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

Download TX Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! TX Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When providing basic nursing care, which of the following is the primary responsibility of a nurse aide? A) Administering medications B) Assisting with ambulation C) Documenting patient care D) Ensuring patient comfort Correct Answer: D) Ensuring patient comfort Rationale: The primary responsibility of a nurse aide in basic nursing care is to ensure that the patient is comfortable and their basic needs are met, which includes maintaining hygiene, ensuring proper nutrition, and managing pain. 2. A resident with limited mobility is at risk of developing pressure ulcers. What is the most effective method for a nurse aide to prevent this? A) Regular repositioning B) Applying topical medications C) Encouraging independent movement D) Increasing fluid intake Correct Answer: A) Regular repositioning Rationale: Regular repositioning is crucial for preventing pressure ulcers in residents with limited mobility, as it reduces prolonged pressure on the skin, which is the primary cause of these injuries. B) Speak in a calm and reassuring tone C) Ignore the behavior D) Offer complex activities to distract them Correct Answer: B) Speak in a calm and reassuring tone Rationale: Speaking calmly and providing reassurance can help to soothe a resident with dementia, reducing agitation and confusion without escalating the situation. 8. In promoting safety, what is an essential practice for a nurse aide when transferring a resident from a bed to a wheelchair? A) Moving quickly to minimize discomfort B) Using a mechanical lift without assistance C) Ensuring the wheelchair is locked before transfer D) Allowing the resident to transfer independently Correct Answer: C) Ensuring the wheelchair is locked before transfer Rationale: To promote safety during transfers, it is crucial to lock the wheelchair to prevent it from moving, thereby reducing the risk of falls and injuries. 9. What is the primary reason for a nurse aide to wash their hands frequently while providing care? A) To prevent personal illness B) To avoid getting the resident's belongings wet C) To prevent the spread of infection D) To comply with resident preferences Correct Answer: C) To prevent the spread of infection Rationale: Hand hygiene is the most effective measure to prevent the transmission of pathogens and reduce the spread of infection in healthcare settings. 10. A nurse aide is caring for a resident who requires total care. What does this term imply? A) The resident can perform most activities with some assistance B) The resident needs supervision but no physical assistance C) The resident is independent in all activities of daily living D) The resident is dependent on staff for all aspects of care Correct Answer: D) The resident is dependent on staff for all aspects of care Rationale: Total care means the resident relies entirely on the nurse aide or other healthcare staff for all activities of daily living, including bathing, dressing, feeding, and mobility. 11. When a resident expresses feelings of loneliness, what is an appropriate response from a nurse aide? A) Encourage social activities B) Dismiss their feelings as common C) Increase their medication dosage D) Isolate them for quiet reflection Correct Answer: A) Encourage social activities Rationale: Encouraging participation in social activities can help alleviate feelings of loneliness and promote a sense of community and belonging among residents. 12. A nurse aide observes a resident coughing during mealtime. What is the FIRST step they should take? A) Offer a drink of water B) Perform the Heimlich maneuver C) Assess the resident's airway D) Continue to monitor without intervention Correct Answer: C) Assess the resident's airway Rationale: The nurse aide should first assess the resident's airway to determine if they are choking or if there is another cause for the coughing, such as aspiration, before taking further action. 13. In the context of specialized care, what is a critical consideration for a nurse aide when caring for a resident with a terminal illness? A) Focusing solely on physical comfort B) Providing comprehensive palliative care C) Preparing legal documents for the resident D) Encouraging aggressive treatment options D. Ignoring residents' emotional needs. Correct Answer: B. Maximizing resident independence. Rationale: By promoting independence, residents can maintain their functional abilities and overall health, enhancing their quality of life in long-term care settings. Question: Which task is within the scope of practice for a Nurse Aide? A. Administering medications. B. Diagnosing medical conditions. C. Providing assistance with activities of daily living. D. Developing treatment plans. Correct Answer: C. Providing assistance with activities of daily living. Rationale: Nurse Aides are trained to assist residents with activities of daily living, such as bathing, dressing, and toileting, under the supervision of licensed healthcare professionals. Question: How should a Nurse Aide respond to a resident experiencing a sudden change in health status? A. Wait for the next scheduled assessment. B. Report the change to the nursing staff immediately. C. Assume the resident will recover on their own. D. Keep the information to themselves. Correct Answer: B. Report the change to the nursing staff immediately. Rationale: Timely reporting of changes in health status is crucial for prompt evaluation and appropriate intervention by the healthcare team to address the resident's needs. Question: What is the role of the Nurse Aide in preventing pressure ulcers? A. Limiting resident mobility. B. Repositioning residents regularly. C. Using harsh chemicals for skin care. D. Ignoring signs of skin breakdown. Correct Answer: B. Repositioning residents regularly. Rationale: Regular repositioning helps relieve pressure on vulnerable areas, reducing the risk of pressure ulcers and promoting skin integrity. Question: In promoting resident safety, which action should the Nurse Aide prioritize? A. Encouraging residents to engage in risky behaviors. B. Keeping the environment clean and clutter-free. C. Allowing residents to handle hazardous materials. D. Disregarding infection control protocols. Correct Answer: B. Keeping the environment clean and clutter-free. Rationale: Maintaining a safe and clean environment minimizes the risk of accidents and promotes the overall safety and well-being of residents. Question: What is the significance of hand hygiene in preventing the spread of infections in healthcare settings? A. Hand hygiene is optional for healthcare workers. B. Hand hygiene only applies when visible dirt is present. C. Hand hygiene helps reduce the transmission of pathogens. D. Hand hygiene is necessary only before meals. Correct Answer: C. Hand hygiene helps reduce the transmission of pathogens. B. Disregard the request if the resident seems comfortable. C. Notify the nursing staff and follow the prescribed protocol. D. Assume the pain will resolve on its own. Correct Answer: C. Notify the nursing staff and follow the prescribed protocol. Rationale: Proper pain management involves timely reporting to the healthcare team and following established protocols to address the resident's pain effectively. Question: Which measure promotes a safe environment for residents with dementia? A. Allowing unsupervised access to hazardous areas. B. Using restraints to limit movement. C. Maintaining a consistent routine and familiar surroundings. D. Ignoring signs of agitation or distress. Correct Answer: C. Maintaining a consistent routine and familiar surroundings. Rationale: Consistency and familiarity help reduce confusion and agitation in residents with dementia, creating a safe and supportive environment for them. Question: What is the Nurse Aide's role in preventing falls among residents? A. Encouraging residents to move quickly. B. Using bed rails to restrict movement. C. Keeping the environment well-lit and free of obstacles. D. Ignoring residents' requests for assistance. Correct Answer: C. Keeping the environment well-lit and free of obstacles. Rationale: Creating a safe environment by removing potential fall hazards and ensuring adequate lighting can significantly reduce the risk of falls among residents. Question: How can the Nurse Aide support residents' emotional well- being? A. Ignoring residents' emotional cues. B. Providing reassurance and empathetic listening. C. Disregarding residents' need for social interaction. D. Minimizing opportunities for self-expression. Correct Answer: B. Providing reassurance and empathetic listening. Rationale: Offering emotional support through empathetic listening and reassurance helps residents feel understood, valued, and emotionally cared for. Question: What should the Nurse Aide prioritize when assisting residents with personal hygiene? A. Rushing through tasks to save time. B. Respecting residents' privacy and dignity. C. Ignoring residents' preferences for personal care. D. Using harsh chemicals for skin care. Correct Answer: B. Respecting residents' privacy and dignity. Rationale: Upholding residents' dignity and privacy during personal care tasks promotes their sense of self-worth and enhances their overall well-being. Question: How can the Nurse Aide assist residents with maintaining their independence? A. Completing all tasks for residents to save time. B. Encouraging residents to rely solely on staff for assistance. C. Supporting residents in performing tasks to their ability. Rationale: Nurse Aides play a crucial role in maintaining a safe environment by identifying and reporting safety concerns promptly, contributing to the overall well-being of residents and staff. Which of the following best describes the role of a Nurse Aide in a healthcare setting? A. Administering medications B. Providing direct care to patients C. Making diagnoses D. Performing surgeries Correct Answer: B. Providing direct care to patients Rationale: Nurse Aides are responsible for providing basic care to patients under the supervision of licensed healthcare professionals. What is the primary goal of promoting safety in a healthcare environment? A. Reducing costs B. Preventing injuries C. Maximizing efficiency D. Increasing revenue Correct Answer: B. Preventing injuries Rationale: The promotion of safety aims to prevent accidents and injuries, ensuring the well-being of patients and staff. . When assisting a resident with ambulation, the Nurse Aide should: A. Encourage the resident to walk without assistance B. Use proper body mechanics to prevent injury C. Leave the resident unattended during the process D. Rush the resident to move quickly Correct Answer: B. Use proper body mechanics to prevent injury Rationale: Using proper body mechanics when assisting a resident with ambulation helps prevent injuries to both the resident and the Nurse Aide. . Which of the following tasks is within the scope of practice for a Nurse Aide? A. Administering intravenous medications B. Changing sterile dressings C. Assist with activities of daily living D. Making treatment plans Correct Answer: C. Assist with activities of daily living Rationale: Nurse Aides are trained to assist with basic activities of daily living, such as bathing, dressing, and toileting. . The Nurse Aide notices a resident showing signs of confusion and disorientation. What should be the Nurse Aide's immediate action? A. Wait for the nurse to assess the resident B. Document the observations in the resident's chart C. Report the findings to the nurse immediately D. Ignore the behavior and continue with other tasks Correct Answer: C. Report the findings to the nurse immediately Rationale: Any change in a resident's condition should be reported to the nurse promptly to ensure appropriate care and intervention. Which of the following is an example of specialized care for a resident with diabetes? A. Monitoring vital signs B. Administering antibiotics C. Checking blood glucose levels D. Assisting with ambulation Correct Answer: C. Checking blood glucose levels Rationale: Residents with dementia may have difficulty understanding complex instructions, so clear and simple communication is essential. 1. Which of the following is a primary role of the nurse aide in promoting safety in the healthcare setting? A. Administering medications B. Documenting vital signs C. Assisting with mobility D. Performing wound care Correct Answer: C. Assisting with mobility Rationale: Assisting with mobility is crucial in preventing falls and promoting safety in residents. 2. When providing basic nursing care, which action should the nurse aide prioritize for maintaining the skin integrity of residents? A. Changing linens daily B. Performing daily skin assessments C. Applying lotion once a week D. Using rough towels for bathing Correct Answer: B. Performing daily skin assessments Rationale: Regular skin assessments help to identify any signs of breakdown early and prevent pressure injuries. 3. A resident with dementia is agitated and wandering in the facility. What should the nurse aide do to promote the safety of the resident and others? A. Use restraints to prevent wandering B. Encourage the resident to take a nap C. Escort the resident back to their room D. Ignore the behavior until it stops Correct Answer: C. Escort the resident back to their room Rationale: Escorting the resident back to their room ensures their safety and prevents any potential harm to others. 4. Which of the following is an example of specialized care for a resident with diabetes? A. Monitoring blood pressure regularly B. Administering oxygen therapy C. Assisting with insulin injections D. Performing passive range of motion exercises Correct Answer: C. Assisting with insulin injections Rationale: Diabetes management involves monitoring blood sugar levels and administering insulin as needed. 5. When caring for a resident with a urinary catheter, what should the nurse aide do to prevent infections? A. Empty the drainage bag every shift B. Keep the catheter tubing below the level of the bladder C. Change the catheter every month D. Clean around the catheter site with soap and water Correct Answer: B. Keep the catheter tubing below the level of the bladder Rationale: Keeping the catheter tubing below the level of the bladder prevents backflow of urine and reduces the risk of infection. 6. Which of the following tasks falls under the role of the nurse aide in promoting the function and health of residents? A. Assisting with ambulation B. Prescribing medications C. Performing wound debridement D. Inserting urinary catheters Correct Answer: A. Assisting with ambulation Rationale: Assisting with ambulation helps residents maintain mobility and function, promoting overall health. 7. A resident is on a strict fluid restriction. What should the nurse aide do to ensure compliance with this restriction? Rationale: Providing timely assistance respects the resident's privacy and maintains their dignity during toileting. 12. Which of the following interventions is essential in promoting the function and health of residents with mobility impairments? A. Using physical restraints B. Encouraging independence in activities of daily living C. Limiting social interactions D. Providing limited mobility devices Correct Answer: B. Encouraging independence in activities of daily living Rationale: Encouraging independence promotes residents' physical and mental well-being, even with mobility impairments. 13. A resident with a history of falls is at high risk for injury. What measures should the nurse aide take to promote the safety of this resident? A. Encouraging the resident to walk alone B. Placing obstacles in the room for exercise C. Using a call bell for assistance D. Restraining the resident to the bed Correct Answer: C. Using a call bell for assistance Rationale: Providing easy access to assistance through a call bell helps prevent falls and promote safety. 14. Which of the following actions by the nurse aide promotes the function and health of residents with cognitive impairments? A. Ignoring the resident's needs B. Providing consistent routines C. Limiting social interactions D. Using harsh tones when speaking Correct Answer: B. Providing consistent routines Rationale: Consistent routines help residents with cognitive impairments feel safe and secure, promoting their overall function and health. 15. A resident with a wound infection requires specialized wound care. What should the nurse aide do to assist in promoting the resident's healing process? A. Avoid changing the wound dressing B. Use alcohol to clean the wound site C. Follow the prescribed wound care regimen D. Leave the wound exposed to air Correct Answer: C. Follow the prescribed wound care regimen Rationale: Following the prescribed wound care regimen is essential in promoting healing and preventing further complications. 16. When performing passive range of motion exercises for a resident, what should the nurse aide prioritize to promote function and prevent contractures? A. Skipping exercises on some days B. Forcing joints beyond their range of motion C. Performing exercises gently and within limits D. Performing exercises only once a week Correct Answer: C. Performing exercises gently and within limits Rationale: Gentle and within-limit range of motion exercises help maintain joint mobility and prevent contractures. 17. A resident has a nasogastric tube for feeding. What should the nurse aide do to promote the safety and well-being of the resident? A. Pull on the tube to check placement B. Avoid flushing the tube as prescribed C. Document the tube placement daily D. Replace the tube without medical supervision Correct Answer: C. Document the tube placement daily Rationale: Documenting tube placement helps ensure the tube is in the correct position and reduces the risk of complications. 18. Which of the following actions by the nurse aide promotes the safety of residents with impaired skin integrity? D. Cutting nails too short Correct Answer: B. Keeping the feet clean and dry Rationale: Keeping the feet clean and dry helps prevent infections and foot ulcers in residents with diabetes. 23. Which of the following interventions is essential in promoting the function and health of residents with respiratory conditions? A. Encouraging smoking in designated areas B. Providing frequent position changes C. Administering oxygen therapy as prescribed D. Limiting fluids to prevent respiratory congestion Correct Answer: C. Administering oxygen therapy as prescribed Rationale: Administering oxygen therapy as prescribed helps maintain adequate oxygen levels in residents with respiratory conditions. 24. A resident with a recent hip fracture requires assistance with mobility. What specialized care should the nurse aide provide to promote the resident's recovery? A. Encouraging bed rest to prevent falls B. Assisting with regular ambulation within limits C. Limiting fluid intake to prevent incontinence D. Ignoring the resident's need for assistance Correct Answer: B. Assisting with regular ambulation within limits Rationale: Assisting with regular ambulation within limits promotes mobility and aids in the resident's recovery from a hip fracture. 25. When assisting with personal hygiene for a resident with incontinence, what should the nurse aide prioritize to promote skin health? A. Using harsh soaps on the skin B. Cleaning the perineal area thoroughly C. Applying powders to the skin daily D. Leaving wet undergarments on the resident Correct Answer: B. Cleaning the perineal area thoroughly Rationale: Cleaning the perineal area thoroughly helps prevent skin breakdown and infection in residents with incontinence. 26. Which of the following tasks is within the scope of the nurse aide in providing specialized care for a resident with a colostomy? A. Changing the ostomy appliance B. Administering IV medications C. Performing wound care D. Assisting with oral care Correct Answer: A. Changing the ostomy appliance Rationale: Changing the ostomy appliance is essential in maintaining the integrity and function of the colostomy for the resident. 27. A resident with a history of falls needs assistance with toileting. What measures should the nurse aide take to promote the safety of this resident during toileting? A. Encouraging the resident to rush to finish quickly B. Providing a non-skid mat in the bathroom C. Leaving the resident alone in the bathroom D. Ignoring the need for assistance Correct Answer: B. Providing a non-skid mat in the bathroom Rationale: Providing a non-skid mat in the bathroom helps prevent slips and falls during toileting for residents at risk. 28. Which of the following actions by the nurse aide promotes the function and health of residents with musculoskeletal disorders? A. Limiting mobility aids for the resident B. Encouraging frequent bed rest C. Assisting with range of motion exercises as prescribed D. Allowing the resident to lift heavy objects Correct Answer: C. Assisting with range of motion exercises as prescribed Rationale: Assisting with range of motion exercises helps maintain joint mobility and function for residents with musculoskeletal disorders.