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

Download KY Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! KY Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. Case Study: A resident has been repositioned every two hours to prevent pressure ulcers. The CNA notices redness on the resident's sacrum. What action should the CNA take next? A. Apply a cold pack to the area B. Continue repositioning every two hours C. Notify the nurse immediately D. Document the redness in the resident's chart Correct Answer: C. Notify the nurse immediately Rationale: The development of redness on the sacrum indicates the beginning stages of a pressure ulcer. The nurse should be notified promptly to initiate appropriate interventions. 2. Case Study: A resident with dementia becomes agitated and starts hitting other residents. What is the most appropriate action for the CNA to take? A. Administer a sedative to calm the resident B. Call for security to restrain the resident C. Remove other residents from the agitated resident's vicinity D. Confront the resident and ask them to stop Correct Answer: C. Remove other residents from the agitated resident's vicinity D. Monitor the resident for signs of swallowing difficulties Correct Answer: D. Monitor the resident for signs of swallowing difficulties Rationale: Residents with dysphagia are at risk for aspiration, so monitoring for signs of swallowing difficulties during meals is crucial for their safety. 7. Case Study: A resident with a urinary catheter reports lower abdominal pain and cloudy urine. What action should the CNA take? A. Ignore the resident's complaints as they are common with a catheter B. Notify the nurse immediately C. Increase the resident's fluid intake D. Remove the urinary catheter to alleviate the pain Correct Answer: B. Notify the nurse immediately Rationale: Lower abdominal pain and cloudy urine can be signs of a urinary tract infection, which requires prompt evaluation and treatment by the nurse. 8. Case Study: A resident with COPD experiences shortness of breath while walking. What is the most appropriate action for the CNA to take? A. Encourage the resident to stop walking and rest B. Press on the resident's chest to help with breathing C. Leave the resident alone to see if the symptoms improve D. Administer oxygen without consulting the nurse Correct Answer: A. Encourage the resident to stop walking and rest Rationale: Encouraging the resident to stop and rest can help alleviate symptoms of shortness of breath and prevent exacerbation of COPD. 9. Case Study: A resident with a pressure ulcer on the heel is at risk for infection. What precautions should the CNA take when providing wound care? A. Wear gloves only when changing dressings B. Clean the wound with tap water C. Apply antibiotics to the wound without a nurse's order D. Use proper hand hygiene and wear gloves during wound care Correct Answer: D. Use proper hand hygiene and wear gloves during wound care Rationale: Proper hand hygiene and wearing gloves are essential infection control measures to prevent cross-contamination during wound care. 10. Case Study: A resident with Alzheimer's disease is exhibiting aggressive behavior towards staff members. What approach should the CNA use to de-escalate the situation? A. Yell at the resident to stop the behavior B. Offer a snack or beverage to distract the resident C. Physically restrain the resident to prevent harm D. Ignore the resident's behavior to avoid confrontation Correct Answer: B. Offer a snack or beverage to distract the resident Rationale: Offering a snack or beverage can help redirect the resident's attention and provide a calming effect, potentially reducing aggressive behavior. 11. Case Study: A resident with a recent hip fracture is at risk for falls. What interventions can the CNA implement to promote safety for this resident? A. Encourage the resident to ambulate independently B. Keep the resident's call light out of reach C. Use a gait belt when assisting the resident with transfers D. Allow the resident to walk barefoot in their room Correct Answer: C. Use a gait belt when assisting the resident with transfers Rationale: Using a gait belt provides support and stability during transfers, reducing the risk of falls for residents with hip fractures. Rationale: Elevating the head of the bed can help prevent aspiration by promoting proper positioning and aiding in the flow of formula through the feeding tube. 16. Case Study: A resident with a Foley catheter reports burning and discomfort during urination. What should the CNA do in response to the resident's complaint? A. Ignore the resident's complaints as they are common with a catheter B. Notify the nurse immediately C. Replace the catheter with a new one D. Encourage the resident to drink more fluids Correct Answer: B. Notify the nurse immediately Rationale: Burning and discomfort during urination in a resident with a Foley catheter can indicate a urinary tract infection or catheter-related issue that requires assessment and intervention by the nurse. 17. Case Study: A resident with a tracheostomy is experiencing difficulty breathing and has a change in the color of secretions. What should the CNA do in this situation? A. Suction the resident's tracheostomy without proper training B. Notify the nurse immediately C. Encourage the resident to cough forcefully D. Leave the resident alone to see if the symptoms improve Correct Answer: B. Notify the nurse immediately Rationale: Changes in breathing patterns and tracheostomy secretions can indicate a respiratory issue or blockage that requires immediate attention from the nurse. 18. Case Study: A resident with a colostomy bag reports leakage of stool around the stoma site. What intervention should the CNA perform to address this issue? A. Apply lotion around the stoma site to reduce irritation B. Change the colostomy bag and assess the stoma site for skin breakdown C. Leave the colostomy bag in place and monitor for further leakage D. Apply pressure to the stoma site to stop the leakage Correct Answer: B. Change the colostomy bag and assess the stoma site for skin breakdown Rationale: Addressing leakage from a colostomy bag involves changing the bag, cleaning the stoma site, and assessing for skin breakdown to prevent complications and promote skin integrity. 19. Case Study: A resident with a urinary catheter develops fever and chills. What should the CNA do in response to these symptoms? A. Advise the resident to drink more fluids B. Notify the nurse immediately C. Administer acetaminophen without a nurse's order D. Remove the urinary catheter to reduce infection risk Correct Answer: B. Notify the nurse immediately Rationale: Fever and chills in a resident with a urinary catheter can indicate a catheter-related infection, requiring prompt assessment and treatment by the nurse. 20. Case Study: A resident with a history of falls is at risk for injury. What interventions should the CNA implement to prevent falls in this resident? A. Encourage the resident to rush when walking to prevent falls B. Use bed rails to restrict the resident's movements C. Place personal items within easy reach to prevent reaching overhead D. Keep the call light within the resident's reach at all times Correct Answer: D. Keep the call light within the resident's reach at all times Rationale: Ensuring the call light is within the resident's reach can help them summon assistance quickly and reduce the risk of falls by promoting timely responses to their needs. 21. Case Study: A resident with a stage 2 pressure ulcer on the buttocks is receiving wound care. What should the CNA do to facilitate wound healing for this resident? Rationale: Discomfort and coughing during feedings in a resident with a nasogastric tube can indicate improper placement or other complications that require assessment and intervention by the nurse. 25. Case Study: A resident with a recent stroke has weakness on one side of the body. What interventions should the CNA implement to promote independence in activities of daily living for this resident? A. Provide total assistance with all activities B. Encourage the resident to use the weak side more often C. Allow the resident to skip meals to conserve energy D. Use adaptive devices to assist with mobility and self-care tasks Correct Answer: D. Use adaptive devices to assist with mobility and self- care tasks Rationale: Using adaptive devices can help residents with stroke compensate for weaknesses, promote independence, and enhance their ability to perform activities of daily living. 26. Case Study: A resident with a history of falls is being transferred from the bed to a chair. What technique should the CNA use to ensure safe transfer for the resident? A. Carry the resident to the chair to minimize potential falls B. Use proper body mechanics and a gait belt during the transfer C. Rush the transfer process to avoid delay D. Allow the resident to stand up from the bed independently Correct Answer: B. Use proper body mechanics and a gait belt during the transfer Rationale: Using proper body mechanics and a gait belt during transfers can help maintain resident safety, prevent falls, and minimize the risk of injury for residents with a history of falls. 27. Case Study: A resident with dementia is agitated and wandering aimlessly around the facility. What strategies can the CNA use to address this behavior? A. Restrain the resident to prevent wandering B. Provide a structured routine and environment C. Ignore the resident's behavior to avoid confrontation D. Keep the resident isolated in a quiet room Correct Answer: B. Provide a structured routine and environment Rationale: Providing a structured routine and familiar environment can help reduce agitation, confusion, and wandering behavior in residents with dementia by promoting a sense of security and predictability. 28. Case Study: A resident with a tracheostomy is at risk for infection. What measures should the CNA implement to prevent infection in this resident? A. Change the tracheostomy tube without proper training B. Keep the patient lying flat on their back at all times C. Clean around the tracheostomy site using sterile techniques D. Use tap water to clean tracheostomy equipment Correct Answer: C. Clean around the tracheostomy site using sterile techniques Rationale: Proper cleaning and care of the tracheostomy site using sterile techniques can prevent infections and complications in residents with tracheostomies. 29. Case Study: A resident with a history of seizures experiences tremors and confusion. What should the CNA do in response to these symptoms? A. Restrict the resident's movements to prevent injury B. Notify the nurse immediately C. Administer antiseizure medication without a nurse's order D. Encourage the resident to engage in physical activities Correct Answer: B. Notify the nurse immediately Rationale: Tremors and confusion in a resident with a history of seizures can indicate a seizure activity or other neurological issue that requires immediate assessment and intervention by the nurse. 1. When providing care for a resident with dementia, a Nurse Aide should: D) Provide emotional support exclusively, without performing physical tasks. Correct Answer: B Rationale: Nurse Aides support residents with daily tasks and are vital in observing and reporting any health changes to the nursing staff. 6. When a resident exhibits signs of depression, the Nurse Aide should: A) Offer advice based on personal experiences with depression. B) Engage the resident in social activities and report observations to the nurse. C) Ignore the signs as they are common in long-term care settings. D) Tell the resident to cheer up and focus on positive aspects of life. Correct Answer: B Rationale: Social engagement can be beneficial for residents with depression, and it's crucial to report such observations for appropriate follow-up. 7. The correct procedure for a Nurse Aide to follow when a resident falls includes: A) Immediately helping the resident back into bed or a chair. B) Leaving the resident on the floor to prevent further injury. C) Assessing the resident for injuries and calling for nurse assistance. D) Moving the resident to a more private area before providing help. Correct Answer: C Rationale: Assessment for potential injuries is essential, and the nurse should be notified to ensure proper evaluation and care. 8. A Nurse Aide's role in infection control includes: A) Prescribing antibiotics to residents with infections. B) Regular handwashing and proper disposal of contaminated materials. C) Isolating all residents with chronic illnesses as a precaution. D) Ignoring standard precautions if the resident seems healthy. Correct Answer: B Rationale: Hand hygiene and proper disposal are key components of infection control and prevention within healthcare facilities. 9. When providing specialized care for a resident with a pressure ulcer, a Nurse Aide must: A) Reposition the resident every two hours to alleviate pressure. B) Apply a heating pad to the affected area to increase circulation. C) Encourage the resident to remain in one position for comfort. D) Use doughnut cushions to relieve pressure on the ulcer. Correct Answer: A Rationale: Frequent repositioning is critical in preventing the worsening of pressure ulcers by relieving prolonged pressure on the affected area. 10. The appropriate action for a Nurse Aide when encountering a resident who is choking is to: A) Wait for the resident to cough up the obstruction naturally. B) Perform abdominal thrusts if the resident is unable to breathe or speak. C) Offer water to help the resident swallow the obstructing item. D) Lay the resident down to relieve pressure on the throat. Correct Answer: B Rationale: If a resident is choking and cannot breathe or speak, immediate action with abdominal thrusts is necessary to dislodge the obstruction. 11. A Nurse Aide's responsibility in promoting the function and health of residents includes: A) Encouraging independence while providing necessary support. B) Completing all tasks for residents to ensure they are done correctly. C) Discouraging residents from participating in their own care. D) Focusing solely on physical health and disregarding mental well- being. Correct Answer: A Rationale: Promoting independence with necessary support helps maintain residents' abilities and contributes to their overall health. D. Offer the resident a glass of water Correct Answer: B. Assist the resident to sit down Rationale: Sitting the resident down will help prevent falls and further injury. It is essential to prioritize the resident's safety and well-being in this situation. Question: When promoting safety in a long-term care facility, which of the following actions by the nurse aide is most appropriate? A. Allowing residents to wander unsupervised B. Keeping walkways clear of obstacles C. Ignoring call bells from residents D. Leaving medication carts unattended Correct Answer: B. Keeping walkways clear of obstacles Rationale: Clear walkways prevent tripping hazards and promote a safe environment for residents and staff. Question: Which of the following is an essential aspect of promoting the function and health of residents in a long-term care facility? A. Encouraging residents to stay in bed all day B. Providing opportunities for social interaction C. Limiting residents' access to fresh air D. Ignoring residents' personal preferences Correct Answer: B. Providing opportunities for social interaction Rationale: Social interaction is crucial for the emotional well-being and overall health of residents in long-term care settings. Question: When providing basic nursing care, the nurse aide should prioritize: A. Administering medications independently B. Completing tasks quickly without interaction C. Following the care plan and communicating with the nursing team D. Avoiding interactions with residents to save time Correct Answer: C. Following the care plan and communicating with the nursing team Rationale: Following the care plan and effective communication ensure coordinated and quality care for residents. Question: A resident with diabetes experiences a hypoglycemic episode. What should the nurse aide do first? A. Administer insulin to the resident B. Offer the resident a sugary snack or drink C. Wait for the nurse to arrive D. Ignore the situation and continue with other tasks Correct Answer: B. Offer the resident a sugary snack or drink Rationale: Providing immediate treatment for hypoglycemia is crucial to prevent further complications in residents with diabetes. Question: During a morning assessment, a nurse aide notices a resident experiencing shortness of breath and chest pain. What should be the nurse aide's immediate action? A. Document the findings in the resident's chart B. Call the resident's family to inform them C. Notify the nurse or healthcare provider immediately D. Wait for the symptoms to resolve on their own Correct Answer: C. Notify the nurse or healthcare provider immediately Rationale: Prompt notification of healthcare providers is essential in addressing potentially serious health issues in residents. Question: When providing oral care to a resident, the nurse aide should: A. Use any toothbrush available B. Brush the resident's teeth vigorously to save time C. Avoid brushing the resident's tongue D. Use gentle and thorough brushing techniques Correct Answer: D. Use gentle and thorough brushing techniques Rationale: Gentle and thorough brushing techniques help maintain oral hygiene and prevent oral health problems in residents. Question: Which of the following is a key component of preventing pressure ulcers in residents? Rationale: Encouraging independence while providing necessary assistance promotes dignity and autonomy in residents during meal times. Question: A resident with a history of falls attempts to get out of bed without assistance. What should the nurse aide do first? A. Allow the resident to get out of bed unassisted B. Apply physical restraints to prevent falls C. Use a bed alarm to alert staff D. Notify the resident's family Correct Answer: C. Use a bed alarm to alert staff Rationale: Using a bed alarm helps staff respond promptly to residents at risk of falls and prevent accidents. Question: Which of the following tasks is within the scope of practice for a nurse aide? A. Administering medications B. Performing wound care C. Providing emotional counseling to residents D. Assisting residents with activities of daily living Correct Answer: D. Assisting residents with activities of daily living Rationale: Nurse aides are trained to assist residents with daily activities to support their well-being and independence. Question: A resident exhibits signs of dehydration, including dry mouth and dark urine. What should the nurse aide do first? A. Offer the resident caffeinated beverages B. Encourage the resident to drink more water C. Restrict the resident's fluid intake D. Wait for the nurse to assess the resident Correct Answer: B. Encourage the resident to drink more water Rationale: Encouraging increased fluid intake helps address dehydration and promote the resident's health and well-being.