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

Download KS Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! KS 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 D) Diagnosing common illnesses Correct Answer: C) Assisting with activities of daily living Rationale: The Nurse Aide's role is to support the nursing staff by assisting residents with their basic needs, such as bathing, dressing, and eating, rather than performing medical procedures or diagnoses. 2. A resident has developed a pressure ulcer. What is the most appropriate initial action by the Nurse Aide? A) Apply a high-grade disinfectant B) Re-position the resident frequently C) Encourage the resident to stay in one position D) Wait for the nurse to assess the resident Correct Answer: B) Re-position the resident frequently Rationale: Frequent re-positioning is crucial in preventing the worsening of pressure ulcers and promotes healing by relieving pressure on the affected area. A) Return to duties as if nothing happened B) Wait for the fire department to arrive before acting C) Activate the fire alarm and follow the facility's emergency plan D) Attempt to extinguish the fire without assistance Correct Answer: C) Activate the fire alarm and follow the facility's emergency plan Rationale: In any emergency, the Nurse Aide must act quickly and according to the facility's established protocols to ensure the safety of all residents and staff. 8. A resident refuses to eat their meal. What should the Nurse Aide do? A) Force the resident to eat B) Offer alternatives if available and report the refusal to the nursing staff C) Leave the resident alone D) Punish the resident for refusing to eat Correct Answer: B) Offer alternatives if available and report the refusal to the nursing staff Rationale: It's important to respect the resident's autonomy while also ensuring their nutritional needs are met. Offering alternatives and reporting the incident ensures the resident's well-being is monitored. 9. Which of the following is a sign that a resident may need specialized care for changes in health? A) Consistent engagement in social activities B) Stable vital signs C) Sudden disorientation and confusion D) Regular sleep patterns Correct Answer: C) Sudden disorientation and confusion Rationale: Sudden changes in mental status can indicate a serious change in health, requiring immediate attention and possibly specialized care. 10. How should a Nurse Aide respond to a resident's complaint of pain? A) Ignore the complaint as attention-seeking behavior B) Provide immediate pain medication without orders C) Listen attentively and report the complaint to the nursing staff D) Tell the resident that pain is normal and to be expected Correct Answer: C) Listen attentively and report the complaint to the nursing staff Rationale: Pain can be a symptom of underlying issues, and it is important for the Nurse Aide to take all complaints seriously and report them for proper assessment and management. 11. What is an important consideration when providing care for a resident with mobility issues? A) Encouraging complete independence B) Using mechanical lifts without training C) Ensuring safe transfer and ambulation techniques are used D) Discouraging the use of assistive devices Correct Answer: C) Ensuring safe transfer and ambulation techniques are used Rationale: Proper techniques and the use of assistive devices help prevent falls and injuries, promoting the resident's safety and independence. 12. When a resident is receiving end-of-life care, what is a key role of the Nurse Aide? A) Focusing only on physical comfort B) Providing comprehensive, compassionate care C) Withholding all medications D) Leaving the resident alone to provide privacy Correct Answer: B) Providing comprehensive, compassionate care Rationale: End-of-life care encompasses physical, emotional, and spiritual support, ensuring the resident's comfort and dignity during their final days. 13. A resident with Alzheimer's disease is agitated and confused. What is the best approach for a Nurse Aide? A) Restrain the resident to prevent harm B) Speak in a loud and commanding voice B) Encouraging independence C) Restricting social interactions D) Ignoring residents' preferences Correct Answer: B) Encouraging independence Rationale: Encouraging residents to be independent fosters their physical and mental well-being. Question: Basic nursing care provided by the Nurse Aide involves: A) Administering medications B) Performing wound care C) Monitoring vital signs D) Assisting with activities of daily living Correct Answer: D) Assisting with activities of daily living Rationale: Nurse Aides play a crucial role in helping residents with daily tasks to maintain their quality of life. Question: When providing specialized care for residents with changes in health, the Nurse Aide should: A) Disregard changes in behavior B) Report any changes to the nurse C) Avoid documenting observations D) Wait for scheduled assessments Correct Answer: B) Report any changes to the nurse Rationale: Timely reporting of changes in residents' health is vital for appropriate care and intervention. Question: In the role of the Nurse Aide, maintaining residents' dignity and privacy is essential because: A) It saves time B) It promotes trust and respect C) It is not significant D) It hinders care delivery Correct Answer: B) It promotes trust and respect Rationale: Respecting residents' dignity and privacy builds trust and enhances the quality of care provided. Question: Which action by the Nurse Aide demonstrates effective communication? A) Ignoring residents' questions B) Using medical jargon C) Speaking clearly and respectfully D) Rushing through conversations Correct Answer: C) Speaking clearly and respectfully Rationale: Effective communication is key to understanding residents' needs and providing appropriate care. Question: When assisting with personal hygiene, the Nurse Aide should: A) Rush through the task B) Ignore the resident's preferences C) Allow the resident to participate D) Avoid explaining the procedure Correct Answer: C) Allow the resident to participate Rationale: Involving residents in their care promotes independence and dignity. Rationale: Encouraging independence during meals preserves residents' dignity and autonomy. Question: What should the Nurse Aide do if a resident refuses care? A) Force the care on the resident B) Ignore the resident's wishes C) Respect the resident's decision and document D) Avoid documenting the refusal Correct Answer: C) Respect the resident's decision and document Rationale: Respecting residents' autonomy and documenting refusals are essential for ethical care. Question: Which approach should the Nurse Aide take when assisting residents with mobility? A) Encouraging residents to move independently B) Restraining residents to prevent falls C) Avoiding assistance to promote dependence D) Rushing through mobility tasks Correct Answer: A) Encouraging residents to move independently Rationale: Encouraging independence in mobility tasks supports residents' physical well-being. Question: The Nurse Aide should be vigilant for signs of pressure ulcers by: A) Checking skin regularly B) Ignoring changes in skin condition C) Avoiding repositioning residents D) Using harsh cleaning agents Correct Answer: A) Checking skin regularly Rationale: Regular skin assessments help prevent pressure ulcers and promote skin health. Question: How can the Nurse Aide support residents' social well-being? A) Limiting social interactions B) Encouraging participation in activities C) Ignoring residents' preferences D) Avoiding conversations with residents Correct Answer: B) Encouraging participation in activities Rationale: Social engagement enhances residents' emotional and mental health. Question: What is the Nurse Aide's role in managing residents' pain? A) Disregarding residents' pain reports B) Administering medications without instructions C) Documenting pain reports and notifying the nurse D) Avoiding discussions about pain management Correct Answer: C) Documenting pain reports and notifying the nurse Rationale: Proper pain management involves documenting reports and collaborating with the healthcare team. Question: When providing oral care to residents, the Nurse Aide should: A) Rush through the procedure B) Ignore residents' oral health concerns C) Encourage residents to participate D) Skip oral care altogether - C. Providing direct care and assistance with daily activities - D. Prescribing treatment **Answer: C. Providing direct care and assistance with daily activities** **Rationale:** Nurse Aides support residents with ADLs and ensure their comfort and safety. ### Promotion of Safety 3. **What should a Nurse Aide do first when they notice an unsafe situation?** - A. Correct the issue immediately - B. Report it to the resident - C. Document it in the resident’s chart - D. Report it to the supervisor immediately **Answer: D. Report it to the supervisor immediately** **Rationale:** Reporting safety issues to a supervisor ensures that appropriate measures are taken to address the situation. 4. **Which of the following is a key principle in promoting a safe environment for residents?** - A. Rushing through tasks to complete them quickly - B. Regularly updating and following individualized care plans - C. Ignoring minor spills and accidents - D. Leaving medical equipment within residents' reach **Answer: B. Regularly updating and following individualized care plans** **Rationale:** Following and updating care plans ensures that the care provided is tailored to each resident’s needs. ### Promotion of Function and Health of Residents 5. **Which activity is essential for maintaining resident mobility and preventing muscle atrophy?** - A. Restricting movement to prevent injury - B. Encouraging residents to remain sedentary - C. Assisting with regular exercises as per care plan - D. Administering muscle relaxants **Answer: C. Assisting with regular exercises as per care plan** **Rationale:** Routine exercises help in maintaining muscle strength and mobility, preventing atrophy. 6. **How can Nurse Aides promote residents' functional independence?** - A. Performing all tasks for them - B. Encouraging and assisting them in doing as much as they can by themselves - C. Limiting their activities to avoid accidents - D. Allowing them to struggle without offering help **Answer: B. Encouraging and assisting them in doing as much as they can by themselves** **Rationale:** Encouragement and assistance promote confidence and functional independence among residents. ### Basic Nursing Care Provided by the Nurse Aide 7. **What is the first step in providing effective hand hygiene?** - A. Drying hands with a towel - B. Rinsing with cold water **Rationale:** Calm communication can de-escalate aggression, ensuring the safety and dignity of the resident. ### Advanced Concepts in: Role of the Nurse Aide 11. **Which of the following communication strategies is most effective for a Nurse Aide when interacting with residents?** - A. Using medical jargon - B. Speaking loudly to ensure they are heard - C. Speaking clearly and in simple language - D. Using written instructions for all communications **Answer: C. Speaking clearly and in simple language** **Rationale:** Clear and simple language ensures residents understand instructions and information. ### Promotion of Safety 12. **What is the most effective way to prevent the spread of infections in a healthcare setting?** - A. Using personal protective equipment (PPE) occasionally - B. Regularly disinfecting surfaces and equipment - C. Isolating all residents - D. Washing hands before and after all resident contact **Answer: D. Washing hands before and after all resident contact** **Rationale:** Hand hygiene is the most effective method to prevent the spread of infections. ### Promotion of Function and Health of Residents 13. **Which diet modification might be necessary for a resident with difficulty swallowing?** - A. High-fiber diet - B. Clear liquid diet - C. Thickened liquids and pureed foods - D. Regular diet **Answer: C. Thickened liquids and pureed foods** **Rationale:** These modifications prevent choking and ensure the resident can safely consume their meals. ### Basic Nursing Care Provided by the Nurse Aide 14. **How should a Nurse Aide assist a resident with left-sided weakness when transferring them from a bed to a wheelchair?** - A. From the left side - B. From the right side - C. By standing in front of the resident - D. By having the resident transfer themselves **Answer: B. From the right side** **Rationale:** Assisting from the stronger side aids in safer and easier transfers. ### Providing Specialized Care for Residents with Changes in Health 15. **What is a Nurse Aide's role in managing pain for residents in long- term care?** - A. Administer pain medications - B. Assess and report pain to the nursing team - C. Ignore pain complaints - D. Provide surgical interventions **Answer: B. Repositioning residents every 2 hours** **Rationale:** Regular repositioning helps prevent pressure on specific areas, reducing the risk of pressure ulcers. ### Basic Nursing Care Provided by the Nurse Aide 19. **What is the correct method for measuring a resident’s radial pulse?** - A. Using the back of the hand - B. Placing fingers on the inside of the elbow - C. Placing fingers on the wrist - D. Using a stethoscope **Answer: C. Placing fingers on the wrist** **Rationale:** The radial pulse is measured by placing the fingers on the wrist, just below the base of the thumb. ### Providing Specialized Care for Residents with Changes in Health 20. **How should a Nurse Aide approach care for a resident who is resistant to bathing?** - A. Force the resident to bathe despite their resistance - B. Skip the bathing until the next scheduled time - C. Explain the importance of bathing and offer choices to encourage participation - D. Ask another aide to perform the task **Answer: C. Explain the importance of bathing and offer choices to encourage participation** **Rationale:** Offering choices and explaining the importance helps the resident feel more in control and may reduce resistance. ### Advanced Concepts in: Role of the Nurse Aide 21. **Which of the following factors is most important when documenting care provided to a resident?** - A. Using only subjective information - B. Ensuring accuracy and completeness - C. Documenting at the end of the shift - D. Only documenting major incidents **Answer: B. Ensuring accuracy and completeness** **Rationale:** Accurate and complete documentation ensures continuity of care and effective communication within the healthcare team. ### Promotion of Safety 22. **What is the appropriate response if a resident starts choking and cannot breathe?** - A. Encourage the resident to drink water - B. Perform the Heimlich maneuver - C. Call the resident’s family immediately - D. Wait to see if the resident clears their throat **Answer: B. Perform the Heimlich maneuver** **Rationale:** The Heimlich maneuver is the appropriate first response to choking, aimed at dislodging the blockage in the airway. ### Promotion of Function and Health of Residents 23. **Which intervention can stimulate appetite in residents who are reluctant to eat?** - A. Serving cold meals - D. Writing medical orders **Answer: C. Assisting with ambulation and personal hygiene** **Rationale:** Tasks such as ambulation assistance and personal hygiene are within the Nurse Aide’s scope of practice. ### Promotion of Safety 27. **What should be done if a resident is found smoking in a prohibited area?** - A. Ignore the situation - B. Instruct the resident calmly about the no-smoking policy and guide them to a designated area - C. Call the fire department immediately - D. Confiscate the cigarette without explanation **Answer: B. Instruct the resident calmly about the no-smoking policy and guide them to a designated area** **Rationale:** Clear communication and safe redirection to appropriate areas ensure compliance with safety policies. ### Promotion of Function and Health of Residents 28. **Which of the following is an effective strategy for preventing contractures in immobile residents?** - A. Restricting any movements - B. Regularly performing range-of-motion exercises - C. Providing constant bed rest - D. Using arm slings continuously **Answer: B. Regularly performing range-of-motion exercises** **Rationale:** Range-of-motion exercises prevent contractures by maintaining joint flexibility. ### Basic Nursing Care Provided by the Nurse Aide 29. **How should a Nurse Aide manage a resident’s incontinence?** - A. Changing protective undergarments frequently and keeping the skin clean and dry - B. Restricting fluids to reduce accidents - C. Avoiding discussing the issue with the resident - D. Allowing the resident to remain soiled to learn control **Answer: A. Changing protective undergarments frequently and keeping the skin clean and dry** **Rationale:** Maintaining skin integrity and hygiene prevents infection and discomfort. ### Providing Specialized Care for Residents with Changes in Health 30. **Which approach is best for feeding a resident with difficulty swallowing?** - A. Allowing the resident to feed themselves without supervision - B. Offering thin liquids frequently - C. Using specialized feeding techniques and following dietary consistency guidelines - D. Feeding quickly to ensure adequate intake **Answer: C. Using specialized feeding techniques and following dietary consistency guidelines** **Rationale:** Specialized techniques and appropriate diet consistency ensure safe swallowing and prevent aspiration. 34. **What is the effective way to prevent Skin Breakdown in bedridden residents?** - A. Keeping the resident in a single position for long periods - B. Repositioning the resident regularly and using pressure-relieving devices - C. Limiting fluid intake - D. Encouraging sitting up all day in a wheelchair **Answer: B. Repositioning the resident regularly and using pressure- relieving devices** **Rationale:** Regular repositioning and pressure relief prevent skin breakdown and pressure ulcers. ### Providing Specialized Care for Residents with Changes in Health 35. **How should a Nurse Aide support a resident with chronic pain?** - A. Ignoring pain complaints - B. Following the care plan and reporting pain levels to licensed nurses - C. Refusing to engage in pain discussions - D. Advising the resident to endure the pain **Answer: B. Following the care plan and reporting pain levels to licensed nurses** **Rationale:** Monitoring and reporting pain ensures effective management of chronic pain as per the care plan.