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

Download MA Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! MA Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. Which of the following responsibilities falls under the role of a nurse aide? A. Diagnosing medical conditions B. Prescribing medication C. Assisting with activities of daily living D. Performing surgical procedures Correct Answer: C. Assisting with activities of daily living Rationale: Nurse aides primarily support patients with daily tasks like bathing, dressing, and eating, rather than diagnosing or treating medical conditions. 2. How does a nurse aide promote safety in a healthcare setting? A. Administering medications B. Providing emotional support to patients C. Keeping the environment clean and free of hazards D. Conducting physical assessments Correct Answer: C. Keeping the environment clean and free of hazards Rationale: Maintaining a safe environment is crucial in preventing accidents and promoting overall safety for patients. D. Restraining residents in bed to prevent movement Correct Answer: C. Using pillows and support devices to maintain proper alignment Rationale: Proper body alignment is essential for preventing musculoskeletal issues, and nurse aides can help by using pillows and support devices. 8. How can a nurse aide assist in promoting skin integrity for residents? A. Turning and repositioning residents regularly B. Applying harsh chemicals to the skin C. Keeping the skin dry and unprotected D. Failing to check the skin for signs of breakdown Correct Answer: A. Turning and repositioning residents regularly Rationale: Regularly turning and repositioning residents can help prevent pressure ulcers and promote skin integrity. 9. What is an essential aspect of providing oral care for residents? A. Encouraging residents to skip oral hygiene if they are too tired B. Using a hard-bristled toothbrush for oral care C. Ignoring any signs of bleeding or inflammation in the mouth D. Providing assistance to residents who have difficulty performing oral care independently Correct Answer: D. Providing assistance to residents who have difficulty performing oral care independently Rationale: Nurse aides should offer support to residents who have difficulty with oral care to ensure proper hygiene and prevent oral health issues. 10. How can a nurse aide support residents with respiratory conditions? A. Encouraging smoking to alleviate stress B. Promoting deep breathing exercises as advised by healthcare professionals C. Ensuring residents are in poorly ventilated rooms D. Ignoring any signs of respiratory distress Correct Answer: B. Promoting deep breathing exercises as advised by healthcare professionals Rationale: Nurse aides can help residents with respiratory conditions by supporting prescribed treatments like breathing exercises to improve lung function. 11. What is the importance of proper hand hygiene for nurse aides? A. It is unnecessary and time-consuming B. It helps prevent the spread of infection C. It can be skipped if gloves are worn D. It only applies to healthcare professionals, not nurse aides Correct Answer: B. It helps prevent the spread of infection Rationale: Proper hand hygiene is crucial in preventing the transmission of infections between patients and healthcare workers. 12. How can a nurse aide promote nutrition for residents? A. Encouraging residents to skip meals if they are not hungry B. Offering a limited variety of foods to residents C. Assisting residents who need help with eating D. Withholding fluids from residents throughout the day Correct Answer: C. Assisting residents who need help with eating Rationale: Nurse aides can support residents by providing assistance with eating and ensuring they receive proper nutrition. 13. What is the role of a nurse aide in managing residents' pain? A. Disregarding residents' reports of pain B. Administering pain medication without a doctor's order C. Documenting residents' pain levels and responses to interventions D. Limiting residents' access to pain relief measures Correct Answer: C. Documenting residents' pain levels and responses to interventions Rationale: Nurse aides should accurately document residents' pain levels and responses to interventions to assist in pain management. A. Discouraging residents from moving to prevent injury B. Limiting physical activity during the recovery process C. Encouraging residents to engage in gentle exercises as advised by healthcare professionals D. Lifting residents without proper body mechanics Correct Answer: C. Encouraging residents to engage in gentle exercises as advised by healthcare professionals Rationale: Promoting mobility through gentle exercises can aid in the recovery process for residents after surgery. 19. What should a nurse aide prioritize when assisting residents with toileting needs? A. Allowing residents to remain in soiled briefs for extended periods B. Providing privacy and dignity during toileting assistance C. Delaying assistance as requests for help with toileting may not be urgent D. Using any available bathroom stall regardless of cleanliness Correct Answer: B. Providing privacy and dignity during toileting assistance Rationale: Maintaining residents' privacy and dignity during toileting assistance is important in promoting their comfort and well-being. 20. How can a nurse aide assist residents with maintaining a safe environment in their living space? A. Keeping clutter and hazards in the residents' room B. Allowing residents to have personal items that pose safety risks C. Encouraging residents to rearrange furniture without supervision D. Ensuring walkways are clear and well-lit to prevent falls Correct Answer: D. Ensuring walkways are clear and well-lit to prevent falls Rationale: Nurse aides can support residents in maintaining a safe environment by ensuring walkways are free of clutter and hazards to prevent accidents like falls. 21. What is the nurse aide's role in communicating residents' needs to the healthcare team? A. Withholding information from other healthcare professionals B. Documenting residents' needs without sharing with the team C. Advocating for residents and reporting their needs to the healthcare team D. Communicating only with residents about their needs Correct Answer: C. Advocating for residents and reporting their needs to the healthcare team Rationale: Nurse aides play an important role in advocating for residents by communicating their needs and concerns to the healthcare team for appropriate care planning. 22. How can a nurse aide assist residents with maintaining oral health? A. Encouraging residents to skip brushing their teeth regularly B. Providing assistance with oral care, including brushing and flossing C. Using harsh chemicals on residents' gums and teeth D. Ignoring any signs of oral pain or discomfort reported by residents Correct Answer: B. Providing assistance with oral care, including brushing and flossing Rationale: Nurse aides can help residents maintain good oral health by providing assistance with brushing and flossing as part of daily care routines. 23. How should a nurse aide approach providing emotional support to residents? A. Ignoring residents' emotional needs B. Showing empathy and active listening during interactions C. Discouraging residents from expressing their emotions D. Focusing on tasks without considering residents' emotional well-being Correct Answer: B. Showing empathy and active listening during interactions Rationale: Nurse aides can provide emotional support by showing empathy, actively listening to residents, and acknowledging their emotions during interactions. 24. What is the nurse aide's responsibility in promoting independence for residents with mobility impairments? 28. What is the importance of respecting residents' cultural and religious beliefs as a nurse aide? A. Disregarding residents' preferences related to cultural and religious practices B. Providing care that aligns with residents' cultural and religious beliefs C. Encouraging residents to change their beliefs to fit the healthcare setting D. Ignoring any requests for accommodations based on cultural or religious beliefs Correct Answer: B. Providing care that aligns with residents' cultural and religious beliefs Rationale: Respecting residents' cultural and religious beliefs is crucial in providing person-centered care that promotes their well-being and comfort. 29. How can a nurse aide assist residents with maintaining optimal hydration levels? A. Limiting residents' access to fluids throughout the day B. Ignoring residents' requests for beverages C. Encouraging residents to drink fluids regularly and offering assistance as needed D. Restricting residents from having fluids during mealtime Correct Answer: C. Encouraging residents to drink fluids regularly and offering assistance as needed Rationale: Nurse aides should support residents in maintaining optimal hydration levels by encouraging regular fluid intake and providing assistance as needed. 30. What is the role of a nurse aide in managing residents' personal care routines? A. Ignoring residents' preferences related to personal care B. Providing assistance with personal care tasks as needed and respecting residents' choices C. Rushing through personal care routines to save time D. Restricting residents' access to personal belongings Correct Answer: B. Providing assistance with personal care tasks as needed and respecting residents' choices Rationale: Nurse aides should provide assistance with personal care tasks as needed while respecting residents' choices and preferences to promote their comfort and well-being. Question: While assisting a resident with mobility, the nurse aide observes sudden chest pain and shortness of breath. What should be the immediate action? A) Continue assisting with mobility B) Call for help and stay with the resident C) Leave the resident and inform the charge nurse D) Ignore the symptoms and continue with other tasks Correct Answer: B) Call for help and stay with the resident Rationale: Sudden chest pain and shortness of breath could indicate a medical emergency like a heart attack. Calling for help and staying with the resident ensures prompt assistance and monitoring. Question: When promoting safety in a resident's room, which of the following actions by the nurse aide is appropriate? A) Placing the call light out of the resident's reach B) Keeping the floor clutter-free and dry C) Leaving spilled liquids unattended D) Using dim lighting during nighttime Correct Answer: B) Keeping the floor clutter-free and dry Rationale: Maintaining a clutter-free and dry environment reduces the risk of falls and other accidents, promoting the safety of residents. Question: Which of the following activities falls under the promotion of function and health of residents by the nurse aide? A) Encouraging independence in daily tasks B) Restricting residents to bed rest at all times C) Discouraging social interactions among residents D) Avoiding physical exercise for residents Correct Answer: A) Encouraging independence in daily tasks Rationale: Encouraging residents to be independent in their daily tasks promotes their physical and mental well-being, enhancing their overall function and health. A) Keeping the skin moist at all times B) Changing the resident's position frequently C) Massaging bony prominences vigorously D) Using harsh soaps for bathing Correct Answer: B) Changing the resident's position frequently Rationale: Regular position changes reduce pressure on the skin, decreasing the risk of pressure ulcers for residents who are immobile. Question: When assisting a resident with feeding, what precautions should the nurse aide take to prevent aspiration? A) Feeding the resident quickly to save time B) Allowing the resident to lie down during meals C) Monitoring for signs of choking or coughing D) Leaving the resident unattended while eating Correct Answer: C) Monitoring for signs of choking or coughing Rationale: Monitoring for signs of choking or coughing allows the nurse aide to intervene promptly and prevent aspiration during feeding. Question: What is the role of the nurse aide in maintaining infection control in a healthcare setting? A) Wearing gloves only when convenient B) Proper hand hygiene before and after resident care C) Reusing disposable gloves for multiple residents D) Disposing of used needles in regular trash bins Correct Answer: B) Proper hand hygiene before and after resident care Rationale: Proper hand hygiene is crucial in preventing the spread of infections between residents and maintaining a safe environment. Question: How can the nurse aide assist residents with impaired mobility in maintaining their independence? A) Encouraging residents to remain sedentary B) Providing assistive devices as needed C) Restricting residents' movements D) Discouraging participation in physical activities Correct Answer: B) Providing assistive devices as needed Rationale: Providing assistive devices helps residents with impaired mobility maintain their independence in mobility tasks and enhances their quality of life. Question: What measures should the nurse aide take to ensure resident privacy and dignity during care? A) Performing care tasks in full view of other residents B) Using derogatory language to address residents C) Closing curtains or doors during personal care D) Rushing through care tasks to save time Correct Answer: C) Closing curtains or doors during personal care Rationale: Closing curtains or doors during personal care tasks respects the resident's privacy and maintains their dignity during care provision. Question: A resident develops a skin rash after using a new soap. What should the nurse aide do first? A) Apply an over-the-counter ointment to the rash B) Continue using the same soap to prevent further reactions C) Report the rash to the charge nurse D) Ignore the rash as it will resolve on its own Correct Answer: C) Report the rash to the charge nurse Rationale: Reporting the skin rash to the charge nurse allows for appropriate assessment and management to prevent further complications. Question: When assisting a resident with oral care, what precautions should the nurse aide take to prevent aspiration? A) Allowing the resident to drink water freely during care B) Using a toothbrush with hard bristles C) Ensuring the resident is in an upright position D) Rushing through oral care tasks to save time Correct Answer: C) Ensuring the resident is in an upright position Rationale: Ensuring the resident is in an upright position during oral care reduces the risk of aspiration and promotes safe swallowing. A) Using harsh soaps and hot water for bathing B) Vigorously scrubbing the skin with a towel C) Applying moisturizers to dry skin D) Avoiding hydration of the skin Correct Answer: C) Applying moisturizers to dry skin Rationale: Applying moisturizers helps maintain skin hydration and integrity, preventing dryness and skin breakdown in residents. Question: How can the nurse aide provide emotional support to residents in a long-term care facility? A) Ignoring residents' emotional needs B) Listening actively and empathetically C) Minimizing interactions with residents D) Avoiding eye contact during conversations Correct Answer: B) Listening actively and empathetically Rationale: Listening actively and empathetically to residents' concerns provides emotional support and fosters a trusting relationship between the nurse aide and the resident. 1. When providing basic nursing care, which of the following is the primary responsibility of a nurse aide? a) Administering medications b) Assisting with surgical procedures c) Ensuring comfort and safety of residents d) Conducting physical therapy sessions Correct Answer: c) Ensuring comfort and safety of residents Rationale: The primary role of a nurse aide in basic nursing care is to ensure that the residents are comfortable and safe, as they are directly involved in the day-to-day care of patients. 2. A resident with limited mobility needs to be repositioned. What is the best practice for a nurse aide to follow? a) Reposition every four hours b) Use a mechanical lift for all repositioning c) Reposition according to the care plan, usually every two hours d) Wait for the resident to request repositioning Correct Answer: c) Reposition according to the care plan, usually every two hours Rationale: Regular repositioning is crucial to prevent pressure ulcers and should be done according to the individual's care plan, which typically recommends repositioning every two hours. 3. In the event of a fire, what is the FIRST action a nurse aide should take? a) Attempt to extinguish the fire b) Evacuate the residents c) Sound the alarm and follow the facility's emergency plan d) Open windows to let out smoke Correct Answer: c) Sound the alarm and follow the facility's emergency plan Rationale: Safety protocols dictate that sounding the alarm and following the established emergency plan is the first step in ensuring the safety of all residents during a fire. 4. A nurse aide notices a change in a resident's skin integrity. What is the appropriate next step? a) Apply a bandage to the area b) Report the change to the supervising nurse immediately c) Wait to see if the condition improves d) Give the resident a bath Correct Answer: b) Report the change to the supervising nurse immediately Rationale: Any changes in skin integrity should be reported to a nurse immediately to assess the need for medical intervention and prevent further deterioration. 5. When a resident expresses feelings of sadness, how should a nurse aide respond? a) Tell the resident to cheer up b) Listen empathetically and report the feelings to the supervising nurse c) Ignore the feelings as they are common in healthcare settings Rationale: Nurse aides support residents by assisting with activities of daily living, which promotes their function and health. 10. A resident with a history of falls should have what included in their care plan? a) Restraints to prevent movement b) Supervised ambulation and safety measures c) Complete bed rest d) Independent walking without supervision Correct Answer: b) Supervised ambulation and safety measures Rationale: Supervised ambulation with appropriate safety measures can help prevent falls while promoting mobility. 11. How should a nurse aide respond to a resident who refuses medication? a) Force the resident to take the medication b) Report the refusal to the supervising nurse c) Ignore the refusal and document the medication as taken d) Leave the medication with the resident to take later Correct Answer: b) Report the refusal to the supervising nurse Rationale: A resident's refusal of medication should be reported so that the healthcare team can address the issue appropriately. 12. What is an appropriate action for a nurse aide when providing specialized care for residents with changes in health? a) Making medical diagnoses b) Adjusting the care plan without consulting a nurse c) Following the care plan and reporting changes to the nurse d) Recommending alternative therapies Correct Answer: c) Following the care plan and reporting changes to the nurse Rationale: Nurse aides should follow the established care plan and report any changes in the resident's health to ensure timely and appropriate care. 13. In promoting safety, what is a key responsibility of a nurse aide? a) Leaving residents unattended in the bathroom b) Ensuring that walkways are clear of obstacles c) Ignoring wet floors d) Allowing residents to fix electrical issues Correct Answer: b) Ensuring that walkways are clear of obstacles Rationale: Keeping walkways clear is essential to prevent falls and promote a safe environment for residents.