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

Download NC Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! NC 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 medications B) Performing minor surgeries C) Assisting with activities of daily living D) Diagnosing common ailments Correct Answer: C Rationale: Nurse Aides are essential in assisting residents with activities of daily living, which is a fundamental aspect of basic nursing care. 2. A resident has a sudden onset of dyspnea. What is the first action a Nurse Aide should take? A) Wait for symptoms to subside B) Immediately begin CPR C) Position the resident to ease breathing D) Leave the resident to inform a nurse Correct Answer: C Rationale: Positioning the resident to ease breathing is crucial as it can immediately address the discomfort and potential danger of dyspnea. 3. In promoting the safety of residents, which action by a Nurse Aide demonstrates proper procedure? Rationale: Proper hand hygiene is the most effective way to prevent the spread of infections in a healthcare setting. 8. How should a Nurse Aide respond to a resident expressing feelings of loneliness? A) Dismiss the feelings as unimportant B) Encourage the resident to sleep it off C) Engage in active listening and provide companionship D) Inform the resident that staff is too busy to talk Correct Answer: C Rationale: Active listening and companionship address the emotional needs of residents, which is an integral part of a Nurse Aide's role. 9. What is the correct procedure for transferring a resident from a bed to a wheelchair? A) Lift the resident without assistance B) Use a mechanical lift if required C) Have the resident transfer themselves D) Drag the resident to the wheelchair Correct Answer: B Rationale: Using a mechanical lift ensures safety for both the resident and the Nurse Aide during transfers. 10. A resident with hypertension should have their blood pressure monitored: A) Once a month B) Only when they request it C) At intervals as directed by a care plan D) Never, as it causes stress Correct Answer: C Rationale: Regular monitoring as per the care plan is essential for managing hypertension effectively. 11. When a resident falls, what is the first step a Nurse Aide should take? A) Move the resident back to their bed B) Assess the resident for injuries C) Leave the resident to find help D) Take a break as the situation is stressful Correct Answer: B Rationale: Assessing for injuries immediately can help determine the next steps in care and prevent further harm. 12. In promoting the function and health of residents, what dietary consideration is important? A) Serving the same food to all residents B) Ensuring individualized meal plans based on nutritional needs C) Allowing residents to skip meals D) Focusing solely on calorie intake Correct Answer: B Rationale: Individualized meal plans cater to the specific dietary requirements and promote better health outcomes. 13. A resident with Alzheimer's disease is agitated. How should a Nurse Aide intervene? A) Restrain the resident immediately B) Speak in a loud and commanding voice C) Provide a calm environment and reassurance D) Ignore the resident's behavior Correct Answer: C Rationale: A calm environment and reassurance can help reduce agitation in residents with Alzheimer's disease. 14. When documenting care provided to residents, what is essential for a Nurse Aide to remember? A) Only document positive outcomes B) Record all care accurately and promptly C) Make up details if unsure D) Leave documentation to the end of the shift Correct Answer: B A) Diagnosing medical conditions B) Prescribing medications C) Monitoring vital signs D) Performing surgical procedures Correct Answer: C Rationale: Nurse Aides assist with basic care tasks like monitoring vital signs to support the overall healthcare team. Question: When caring for residents with changes in health, Nurse Aides should: A) Disregard changes in the residents' condition B) Report any changes to the nursing staff C) Avoid communicating with the residents D) Implement treatment plans without consulting the healthcare team Correct Answer: B Rationale: Reporting changes in residents' health to the nursing staff is essential for timely intervention and appropriate care adjustments. Question: Which of the following is a common safety measure in a healthcare facility? A) Ignoring safety protocols B) Using faulty equipment C) Maintaining a clean and organized environment D) Disregarding patient preferences Correct Answer: C Rationale: A clean and organized environment promotes safety by reducing the risk of infections and accidents. Question: What should Nurse Aides prioritize when assisting residents with mobility? A) Encouraging residents to stay in bed B) Limiting residents' access to mobility aids C) Promoting safe and independent movement D) Restricting residents' physical activity Correct Answer: C Rationale: Promoting safe and independent movement helps residents maintain mobility and prevents complications from immobility. Question: How can Nurse Aides support residents' emotional well-being? A) Ignoring residents' emotional needs B) Providing compassionate care and active listening C) Avoiding interactions with residents D) Disregarding residents' privacy Correct Answer: B Rationale: Providing compassionate care and actively listening to residents can positively impact their emotional well-being. Question: Which of the following is a sign of effective communication between healthcare team members? A) Withholding information from colleagues B) Using unclear language C) Sharing relevant information in a timely manner D) Avoiding collaboration with other team members Correct Answer: C Rationale: Effective communication involves sharing relevant information promptly to ensure coordinated care. Question: In providing specialized care for residents with dementia, Nurse Aides should: A) Use complex medical terminology B) Maintain a predictable routine C) Disregard residents' preferences D) Avoid engaging in activities with residents Correct Answer: B Rationale: Maintaining a predictable routine can help reduce anxiety and confusion in residents with dementia. Question: How can Nurse Aides ensure patient confidentiality? A) Sharing patient information with unauthorized individuals Question: Which action is appropriate when assisting residents with personal hygiene? A) Rushing through the process to save time B) Respecting residents' privacy and dignity C) Ignoring residents' preferences for hygiene products D) Using harsh chemicals on residents' skin Correct Answer: B Rationale: Respecting residents' privacy and dignity during personal hygiene tasks promotes their sense of well-being and comfort. Question: When providing oral care to residents, Nurse Aides should: A) Skip oral care routines to save time B) Use abrasive materials on residents' teeth C) Follow proper oral hygiene procedures D) Disregard residents' comfort during the process Correct Answer: C Rationale: Following proper oral hygiene procedures helps maintain residents' oral health and prevents complications. Question: How can Nurse Aides assist residents with chronic conditions in managing their health? A) Disregarding residents' treatment plans B) Encouraging residents to neglect self-care C) Supporting residents in following their care plans D) Avoiding discussions about residents' health conditions Correct Answer: C Rationale: Supporting residents in following their care plans empowers them to manage their health effectively. Question: What should Nurse Aides do if they encounter a resident experiencing a medical emergency? A) Panic and avoid taking action B) Wait for a nurse to arrive before providing assistance C) Assess the situation, call for help, and provide appropriate care D) Disregard the resident's distress Correct Answer: C Rationale: Assessing the situation, calling for help, and providing appropriate care can help stabilize the resident until further assistance arrives. Question: Why is it important for Nurse Aides to engage in continuous professional development? A) To avoid updating their knowledge and skills B) To maintain current standards of practice C) To limit their understanding of new healthcare practices D) To disregard advancements in the field Correct Answer: B Rationale: Continuous professional development helps Nurse Aides stay current with best practices and advancements in healthcare, ensuring high-quality care for residents. 1. **What should a nurse aide do if they notice a change in a resident’s condition?** - a) Ignore it and continue with the routine - b) Notify the resident’s family - c) Report the change to the nurse immediately - d) Document it at the end of the shift - **Correct Answer: c) Report the change to the nurse immediately** - **Rationale:** Immediate communication with the nurse ensures timely assessment and intervention, which is critical for the resident's health. 2. **Which of the following is NOT within the scope of practice for a nurse aide?** - a) Assisting with activities of daily living (ADLs) - b) Administering medication - c) Taking vital signs ### Promotion of Function and Health of Residents 7. **Which of the following activities promotes cardiovascular health in residents?** - a) Passive range of motion exercises - b) Providing a high-calorie diet - c) Engaging in regular, active exercise - d) Encouraging prolonged bed rest - **Correct Answer: c) Engaging in regular, active exercise** - **Rationale:** Active exercise promotes cardiovascular health by improving circulation and strengthening the heart. 8. **To maintain skin integrity in residents, a nurse aide should:** - a) Keep the skin dry and clean - b) Apply excessive lotion and oils - c) Avoid repositioning residents frequently - d) Limit fluid intake - **Correct Answer: a) Keep the skin dry and clean** - **Rationale:** Dry, clean skin is less likely to develop infections or bedsores. 9. **How can a nurse aide encourage independence in residents?** - a) Performing all tasks for them - b) Providing appropriate levels of assistance - c) Encouraging residents to ask for help with everything - d) Restricting access to mobility aids - **Correct Answer: b) Providing appropriate levels of assistance** - **Rationale:** Matching the level of assistance to each resident's needs promotes independence while ensuring safety. ### Basic Nursing Care Provided by the Nurse Aide 10. **What is the most appropriate action when a resident refuses a bath?** - a) Force the resident to take a bath - b) Respect their decision and report to the nurse - c) Skip the bath and move to the next task - d) Insist that it is for their own good - **Correct Answer: b) Respect their decision and report to the nurse** - **Rationale:** Respecting autonomy while communicating the refusal ensures resident rights and proper documentation. 11. **When performing oral care for an unconscious resident, the nurse aide should:** - a) Use a large amount of water - b) Place the resident in a supine position - c) Turn the resident’s head to the side - d) Avoid brushing their teeth - **Correct Answer: c) Turn the resident’s head to the side** - **Rationale:** Positioning the head to the side prevents aspiration. 12. **When assisting a resident with eating, a nurse aide should:** - a) Stand next to the resident - b) Feed the resident as quickly as possible - c) Sit at eye level and engage in conversation - d) Ask “yes” or “no” questions only - **Correct Answer: c) Sit at eye level and engage in conversation** - **Rationale:** Engaging with the resident at eye level promotes social interaction and makes the meal more enjoyable. ### Providing Specialized Care for Residents with Changes in Health 13. **For a resident with dementia, which is the best approach when they become agitated?** - a) Confront them about their behavior - b) Provide a calm and safe environment 18. **To prevent pressure ulcers, it is important to:** - a) Minimize movement of the resident - b) Keep the resident's skin moist - c) Reposition the resident frequently - d) Use hard mattresses - **Correct Answer: c) Reposition the resident frequently** - **Rationale:** Frequent repositioning reduces prolonged pressure on any one area of the body. 19. **When providing care for a resident with a respiratory condition, the nurse aide should first:** - a) Increase the resident's activity level - b) Ensure the resident is lying flat - c) Maintain an open airway - d) Encourage a high-sugar diet - **Correct Answer: c) Maintain an open airway** - **Rationale:** Securing an open airway is critical for adequate breathing. 20. **Medication-related side effects that require immediate attention include:** - a) Mild headaches - b) Severe allergic reactions - c) Slight dizziness - d) Minor swelling - **Correct Answer: b) Severe allergic reactions** - **Rationale:** Severe allergic reactions can be life-threatening and necessitate prompt intervention. 21. **The most appropriate intervention for a resident experiencing severe pain is:** - a) Offering distraction techniques - b) Ignoring the pain until a nurse arrives - c) Reporting immediately to the nurse - d) Only documenting the pain level - **Correct Answer: c) Reporting immediately to the nurse** - **Rationale:** Prompt reporting allows for appropriate pain management interventions. 22. **If a resident is suspected of having a stroke, the nurse aide should:** - a) Assist them to walk to the bathroom - b) Offer food and drink - c) Call for emergency medical help immediately - d) Try to diagnose the condition - **Correct Answer: c) Call for emergency medical help immediately** - **Rationale:** Immediate medical intervention is crucial in stroke management. 23. **When handling a resident’s discharge, the nurse aide’s role includes:** - a) Developing the discharge planning - b) Ensuring the resident packs their belongings - c) Arranging transportation and follow-up appointments - d) Documenting the discharge process - **Correct Answer: b) Ensuring the resident packs their belongings** - **Rationale:** Pack resident’s belongings to ensure they have all necessary items for their transition. 24. **For residents with Parkinson’s disease, which of the following is most effective in managing their care?** - a) Restricting their movement - b) Providing a low-protein diet - c) Ensuring a safe environment to prevent falls - d) Discouraging independence - **Correct Answer: c) Ensuring a safe environment to prevent falls** - **Rationale:** Parkinson’s can affect balance, so safety measures reduce fall risks.