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

Download UT Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! Utah Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When providing basic nursing care, which of the following is the most important aspect a nurse aide must consider? A) The resident's medical diagnosis B) The cost-effectiveness of treatment C) The resident's individual needs and preferences D) The time it takes to provide care Correct Answer: C Rationale: The resident's individual needs and preferences are paramount when providing care, as this ensures a person-centered approach that respects their dignity and autonomy. 2. A nurse aide notices a change in a resident's skin integrity. What is the first action they should take? A) Apply a bandage to the area B) Report the change to the supervising nurse C) Change the resident's position D) Wait to see if the condition improves Correct Answer: B Rationale: Reporting changes in a resident's health status, such as skin integrity, is crucial for timely intervention and prevention of complications. 7. What is the primary role of the nurse aide in the promotion of health among residents? A) Prescribing treatments for common ailments B) Providing emotional support and companionship C) Conducting physical therapy sessions D) Leading educational health workshops Correct Answer: B Rationale: Emotional support and companionship are key components of holistic care and can significantly impact a resident's mental and emotional well-being. 8. A nurse aide is caring for a resident who has recently undergone surgery. Which action is essential for promoting the resident's safety? A) Encouraging the resident to rest continuously B) Monitoring the resident for signs of infection C) Adjusting the resident's diet without consulting a dietitian D) Recommending alternative therapies without evidence Correct Answer: B Rationale: Monitoring for signs of infection post-surgery is critical for early detection and prompt treatment. 9. In the context of basic nursing care, how should a nurse aide respond to a resident who refuses to eat? A) Insist that the resident must eat to stay healthy B) Report the refusal to the supervising nurse and try to understand the resident's reasons C) Skip the meal and try again later D) Prepare a different meal without consulting the resident Correct Answer: B Rationale: Reporting the issue and understanding the resident's reasons for refusal can lead to a resolution that respects the resident's choices and addresses their needs. 10. When considering the promotion of function for residents, what is a key responsibility of the nurse aide? A) Designing exercise programs for residents B) Assisting residents with mobility and encouraging regular physical activity C) Performing surgical procedures when necessary D) Prescribing medication adjustments Correct Answer: B Rationale: Assisting with mobility and encouraging physical activity are vital for maintaining and improving residents' functional abilities. 11. A nurse aide finds a resident feeling anxious about a medical procedure. What is the best way to support the resident? A) Tell the resident that there is nothing to worry about B) Provide accurate information and reassurance about the procedure C) Leave the resident alone to calm down D) Dismiss the resident's concerns as irrational Correct Answer: B Rationale: Providing accurate information and reassurance can help alleviate anxiety and empower the resident to face the procedure with confidence. 12. How can a nurse aide effectively contribute to the promotion of health and prevention of illness in residents? A) By diagnosing and treating illnesses independently B) Through consistent observation and reporting of health changes C) By ignoring minor complaints to focus on more serious issues D) By isolating residents who show signs of illness Correct Answer: B Rationale: Consistent observation and timely reporting of health changes are crucial for early intervention and prevention of further complications. 13. What is the most appropriate action for a nurse aide when a resident exhibits signs of depression? A) Ignore the signs as they will likely pass B) Engage the resident in social activities and report the observations to a nurse D) Limiting social activities Answer: B) Maximizing independence Rationale: By promoting independence, residents can maintain their physical and mental well-being. Question: Basic nursing care provided by the Nurse Aide includes: A) Administering medications B) Changing sterile dressings C) Assisting with activities of daily living D) Performing complex medical procedures Answer: C) Assisting with activities of daily living Rationale: Nurse Aides play a crucial role in helping residents with tasks like bathing, dressing, and eating. Question: When providing specialized care for residents with changes in health, the Nurse Aide should: A) Disregard changes in behavior B) Report any unusual symptoms to the nurse C) Avoid communicating with the resident D) Skip monitoring vital signs Answer: B) Report any unusual symptoms to the nurse Rationale: Timely reporting of changes in health status is essential for early intervention and appropriate care. Question: The key responsibility of the Nurse Aide in promoting resident safety is to: A) Keep personal belongings in resident rooms B) Ensure proper identification of residents C) Allow unsupervised mobility for residents D) Disregard infection control protocols Answer: B) Ensure proper identification of residents Rationale: Proper identification helps prevent errors in care delivery and enhances resident safety. Question: When assisting a resident with eating, the Nurse Aide should: A) Rush the resident to finish quickly B) Encourage independence in self-feeding C) Ignore any dietary restrictions D) Serve food without considering preferences Answer: B) Encourage independence in self-feeding Rationale: Encouraging independence fosters dignity and autonomy in residents' daily activities. Question: How can the Nurse Aide promote a culture of respect in the care environment? A) Speaking rudely to residents B) Disregarding residents' privacy C) Ignoring residents' preferences D) Using respectful language and gestures Answer: D) Using respectful language and gestures Rationale: Respectful communication and behavior create a positive environment for residents and staff. Question: Which action by the Nurse Aide demonstrates effective infection control practices? Question: How can the Nurse Aide support residents' emotional well- being? A) Avoid engaging in conversations with residents B) Disregard residents' emotional cues C) Provide a listening ear and offer emotional support D) Minimize social interactions with residents Answer: C) Provide a listening ear and offer emotional support Rationale: Offering emotional support helps residents feel heard and understood, enhancing their overall well-being. Question: What is the role of the Nurse Aide in preventing pressure ulcers? A) Turning and repositioning residents regularly B) Ignoring changes in skin condition C) Using harsh chemicals on residents' skin D) Allowing residents to sit in one position for long periods Answer: A) Turning and repositioning residents regularly Rationale: Regular repositioning helps prevent pressure ulcers by reducing pressure on vulnerable areas of the skin. Question: How can the Nurse Aide promote nutrition and hydration for residents? A) Limiting access to water throughout the day B) Encouraging residents to skip meals C) Offering a variety of nutritious foods and fluids D) Disregarding residents' dietary preferences Answer: C) Offering a variety of nutritious foods and fluids Rationale: Providing choices and promoting a balanced diet supports residents' nutritional needs. Question: Which approach is appropriate when communicating with residents with cognitive impairments? A) Using complex medical jargon B) Speaking loudly and forcefully C) Using simple, clear language and cues D) Ignoring residents' attempts to communicate Answer: C) Using simple, clear language and cues Rationale: Clear communication helps residents with cognitive impairments understand and engage effectively. Question: How can the Nurse Aide contribute to fall prevention in a healthcare setting? A) Leaving obstacles in walkways B) Encouraging residents to move independently C) Using bed alarms as the only fall prevention measure D) Assisting residents with walking and transferring Answer: D) Assisting residents with walking and transferring Rationale: Providing physical support and assistance reduces the risk of falls in residents. Question: Why is it important for the Nurse Aide to respect residents' rights to privacy and dignity? A) It is optional and not a priority B) To maintain a culture of respect and trust C) To prioritize efficiency over residents' comfort D) To limit residents' independence - b) Assessing a resident's pain level - c) Taking vital signs - d) Administering intravenous medications **Answer:** c) Taking vital signs **Rationale:** Taking vital signs is within the nurse aide’s scope of practice, whereas the other tasks are typically performed by licensed nurses or other healthcare professionals. ### Promotion of Safety **3. To promote safety, the best practice when transferring a resident from bed to wheelchair is to:** - a) Use your own strength to lift the resident. - b) Use a mechanical lift if available. - c) Ask the resident to stand up quickly. - d) Ask another resident for help. **Answer:** b) Use a mechanical lift if available. **Rationale:** Using a mechanical lift reduces the risk of injury to both the resident and the nursing aide, ensuring a safer transfer process. **4. Which of the following actions is a key element in preventing infections in a healthcare facility?** - a) Using hand sanitizers immediately after taking off gloves. - b) Touching clean and sterile equipment with bare hands. - c) Wearing the same gloves for multiple residents. - d) Using antiseptic wipes only at the end of the shift. **Answer:** a) Using hand sanitizers immediately after taking off gloves. **Rationale:** Hand hygiene is crucial to prevent infection, and using hand sanitizers immediately after glove removal is an effective practice. ### Promotion of Function and Health of Residents: Basic Nursing Care **5. For effective communication with a resident who has hearing impairment, a nurse aide should:** - a) Shout to ensure they can hear. - b) Speak clearly and at a moderate pace. - c) Reduce background noise by turning up the TV volume. - d) Face away from the resident when talking. **Answer:** b) Speak clearly and at a moderate pace. **Rationale:** Speaking clearly and at a moderate pace helps residents with hearing impairment understand better, while shouting or increasing background noise would be counterproductive. **6. An essential aspect of maintaining skin integrity in residents is:** - a) Encouraging long, hot baths. - b) Frequent repositioning of immobile residents. - c) Avoiding the use of moisturizers. - d) Leaving residents in wet clothing. **Answer:** b) Frequent repositioning of immobile residents. **Rationale:** Frequent repositioning helps to prevent pressure ulcers and maintain skin integrity, a critical component of basic nursing care. ### Providing Specialized Care for Residents with Changes in Health **7. When caring for a resident with diabetes, what is a crucial observation for the nurse aide to report?** - a) Resident skip meals - b) Increased urinary frequency **Rationale:** A soft or puréed diet reduces the risk of choking, which is crucial for residents encountering dysphagia. ### Promotion of Safety (Continued) **11. The most effective way for a nurse aide to prevent falls is:** - a) Ensuring all residents wear non-slip socks. - b) Keeping the room lights off to encourage rest. - c) Leaving assistive devices out of reach. - d) Using bed rails for all residents. **Answer:** a) Ensuring all residents wear non-slip socks. **Rationale:** Non-slip socks provide better traction, reducing the likelihood of falls. **12. Which is the first action a nurse aide should take when a fire occurs in a resident's room?** - a) Call the fire department. - b) Remove the resident from immediate danger. - c) Extinguish the fire with a fire extinguisher. - d) Close the door and windows to contain the fire. **Answer:** b) Remove the resident from immediate danger. **Rationale:** The primary focus should be the resident’s safety, ensuring they are out of harm's way before attempting any further actions. ### Promotion of Function and Health of Residents: Basic Nursing Care (Continued) **13. Incontinence care for a resident includes which primary intervention?** - a) Decreasing fluid intake to minimize accidents - b) Establishing a consistent toileting schedule - c) Using diapers and pads only - d) Ignoring the resident's reports of discomfort **Answer:** b) Establishing a consistent toileting schedule **Rationale:** Regular toileting schedules help in managing incontinence more effectively and maintain the resident’s dignity. **14. The nurse aide is tasked with providing oral care to a resident with dehydration. Which is a crucial point to remember?** - a) Brushing the tongue is not necessary. - b) Use a small amount of toothpaste. - c) Avoid using water to prevent further dehydration. - d) Increase the frequency of oral care. **Answer:** d) Increase the frequency of oral care. **Rationale:** Dehydration can lead to a dry mouth, so more frequent oral care can help mitigate the discomfort and prevent complications. ### Providing Specialized Care for Residents with Changes in Health (Continued) **15. What should a nurse aide do if a resident with a urinary catheter reports discomfort?** - a) Adjust the catheter by themselves. - b) Check if the tubing is kinked. - c) Increase the resident's fluid intake. - d) Ignore the complaint as it is a common issue. **Answer:** b) Check if the tubing is kinked. - a) Place a tongue depressor in the resident's mouth. - b) Restrain the resident's movements. - c) Protect the resident from injury without restraining them. - d) Leave the room to get help. **Answer:** c) Protect the resident from injury without restraining them. **Rationale:** Ensuring the resident is safe from injury while not restraining their movements is crucial during a seizure. **20. Which measure contributes to preventing aspiration in residents with difficulty swallowing?** - a) Feeding the resident in a supine position. - b) Encouraging the resident to drink with a straw. - c) Ensuring the resident is seated upright during meals. - d) Avoiding food thickeners. **Answer:** c) Ensuring the resident is seated upright during meals. **Rationale:** Upright positioning helps keep the airway clear and reduces the risk of aspiration during swallowing. ### Promotion of Function and Health of Residents: Basic Nursing Care (Continued) **21. A key component in providing effective perineal care for residents is:** - a) Using antiseptic solutions. - b) Washing from front to back. - c) Using the same cloth for multiple areas. - d) Avoiding soap to prevent irritation. **Answer:** b) Washing from front to back. **Rationale:** Washing from front to back prevents the spread of bacteria and reduces the risk of infections, particularly urinary tract infections. **22. For a resident on bed rest, which intervention effectively prevents blood clots?** - a) Restricting fluid intake. - b) Using compression stockings. - c) Massaging the legs frequently. - d) Limiting movement to rest the limbs. **Answer:** b) Using compression stockings. **Rationale:** Compression stockings promote circulation and help in preventing the formation of blood clots. ### Providing Specialized Care for Residents with Changes in Health (Continued) **23. What is an important consideration when caring for a resident with chronic pain?** - a) Pain assessment every hour. - b) Assuming they exaggerate their pain. - c) Believing the resident's report of pain and ensuring timely intervention. - d) Ignoring pain complaints during busy times. **Answer:** c) Believing the resident's report of pain and ensuring timely intervention. **Rationale:** Pain is subjective, and it is essential to believe the resident’s account and provide timely interventions to manage pain effectively. **Answer:** a) Use gloves and appropriate personal protective equipment (PPE). **Rationale:** Using PPE ensures safety and protects both the caregiver and residents from potential harm. **28. If a nurse aide notices a spill on the floor, the immediate action should be to:** - a) Leave it for housekeeping. - b) Cover it with a cloth and continue with duties. - c) Clean it up immediately to prevent falls. - d) Ignore it if busy with other tasks. **Answer:** c) Clean it up immediately to prevent falls. **Rationale:** Immediate cleanup reduces the risk of falls and injuries, promoting a safe environment. ### Promotion of Function and Health of Residents: Basic Nursing Care (Continued) **29. To prevent respiratory infections in immobile residents, a nurse aide should:** - a) Limit fluid intake to reduce the risk of aspiration. - b) Encourage deep breathing and coughing exercises. - c) Avoid turning the resident to prevent discomfort. - d) Use a fan to increase air circulation. **Answer:** b) Encourage deep breathing and coughing exercises. **Rationale:** Deep breathing and coughing help to keep the lungs clear and reduce the risk of respiratory infections. **30. The nurse aide observes a resident's skin is red and possibly developing pressure sores. The best immediate action is to:** - a) Apply a warming pad. - b) Massage the affected area. - c) Reposition the resident and report to the nurse. - d) Ignore it as redness is common. **Answer:** c) Reposition the resident and report to the nurse. **Rationale:** Repositioning helps to alleviate pressure, and reporting allows for further assessment and prevention of sores. ### Providing Specialized Care for Residents with Changes in Health (Continued) **31. How should a nurse aide assist a resident who is experiencing confusion after a stroke?** - a) Overwhelm them with multiple tasks at once to keep them busy. - b) Reorient them frequently to their surroundings. - c) Discourage communication to reduce frustration. - d) Ignore changes in behavior. **Answer:** b) Reorient them frequently to their surroundings. **Rationale:** Frequent reorientation helps reduce confusion and anxiety for stroke patients, aiding their recovery. **32. When caring for a terminally ill resident, the nurse aide's role includes:** - a) Making all medical decisions for the resident. - b) Providing emotional support to the resident and family. - c) Performing complicated medical procedures. - d) Isolating the resident to prevent distress to others. **36. The best approach to manage a wandering resident with dementia is to:** - a) Lock the resident in their room. - b) Provide a safe, supervised area for walking. - c) Use physical restraints to keep them from wandering. - d) Ignore the behavior as it's a common issue. **Answer:** b) Provide a safe, supervised area for walking. **Rationale:** A supervised environment allows the resident to move safely, fulfilling their need to walk while reducing risk. ### Promotion of Function and Health of Residents: Basic Nursing Care (Continued) **37. The nurse aide's role in promoting hydration includes:** - a) Offering fluids only at mealtimes. - b) Restricting fluids to prevent incontinence. - c) Encouraging small amounts of fluid intake frequently. - d) Providing fluids only when requested. **Answer:** c) Encouraging small amounts of fluid intake frequently. **Rationale:** Frequent small amounts help maintain hydration levels without overwhelming the resident.