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

Download VT Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 and more Exams Nursing in PDF only on Docsity! VT Nurse Aide (CNA) Written Test Comprehensive Final Assessment Q & A 2024 1. When providing care for a resident with dementia, a nurse aide should: A) Speak loudly to ensure the resident hears the instructions. B) Use simple, clear sentences and visual cues to aid understanding. C) Avoid eye contact to reduce anxiety. D) Assume the resident cannot understand and make decisions for them. Correct Answer: B Rationale: Residents with dementia may have difficulty processing complex information. Using simple, clear sentences and visual cues can help in understanding and reduce frustration. 2. A nurse aide finds a resident lying on the floor in their room. The first action should be to: A) Help the resident back into bed immediately. B) Call for help while assessing the resident for injuries. C) Leave the resident to find a nurse. D) Move the resident to a wheelchair. Correct Answer: B Rationale: The nurse aide's priority is to ensure the resident's safety and assess for any injuries without moving them, which could cause further harm. Correct Answer: B Rationale: A blood sugar level of 250 mg/dL is high and should be reported to the nurse for further assessment and intervention. 8. The most appropriate action when a resident refuses to eat is to: A) Force the resident to eat to maintain nutritional status. B) Offer alternative food choices and report the refusal to the nurse. C) Leave the resident alone and remove the meal tray. D) Tell the resident about the consequences of not eating. Correct Answer: B Rationale: Offering choices respects the resident's autonomy and preferences, and reporting the refusal ensures follow-up care. 9. When transferring a resident with a mechanical lift, it is important to: A) Rush the transfer to reduce resident anxiety. B) Check the equipment for safety before use. C) Transfer without assistance to build resident confidence. D) Use a lift even if the resident can stand. Correct Answer: B Rationale: Safety checks prevent accidents during transfers with mechanical lifts. 10. The correct procedure for nail care of a resident with diabetes is to: A) Cut the nails as short as possible. B) Soak the feet for an hour before trimming the nails. C) File the nails straight across and avoid cutting. D) Paint the nails to prevent infection. Correct Answer: C Rationale: Filing nails straight across without cutting helps prevent injury, which is crucial for residents with diabetes due to their increased risk of infection. 11. When a resident is on contact precautions, the nurse aide must: A) Wear gloves when entering the room. B) Keep the door to the resident's room open. C) Share equipment between residents. D) Perform hand hygiene before and after wearing gloves. Correct Answer: D Rationale: Hand hygiene is essential to prevent the spread of infection, especially when dealing with residents on contact precautions. 12. The appropriate action when a resident is experiencing a seizure is to: A) Restrain the resident to prevent injury. B) Place a spoon in the resident's mouth to protect the tongue. C) Clear the area around the resident to prevent injury and monitor the seizure. D) Offer the resident water to prevent dehydration. Correct Answer: C Rationale: Clearing the area and monitoring the resident ensures safety and allows for accurate reporting of the seizure event. 13. To promote the health of residents, the nurse aide should: A) Encourage residents to stay in bed to conserve energy. B) Assist residents with regular physical activity as tolerated. C) Limit fluid intake to prevent frequent toileting. D) Provide a high-fat diet for increased caloric intake. Correct Answer: B Rationale: Regular physical activity promotes overall health and can improve the function and well-being of residents. 14. When caring for a resident with a urinary catheter, the nurse aide should: A) Change the catheter daily. B) Ensure the catheter bag is kept above the level of the bladder. C) Provide catheter care during every shift. D) Use the same gloves to provide catheter care and oral care. Correct Answer: C Question: What constitutes basic nursing care provided by a nurse aide? A. Administering medications B. Performing wound care C. Assisting with feeding D. Diagnosing illnesses Correct Answer: C. Assisting with feeding Rationale: Assisting with feeding is a fundamental aspect of basic nursing care that addresses a resident's nutritional needs. Question: How should a nurse aide approach providing specialized care for residents with changes in health? A. Ignoring changes in health status B. Consulting with the nursing team C. Avoiding communication with residents D. Disregarding doctor's orders Correct Answer: B. Consulting with the nursing team Rationale: Collaborating with the nursing team ensures that specialized care is tailored to meet the specific needs of residents experiencing changes in health. Question: When assisting a resident with ambulation, what is the nurse aide's priority? A. Completing the task quickly B. Ensuring resident safety C. Chatting with other staff members D. Skipping safety precautions Correct Answer: B. Ensuring resident safety Rationale: The nurse aide's primary concern when assisting a resident with ambulation should be ensuring the resident's safety to prevent falls and injuries. Question: What is the significance of proper hand hygiene in a healthcare setting? A. It is optional B. It prevents the spread of infections C. It delays patient care D. It is time-consuming Correct Answer: B. It prevents the spread of infections Rationale: Proper hand hygiene is essential in preventing the transmission of infections between patients, staff, and visitors in a healthcare environment. Question: How can a nurse aide help maintain a resident's dignity and privacy during care? A. Speaking loudly about personal information B. Closing curtains during personal care tasks C. Rushing through care routines D. Ignoring resident preferences Correct Answer: B. Closing curtains during personal care tasks Rationale: Closing curtains or doors during personal care tasks helps preserve a resident's privacy and dignity. Question: What should a nurse aide do if a resident refuses to take medication? A. Force the medication B. Ignore the refusal C. Document the refusal D. Administer the medication anyway Correct Answer: C. Document the refusal Rationale: It is important for the nurse aide to document any refusal of medication by the resident to ensure accurate record-keeping and communication with the healthcare team. Question: How can a nurse aide assist in preventing pressure ulcers in residents? A. Encouraging frequent repositioning B. Using harsh chemicals for cleaning C. Applying tight dressings D. Ignoring signs of skin breakdown Question: What should a nurse aide do if a resident exhibits signs of distress or pain? A. Ignore the signs B. Report the signs to the nurse immediately C. Assume the resident is fine D. Administer pain medication without consulting the nurse Correct Answer: B. Report the signs to the nurse immediately Rationale: Promptly reporting signs of distress or pain to the nurse enables timely assessment and appropriate intervention to address the resident's needs. Question: How can a nurse aide support residents in maintaining their independence? A. Performing all tasks for the residents B. Encouraging residents to do tasks for themselves C. Restricting residents' movements D. Ignoring residents' requests for assistance Correct Answer: B. Encouraging residents to do tasks for themselves Rationale: Encouraging residents to engage in self-care tasks promotes independence and preserves their functional abilities. Question: What is the nurse aide's role in ensuring proper nutrition for residents? A. Limiting meal choices B. Encouraging residents to skip meals C. Providing assistance with eating as needed D. Ignoring residents' dietary preferences Correct Answer: C. Providing assistance with eating as needed Rationale: Providing assistance with eating ensures that residents receive adequate nutrition and hydration, promoting their overall health and well-being. Question: How can a nurse aide assist residents in maintaining a sense of purpose and engagement? A. Isolating residents from social activities B. Encouraging participation in meaningful activities C. Ignoring residents' emotional needs D. Discouraging communication with other residents Correct Answer: B. Encouraging participation in meaningful activities Rationale: Encouraging residents to engage in meaningful activities fosters a sense of purpose, fulfillment, and social interaction, contributing to their overall well-being. Question: What should a nurse aide prioritize when providing end-of-life care to a resident? A. Rushing through care routines B. Ensuring comfort and dignity C. Avoiding emotional support D. Disregarding resident preferences Correct Answer: B. Ensuring comfort and dignity Rationale: When providing end-of-life care, the nurse aide should prioritize ensuring the resident's comfort, dignity, and emotional well- being. 1. **Which of the following tasks is within the scope of practice for a Certified Nurse Aide (CNA)?** - A. Prescribing medication - B. Administering insulin injections - C. Assisting with activities of daily living (ADLs) - D. Developing care plans **Answer:** C. Assisting with activities of daily living (ADLs) **Rationale:** CNAs do not have the authority to prescribe or administer prescription medications or create care plans, but they are trained to assist with ADLs. 2. **A nurse aide is responsible for reporting significant changes in a resident's condition to:** **Rationale:** Respecting and incorporating a resident's cultural, spiritual, and personal preferences is pivotal for personalized and dignified care. ### Promotion of Safety 6. **When addressing fall prevention, what is the most appropriate action a nurse aide can take?** - A. Keeping the resident confined to their bed - B. Ensuring the resident wears non-slip footwear - C. Placing all frequently used items out of reach - D. Turning off all lights in the resident’s room at night **Answer:** B. Ensuring the resident wears non-slip footwear **Rationale:** Non-slip footwear can significantly reduce the risk of falls. Bed confinement is not an appropriate or humane solution for fall risk. 7. **The acronym "RACE" related to fire safety stands for:** - A. Run, Alert, Call, Exit - B. Rescue, Alarm, Contain, Extinguish - C. Remove, Alert, Control, Evacuate - D. Rescue, Assist, Calm, Escape **Answer:** B. Rescue, Alarm, Contain, Extinguish **Rationale:** RACE outlines critical first steps during a fire emergency ensuring both personal safety and the containment of the fire. 8. **Which of the following can help minimize resident risk of infection?** - A. Using personal protective equipment (PPE) only for highly contagious patients - B. Performing hand hygiene between resident interactions - C. Washing hands only if they appear dirty - D. Encouraging residents to share hygiene products **Answer:** B. Performing hand hygiene between resident interactions **Rationale:** Hand hygiene is crucial for preventing the spread of infections, regardless of visual cleanliness of hands. 9. **In terms of resident safety, the CNA must ensure that all adaptive equipment (e.g., wheelchairs, walkers) is:** - A. Used by the residents only when observed by the CNAs - B. Cleaned and checked for safety regularly - C. Locked away when not in use - D. Shared among all residents **Answer:** B. Cleaned and checked for safety regularly **Rationale:** Regular maintenance and cleanliness of adaptive equipment ensure they remain safe and functional for resident use. 10. **Which of the following is a priority for ensuring resident safety when transferring from bed to wheelchair?** - A. Allowing the resident to transfer independently at all times - B. Using proper body mechanics and transfer techniques - C. Assuming the resident knows how to transfer safely - D. Transferring the resident as quickly as possible **Answer:** B. Using proper body mechanics and transfer techniques **Rationale:** Proper techniques protect both the resident and the CNA from injury during transfers. ### Promotion of Function and Health of Residents 11. **The promotion of resident independence in daily activities primarily involves:** - A. Encouraging residents to do as little as possible to conserve energy - B. Providing all care and services without resident involvement - D. Let the resident perform all exercises without assistance **Answer:** B. Move each joint slowly and gently to the point of resistance **Rationale:** Slow and gentle movements will prevent injury and promote flexibility and joint function. ### Basic Nursing Care Provided by the Nurse Aide 16. **The primary purpose of a CNA giving a bed bath is to:** - A. Teach the resident independence in bathing - B. Keep the resident warm - C. Maintain the resident’s cleanliness and comfort - D. Spend time talking with the resident **Answer:** C. Maintain the resident’s cleanliness and comfort **Rationale:** Hygiene care, including bed baths, is crucial for cleanliness, comfort, and the prevention of infections. 17. **Before feeding a resident diagnosed with dysphagia, the nurse aide should:** - A. Offer large bites of food - B. Ensure the resident is sitting upright - C. Have the resident lie down flat - D. Administer a laxative **Answer:** B. Ensure the resident is sitting upright **Rationale:** Sitting upright helps prevent aspiration by ensuring food travels down the esophagus correctly. 18. **A resident who is NPO is restricted from:** - A. Eating only solid foods - B. Having any oral intake, including water - C. Going outdoors - D. Using powered mobility devices **Answer:** B. Having any oral intake, including water **Rationale:** NPO (nil per os) indicates that the resident should not have anything by mouth, such as prior to surgery or certain medical tests. 19. **To support a resident's oral hygiene, a CNA should brush the resident’s teeth:** - A. Before meals only - B. Twice daily, morning and at night - C. After every snack or drink - D. Weekly **Answer:** B. Twice daily, morning and at night **Rationale:** Brushing twice daily is the standard recommendation for maintaining good oral hygiene and preventing dental issues. 20. **For accurate weight measurement, the nurse aide should:** - A. Weigh the resident at different times each day - B. Use the same scale and weigh at the same time each day - C. Record the weight in pounds only - D. Weigh the resident after meals **Answer:** B. Use the same scale and weigh at the same time each day **Rationale:** Consistency in using the same scale and weighing at the same time helps ensure accuracy and reliability in weight measurements. ### Providing Specialized Care for Residents with Changes in Health 21. **A resident with dementia is experiencing agitation. A CNA should first:** - A. Administer medication - B. Restrain the resident to prevent injury - A. High blood sugar levels - B. Shakiness, sweating, and confusion - C. Red, swollen joints - D. Unintentional weight gain **Answer:** B. Shakiness, sweating, and confusion **Rationale:** These are common symptoms of low blood sugar, which require prompt action to prevent serious complications. 26. **For a resident in the late stages of Alzheimer's disease, the most appropriate intervention is:** - A. Expecting the resident to perform all ADLs independently - B. Providing full assistance with ADLs while maintaining dignity - C. Allowing the resident to wander unsupervised - D. Regularly quizzing the resident to improve memory **Answer:** B. Providing full assistance with ADLs while maintaining dignity **Rationale:** Residents in late stages require significant help, but their dignity and comfort should always be prioritized. 27. **A nurse aide notices a resident with congestive heart failure (CHF) has gained 3 pounds overnight. The most appropriate action is to:** - A. Ignore the weight gain as it may be normal - B. Encourage increased fluid intake - C. Report the weight gain to the supervising nurse immediately - D. Suggest reducing salt in the resident's diet without informing anyone **Answer:** C. Report the weight gain to the supervising nurse immediately **Rationale:** Sudden weight gain can indicate fluid retention, a serious concern in CHF that needs immediate medical attention. 28. **For a resident with a urinary catheter, proper care includes:** - A. Keeping the catheter bag above the bladder level - B. Ensuring regular fluid intake - C. Disconnecting the catheter when not in use - D. Ignoring any complaints related to the catheter **Answer:** B. Ensuring regular fluid intake **Rationale:** Adequate hydration helps prevent complications such as infections and blockages in catheterized residents. 29. **A resident with a colostomy who expresses concern about odor control should be advised to:** - A. Avoid wearing the colostomy bag as often as possible - B. Empty the colostomy bag regularly and use odor-control products - C. Eat only solid foods to reduce odor - D. Skip meals to decrease waste production **Answer:** B. Empty the colostomy bag regularly and use odor- control products **Rationale:** Regular emptying and the use of specific odor-control products can help manage concerns related to colostomies. 30. **To assist a resident with chronic pain management, a CNA should:** - A. State that pain is imaginary - B. Explain that pain medications are unnecessary - C. Support non-pharmacological methods such as repositioning and distraction - D. Avoid any mention of pain to the resident **Answer:** C. Support non-pharmacological methods such as repositioning and distraction **Rationale:** Non-pharmacological interventions can complement pain medication, enhancing overall pain management strategies.