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

Download MD Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! MD Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When a nurse aide is assisting a resident with ambulation, what is the most important principle to follow? A. Encourage the resident to walk alone for independence B. Use proper body mechanics to prevent injury C. Rush the resident to reach their destination faster D. Skip the use of assistive devices for faster movement Correct Answer: B. Use proper body mechanics to prevent injury Rationale: Using proper body mechanics ensures the safety of the resident and the nurse aide by reducing the risk of injury during ambulation. 2. A resident with limited mobility is at risk for pressure ulcers. Which action by the nurse aide is most appropriate to prevent pressure ulcers? A. Repositioning the resident every 8 hours B. Keeping the resident in a single position for long periods C. Massaging bony prominences to increase blood flow D. Using pillows and cushions to relieve pressure points Correct Answer: D. Using pillows and cushions to relieve pressure points Correct Answer: B. Participating in daily exercise and movement Rationale: Encouraging residents to engage in daily exercise and movement promotes physical health, improves mobility, and helps prevent conditions associated with immobility. 7. A resident with diabetes requires specific foot care to prevent complications. The nurse aide should: A. Avoid inspecting the resident's feet regularly B. Apply lotion between the toes to keep the skin moist C. Cut the resident's toenails short to prevent injury D. Encourage the resident to walk barefoot to improve circulation Correct Answer: B. Apply lotion between the toes to keep the skin moist Rationale: Applying lotion between the toes can help prevent dryness and cracking, reducing the risk of infection and complications for a resident with diabetes. 8. When assisting a resident with a urinary catheter, the nurse aide should ensure: A. Securing the catheter tubing tightly to prevent leaks B. Regularly emptying the urinary drainage bag to prevent infection C. Changing the catheter every two weeks to maintain hygiene D. Allowing the resident to pull on the catheter tubing for comfort Correct Answer: B. Regularly emptying the urinary drainage bag to prevent infection Rationale: Regularly emptying the urinary drainage bag helps maintain proper urine flow, reduces the risk of infection, and ensures the resident's comfort and safety. 9. A resident is experiencing symptoms of dehydration. The nurse aide should encourage the resident to: A. Limit fluid intake to prevent frequent urination B. Drink caffeinated beverages to increase alertness C. Consume foods high in water content, such as fruits and vegetables D. Avoid drinking water to reduce urine output Correct Answer: C. Consume foods high in water content, such as fruits and vegetables Rationale: Consuming foods high in water content can help address dehydration and provide essential nutrients needed for overall health and well-being. 10. When providing perineal care to a resident, the nurse aide should: A. Use harsh soaps to ensure cleanliness B. Clean the perineal area from back to front C. Rinse the area thoroughly to prevent irritation D. Skip wearing gloves to save time Correct Answer: C. Rinse the area thoroughly to prevent irritation Rationale: Thoroughly rinsing the perineal area after cleaning helps prevent irritation and infection, promoting the resident's comfort and hygiene. When providing basic nursing care, which of the following is a primary responsibility of a Nurse Aide? a) Administering prescription medication b) Performing minor surgery c) Assisting with activities of daily living d) Diagnosing common ailments 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 personal care tasks they cannot do themselves, ensuring comfort and promoting dignity. A resident with limited mobility needs to be transferred from the bed to a wheelchair. What is the most important safety consideration? a) The resident's preference for transfer time b) The type of clothing the resident is wearing Correct Answer: c) Report the complaint to the supervising nurse Rationale: Pain can indicate underlying health issues; therefore, it is important for the Nurse Aide to report it to the nurse for further assessment and management. A Nurse Aide notices a change in a resident's skin integrity. What is the next step? a) Apply a bandage and continue with other duties b) Wait for the resident to bring it up c) Document the change and report it to the nurse d) Assume it is a minor issue and monitor it Correct Answer: c) Document the change and report it to the nurse Rationale: Changes in skin integrity can lead to serious complications; prompt reporting allows for timely intervention. Which of the following is an example of specialized care for a resident with changes in health? a) Encouraging self-care and independence b) Providing post-operative wound care c) Facilitating social activities d) Teaching the resident to read Correct Answer: b) Providing post-operative wound care Rationale: Specialized care often involves medical-related tasks beyond basic care, such as wound management after surgery. In promoting the function and health of residents, what role does nutrition play? a) No role, as residents have set diets b) A minor role compared to medication c) A critical role in maintaining and improving health d) Only a role in weight management Correct Answer: c) A critical role in maintaining and improving health Rationale: Proper nutrition is fundamental to overall health and can aid in recovery, maintenance of function, and prevention of disease. A resident expresses a desire to discuss end-of-life care. How should the Nurse Aide respond? a) Change the subject to avoid discomfort b) Listen and notify the supervising nurse to address the resident's concerns c) Tell the resident it is not an appropriate time to discuss such matters d) Provide personal opinions on end-of-life care Correct Answer: b) Listen and notify the supervising nurse to address the resident's concerns Rationale: It is important to respect the resident's wishes and ensure they are heard by those qualified to discuss and make decisions regarding end-of-life care. What is the most effective way for a Nurse Aide to prevent the spread of infection? a) Use of personal protective equipment (PPE) and proper hand hygiene b) Taking antibiotics regularly c) Keeping residents in isolation d) Cleaning only visible dirt Correct Answer: a) Use of personal protective equipment (PPE) and proper hand hygiene Rationale: PPE and hand hygiene are the primary defenses against the transmission of infectious agents within healthcare settings. A resident with a history of falls should have which of the following included in their care plan? a) Restriction from walking unassisted at any time b) Regular exercise and mobility assessments c) Complete bed rest to avoid any risk of falling d) Sedation to prevent overactivity Correct Answer: b) Regular exercise and mobility assessments Rationale: Respecting the resident's autonomy and ensuring proper documentation are essential in this situation. Promotion of Safety: A resident is at risk of falling. What interventions should the nurse aide implement to prevent falls? A) Restrict the resident to bed rest B) Place the call light within reach C) Encourage the resident to walk without assistance D) Keep the floor cluttered to avoid tripping hazards Correct Answer: B) Place the call light within reach Rationale: Placing the call light within reach enables the resident to call for assistance when needed, promoting safety. Promotion of Function and Health of Residents: How can the nurse aide assist a resident in maintaining independence in activities of daily living (ADLs)? A) Perform all ADLs for the resident to save time B) Encourage the resident to skip ADLs if they are tired C) Provide assistance based on the resident's preferences and abilities D) Discourage the resident from participating in ADLs Correct Answer: C) Provide assistance based on the resident's preferences and abilities Rationale: Supporting the resident in ADLs while respecting their preferences helps maintain independence and dignity. Basic Nursing Care Provided by the Nurse Aide: When providing oral care to a resident, what is the correct procedure for cleaning the resident's teeth? A) Use soap and water to clean the teeth B) Brush the teeth gently with a toothbrush and toothpaste C) Skip oral care if the resident refuses D) Use mouthwash for cleaning the teeth Correct Answer: B) Brush the teeth gently with a toothbrush and toothpaste Rationale: Proper oral care involves using a toothbrush and toothpaste to clean the resident's teeth effectively. Providing Specialized Care for Residents with Changes in Health: A resident with diabetes is experiencing low blood sugar levels. What actions should the nurse aide take? A) Offer the resident sugary snacks or drinks B) Wait for the nurse to arrive before providing any assistance C) Administer insulin to the resident D) Provide the resident with a complex carbohydrate snack Correct Answer: A) Offer the resident sugary snacks or drinks Rationale: Providing quick-acting sugar helps raise the resident's blood sugar levels in cases of hypoglycemia. 1. When assisting a resident to prevent skin breakdown, the nurse aide should: A) Apply lotion to dry areas of the skin. B) Massage bony prominences to promote circulation. C) Keep the skin moist with constant application of talcum powder. D) Avoid frequent turning and repositioning to prevent unnecessary discomfort. Correct Answer: A) Apply lotion to dry areas of the skin. Rationale: Applying lotion to dry areas of the skin helps keep the skin moisturized and prevents dryness, reducing the risk of skin breakdown. 2. Which of the following actions by a nurse aide demonstrates promoting safety in a long-term care facility? A) Allowing a confused resident to wander freely without supervision. B) Using bedrails when a resident is at risk of falling. C) Ignoring call bells and requests for assistance from residents. D) Leaving spillages on the floor for housekeeping to clean up later. Correct Answer: B) Monitor the resident's weight and report changes to the healthcare team. Rationale: Monitoring weight and reporting changes is crucial to identify trends in weight gain or loss and address any potential health concerns in a timely manner. 7. To prevent pressure ulcers in a bedridden resident, the nurse aide should: A) Turn and reposition the resident every 4 hours. B) Avoid using pressure-reducing devices on the bed. C) Keep linens dry and free from wrinkles. D) Apply direct pressure to bony areas to toughen the skin. Correct Answer: A) Turn and reposition the resident every 4 hours. Rationale: Regular turning and repositioning help relieve pressure on vulnerable areas and prevent the development of pressure ulcers in bedridden residents. 8. When assisting a resident with range of motion exercises, the nurse aide should: A) Perform the exercises quickly to save time. B) Move the joints beyond their normal range of motion to increase flexibility. C) Stop the exercises if the resident experiences pain. D) Perform exercises only once a week to avoid discomfort. Correct Answer: C) Stop the exercises if the resident experiences pain. Rationale: Range of motion exercises should not cause pain to the resident, and any discomfort should be addressed promptly by stopping the exercises and notifying the healthcare team. 9. A resident with limited mobility requires assistance with ambulation. The nurse aide should: A) Leave the resident unattended during ambulation to promote independence. B) Use a gait belt to assist the resident while walking. C) Encourage the resident to walk without any support. D) Rush the resident through the ambulation process to save time. Correct Answer: B) Use a gait belt to assist the resident while walking. Rationale: Using a gait belt provides support and stability to residents during ambulation, reducing the risk of falls or injuries. 10. When providing oral care to a resident with dementia, the nurse aide should: A) Brush the resident's teeth quickly to minimize resistance. B) Use a firm grip to force the resident to open their mouth. C) Provide verbal cues and gentle assistance to encourage cooperation. D) Skip oral care if the resident refuses to cooperate. Correct Answer: C) Provide verbal cues and gentle assistance to encourage cooperation. Rationale: Providing verbal cues and gentle assistance helps residents with dementia feel more comfortable during oral care and promotes cooperation. 11. A resident with a nasogastric tube requires feeding. The nurse aide should: A) Administer tube feedings without checking the placement of the tube. B) Elevate the head of the bed to prevent aspiration during feedings. C) Forcefully push feedings through the tube if the resident experiences resistance. D) Change the tube feeding formula without consulting a healthcare provider. Correct Answer: B) Elevate the head of the bed to prevent aspiration during feedings. Rationale: Elevating the head of the bed helps prevent aspiration during tube feedings by promoting proper digestion and reducing the risk of complications. Correct Answer: C) Monitor the wound vac system for proper functioning and empty the collection canister as needed. Rationale: Monitoring the wound vac system and ensuring proper functioning helps promote healing and prevents complications in residents receiving wound vac therapy. 16. A resident with Alzheimer's disease becomes agitated and aggressive. The nurse aide should: A) Use physical restraints to prevent disruptive behavior. B) Speak loudly to the resident to gain their attention. C) Provide a calm, soothing environment and redirect the resident's attention. D) Ignore the resident's behavior and leave the room. Correct Answer: C) Provide a calm, soothing environment and redirect the resident's attention. Rationale: Providing a calm environment and redirecting attention can help de-escalate agitated behavior in residents with Alzheimer's disease, promoting a more positive interaction. 17. A resident with a history of falls is at risk for injury. The nurse aide should: A) Encourage the resident to walk without any assistance to promote independence. B) Keep the floor cluttered with objects to encourage better balance. C) Place non-skid socks or slippers on the resident to prevent slipping. D) Rush the resident through activities to save time. Correct Answer: C) Place non-skid socks or slippers on the resident to prevent slipping. Rationale: Using non-skid socks or slippers helps prevent slips and falls in residents at risk for injury, promoting safety and reducing the risk of accidents. 18. Proper technique for assisting a resident with using a walker includes: A) Holding the walker slightly in front of the resident for better control. B) Encouraging the resident to lean on the walker heavily for support. C) Walking slightly behind the resident while holding onto the walker handles. D) Allowing the resident to move the walker without assistance. Correct Answer: C) Walking slightly behind the resident while holding onto the walker handles. Rationale: Walking slightly behind the resident while holding onto the walker handles provides support and stability, allowing the resident to move safely and confidently. 19. A resident with Parkinson's disease experiences tremors. The nurse aide should: A) Discourage the resident from engaging in physical activities to prevent falls. B) Provide assistance with eating and drinking to prevent spills. C) Rush the resident through activities to save time. D) Use a calm, steady approach when assisting the resident. Correct Answer: D) Use a calm, steady approach when assisting the resident. Rationale: Using a calm and steady approach helps residents with Parkinson's disease manage their tremors and feel more secure during activities, promoting safety and comfort. 20. When assisting a resident with a feeding tube, the nurse aide should: A) Flush the feeding tube with medication without checking for proper placement. B) Allow the feeding tube to curl up on the bed to prevent pulling. C) Elevate the head of the bed during feeding tube administration. D) Fill the water syringe with apple juice before flushing the feeding tube. Correct Answer: C) Elevate the head of the bed during feeding tube administration.