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

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NC Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

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?

D) Disregarding blood sugar levels Correct Answer : B Rationale: Monitoring for changes in appetite or thirst can indicate alterations in blood sugar levels, which is critical for diabetic care management.

6. A Nurse Aide notices a skin breakdown on a resident's heel. What is the appropriate action? A) Apply a bandage and ignore B) Report the finding to a nurse immediately C) Wait for the resident to complain of pain D) Attempt to treat with over-the-counter ointments Correct Answer : B Rationale: Prompt reporting to a nurse can lead to immediate care and prevent further deterioration of the condition.
7. In the context of infection control, what is a fundamental practice for a Nurse Aide? A) Wearing gloves at all times B) Hand hygiene before and after resident contact C) Using the same equipment for all residents D) Limiting the use of disinfectants Correct Answer : B

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.

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

Rationale: Accurate and prompt documentation is crucial for continuity of care and legal purposes.

15. In case of a fire emergency, what is the priority action for a Nurse Aide? A) Save personal belongings first B) Follow the facility's emergency plan C) Take time to call relatives D) Panic and rush to exit Correct Answer : B Rationale: Following the established emergency plan ensures the safety of both residents and staff during critical situations. Question: Which of the following best describes the role of a Nurse Aide in a healthcare setting? A) Administering medications B) Performing complex medical procedures C) Providing direct patient care under the supervision of a nurse D) Making independent medical decisions Correct Answer : C Rationale: Nurse Aides assist nurses by providing direct care to patients, such as bathing, feeding, and assisting with daily activities, under the nurse's supervision.

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.

B) Discussing patient details in public areas C) Maintaining privacy during care tasks D) Posting patient information on social media Correct Answer : C Rationale: Maintaining privacy and confidentiality during care tasks is crucial for protecting patients' sensitive information. Question: What is a common safety precaution when assisting residents with transfers? A) Using proper body mechanics B) Rushing through the transfer process C) Overloading equipment beyond its capacity D) Ignoring residents' preferences Correct Answer : A Rationale: Using proper body mechanics reduces the risk of injury to both the resident and the caregiver during transfers. Question: When managing residents' pain, Nurse Aides should: A) Disregard residents' pain reports B) Administer pain medications without consulting the healthcare team C) Document residents' pain levels accurately D) Minimize residents' access to pain relief

Correct Answer : C Rationale: Accurate documentation of residents' pain levels is essential for effective pain management and treatment adjustments. Question: How can Nurse Aides promote residents' nutrition and hydration? A) Limiting residents' access to food and water B) Encouraging residents to skip meals C) Offering balanced meals and adequate fluids D) Disregarding residents' dietary preferences Correct Answer : C Rationale: Offering balanced meals and adequate fluids supports residents' nutrition and hydration needs. Question: What should Nurse Aides do if they suspect a resident has a pressure ulcer? A) Ignore the issue and continue normal care routines B) Report their concerns to the nursing staff C) Apply pressure to the ulcer to relieve pain D) Avoid documenting the presence of the ulcer Correct Answer : B Rationale: Reporting concerns about pressure ulcers to the nursing staff enables timely assessment and appropriate treatment.

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

• Correct Answer : c) Assess the resident for injuries
• Rationale: Assessing for injuries first ensures that appropriate and safe help can be administered.

5. Which of the following is the most effective way to prevent the spread of infection in healthcare settings?

• a) Wearing gloves at all times
• b) Using hand sanitizer only
• c) Washing hands frequently with soap and water
• d) Using personal protective equipment (PPE) only when necessary
• Correct Answer : c) Washing hands frequently with soap and water
• Rationale: Hand washing is the most effective method to prevent the spread of infections.

6. To minimize fall risks among residents, a nurse aide should:

• a) Keep the bed in the highest position
• b) Ensure the resident wears non-slip footwear
• c) Lock the wheels on wheelchairs at all times
• d) Allow residents to move as freely as possible
• Correct Answer : b) Ensure the resident wears non-slip footwear
• Rationale: Non-slip footwear provides traction that can prevent falls.

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.