Alert the firefighting team. C. Remove the resident from danger. D. Close all doors and windows. *Correct Answer: C* **Rationale:** The first step in a fire emergency is always to ensure the safety of the resident by removing them from immediate danger before taking other actions. Which of the following measures should a nurse aide employ to prevent falls in residents? A. Keep the resident sedated. B. Ensure that the resident's environment is clutter-free. C. Limit the resident's activities. D. Keep the resident strictly confined to bed. *Correct Answer: B* **Rationale:** A clutter-free environment helps prevent falls by reducing the risk of tripping over objects. An elderly resident is at risk for pressure ulcers. Which of the following interventions is the most effective? A. Turn and reposition the resident every two hours. B. Massage the reddened areas frequently. C. Limit fluid intake. D. Increase the resident's calorie intake. *Correct Answer: A* **Rationale:** Regular turning and repositioning helps to alleviate pressure on the skin, thereby preventing pressure ulcers. What is an important consideration in promoting the respiratory function of bedridden residents? A. Increase fluid intake. B. Encourage deep breathing exercises regularly. C. Use daily oxygen therapy for all residents. D. Restrict physical activity. *Correct Answer: B* **Rationale:** Deep breathing exercises help expand the lungs and improve respiratory function, which is crucial for bedridden residents. Which of the following best demonstrates the correct technique for performing hand hygiene? A. Rinsing hands thoroughly under running water. B. Scrubbing hands with soap for at least 20 seconds. C. Using alcohol-based hand sanitizer for 5 seconds. D. Wiping hands with a disposable cloth. *Correct Answer: B* **Rationale:** Scrubbing hands with soap for at least 20 seconds is the recommended practice for effective hand hygiene. When assisting a resident with eating, which position should the resident be in to minimize the risk of aspiration? A. Supine B. Prone C. Semi-Fowler’s D. Trendelenburg *Correct Answer: C* **Rationale:** The semi-Fowler’s position (head of bed elevated 30-45 degrees) is recommended to minimize the risk of aspiration during feeding. For a resident with dementia, what strategy would be most effective in reducing agitation? A. Using physical restraints. B. Providing a structured routine. B. Providing clear, simple instructions C. Speaking loudly to ensure the resident can hear D. Encouraging the resident to make decisions independently Answer: B. Providing clear, simple instructions Rationale: Residents with dementia may become agitated or confused easily, so providing clear and simple instructions can help promote a sense of calm and reduce the risk of behavioral issues. 3. Which of the following is a key component of promoting the function and health of residents by the nurse aide? A. Administering medications B. Assisting with activities of daily living C. Acting as a primary caregiver D. Making medical diagnoses Answer: B. Assisting with activities of daily living Rationale: Assisting residents with activities of daily living, such as bathing, dressing, and grooming, is essential for promoting their function and overall health. 4. A resident has a pressure ulcer on their sacrum. Which action by the nurse aide is most appropriate in promoting wound healing and preventing infection? A. Applying a thick layer of petroleum jelly to the wound B. Keeping the wound covered with a dry dressing C. Massaging the area around the ulcer to improve circulation D. Leaving the wound exposed to air to promote drying Answer: B. Keeping the wound covered with a dry dressing Rationale: Keeping the wound covered with a dry dressing helps protect it from contamination and promotes faster healing by creating a moist environment for cell repair. 5. A resident with diabetes is experiencing hypoglycemia. Which action should the nurse aide take first to provide specialized care for the resident? A. Administering insulin to raise blood sugar levels B. Providing the resident with a sugary snack C. Notifying the nurse or healthcare provider D. Encouraging the resident to exercise to lower blood sugar levels Answer: B. Providing the resident with a sugary snack Rationale: Providing a sugary snack is the first-line treatment for hypoglycemia to quickly raise the resident's blood sugar levels and prevent further complications. 6. When providing oral care to a resident, the nurse aide should prioritize which aspect of hygiene to promote the resident's overall health? A. Brushing and flossing the resident's teeth B. Applying lotion to the resident's skin C. Combing the resident's hair D. Trimming the resident's nails Answer: A. Brushing and flossing the resident's teeth Rationale: Oral care is essential for maintaining oral health and preventing infection, which can have systemic effects on the resident's overall health. 7. A resident has a history of falls and is at risk for skin breakdown. Which intervention should the nurse aide prioritize to promote the resident's safety and skin integrity? A. Repositioning the resident every two hours B. Applying lotion to the resident's skin C. Encouraging the resident to walk independently D. Increasing fluid intake for the resident Answer: A. Repositioning the resident every two hours Rationale: Repositioning helps prevent pressure ulcers by relieving pressure on vulnerable areas of the skin and promoting circulation. Rationale: Using a wide base of support when lifting helps distribute the weight evenly and reduces the risk of injury to the nurse aide's back and the resident. 12. Which of the following is an important consideration when assisting residents with dining to promote their nutrition and hydration? A. Encouraging residents to skip meals if they are not hungry B. Offering a variety of foods based on personal preferences C. Restricting fluid intake to prevent frequent bathroom trips D. Serving meals quickly to save time Answer: B. Offering a variety of foods based on personal preferences Rationale: Offering a variety of foods based on residents' preferences helps promote their appetite and ensures they receive adequate nutrition and hydration. 13. A resident is experiencing signs of dehydration, such as dry mouth and dark urine. What action should the nurse aide take first to promote the resident's hydration? A. Provide the resident with a glass of water B. Encourage the resident to rest in bed C. Apply lotion to the resident's skin D. Limit the resident's fluid intake Answer: A. Provide the resident with a glass of water Rationale: Providing the resident with fluids is essential to prevent dehydration, especially when early signs are detected. 14. When providing perineal care to a resident, the nurse aide should prioritize which aspect of hygiene to prevent infection and promote comfort? A. Changing the bed linens B. Using non-irritating soap C. Applying lotion to the resident's back D. Brushing the resident's hair Answer: B. Using non-irritating soap Rationale: Using non-irritating soap during perineal care helps maintain skin integrity and reduces the risk of infection in a sensitive area. 15. A resident has a urinary catheter in place. Which action by the nurse aide is most important to prevent infection and promote the resident's comfort? A. Keeping the catheter tubing coiled on the bed B. Ensuring the catheter bag is always positioned above the level of the bladder C. Allowing the catheter bag to touch the floor D. Not emptying the catheter bag regularly Answer: B. Ensuring the catheter bag is always positioned above the level of the bladder Rationale: Keeping the catheter bag positioned above the level of the bladder prevents backflow of urine and reduces the risk of urinary tract infections. 16. A resident has a surgical wound that requires dressing changes. Which action by the nurse aide is most important to prevent infection and promote wound healing? A. Changing the dressing daily B. Using sterile gloves during dressing changes C. Applying a thick layer of ointment to the wound D. Leaving the wound exposed to air Answer: B. Using sterile gloves during dressing changes Rationale: Using sterile gloves during dressing changes helps prevent contamination of the wound and reduces the risk of infection. 17. A resident is receiving oxygen therapy via nasal cannula. Which action by the nurse aide is most important to ensure the resident's safety and proper oxygen delivery? A. Placing the oxygen tubing under the resident's arms B. Securing the nasal cannula with tape behind the resident's ears 21. A resident has a feeding tube in place for enteral nutrition. Which action by the nurse aide is most important to prevent complications and ensure proper tube feeding? A. Flushing the feeding tube with water before and after feedings B. Increasing the feeding rate to save time C. Using a feeding tube that has expired D. Allowing the resident to self-administer tube feedings Answer: A. Flushing the feeding tube with water before and after feedings Rationale: Flushing the feeding tube with water before and after feedings helps prevent blockages and maintains the integrity of the tube for proper feeding. 22. A resident is on strict bed rest due to a medical condition. Which action by the nurse aide is most important to promote the resident's comfort and prevent complications? A. Repositioning the resident every four hours B. Allowing the resident to ambulate as needed C. Providing frequent bed baths D. Keeping the resident's bed linens dry and clean Answer: A. Repositioning the resident every four hours Rationale: Repositioning the resident every four hours helps prevent pressure ulcers, promotes circulation, and maintains the resident's comfort while on strict bed rest. 23. A resident has difficulty swallowing and is at risk for aspiration. Which intervention by the nurse aide is most important to promote safe eating and prevent aspiration pneumonia? A. Thinning liquids for easier swallowing B. Encouraging the resident to eat quickly C. Allowing the resident to eat in a reclined position D. Monitoring the resident closely during meals Answer: D. Monitoring the resident closely during meals Rationale: Monitoring the resident closely during meals helps ensure they are eating safely and can intervene promptly if signs of aspiration are observed. 24. A resident with a tracheostomy requires suctioning to maintain airway patency. Which action by the nurse aide is most important to prevent infection and promote proper suctioning technique? A. Using clean gloves during suctioning B. Suctioning the tracheostomy every hour C. Rinsing the suction catheter with tap water D. Applying suction for more than 10 seconds at a time Answer: A. Using clean gloves during suctioning Rationale: Using clean gloves during suctioning helps prevent contamination of the tracheostomy site and maintains proper infection control practices. 25. A resident is receiving subcutaneous insulin injections. Which action by the nurse aide is most important to ensure the resident's safety and proper medication administration? A. Administering insulin based on personal estimates rather than the prescribed dose B. Rotating injection sites to prevent tissue damage C. Injecting the insulin into muscle rather than subcutaneous tissue D. Skipping insulin doses if the resident refuses Answer: B. Rotating injection sites to prevent tissue damage Rationale: Rotating injection sites helps prevent tissue damage and ensures proper insulin absorption, improving the effectiveness of the medication. 26. A resident has a fever and is at risk for dehydration. Which action by the nurse aide is most important to promote the resident's hydration and comfort? A. Encouraging the resident to wear extra blankets B. Offering the resident ice chips or cool beverages