NY Nurse Aide (CNA) Clinical Skills Pre-Test Knowledge Check Q & S 2024, Exams of Nursing

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NY Nurse Aide (CNA)

Clinical Skills

Pre-Test Knowledge Check

Q & S

1. Multiple Choice: When providing basic care for a patient, which of the following is the priority? a) Comfort b) Safety c) Privacy d) Efficiency Correct Answer : b) Safety Rationale: Safety is always the priority when providing patient care to prevent harm and ensure well-being.
2. True/False: The medical term 'bradycardia' refers to an abnormally fast heart rate. Correct Answer : False Rationale: 'Bradycardia' refers to an abnormally slow heart rate.
3. Fill-in-the-Blank: When following proper safety regulations, it is important to always _______ before and after patient contact to prevent the spread of infection. Correct Answer : wash hands Rationale: Hand hygiene is crucial in preventing infection transmission.

a) Wetting hands with water b) Applying soap c) Drying hands with a paper towel d) Using a hand dryer while hands are still soapy Correct Answer : d) Using a hand dryer while hands are still soapy Rationale: Hands should be rinsed clean before drying.

8. True/False: Indirect care skills include respecting the patient's privacy and rights. Correct Answer : True Rationale: Indirect care involves non-clinical tasks that support the overall care environment, including respecting patient privacy and rights.
9. Fill-in-the-Blank: When a patient is experiencing difficulty breathing, a CNA should _______. Correct Answer : seek immediate assistance Rationale: Difficulty breathing can be life-threatening and requires prompt action.
10. Multiple Choice: Proper safety regulations require that a CNA should do which of the following when lifting a patient? a) Bend at the waist b) Keep the back straight and bend the knees

c) Lift quickly with a jerking motion d) Ask the patient to help if able Correct Answer : b) Keep the back straight and bend the knees Rationale: This technique helps prevent injury to both the patient and the CNA.

11. True/False: It is acceptable for a CNA to perform tasks outside their scope of practice if directed by a nurse. Correct Answer : False Rationale: CNAs must always work within their scope of practice for legal and safety reasons.
12. Fill-in-the-Blank: A CNA observes that a patient's wound dressing is soiled. The CNA should _______. Correct Answer : change the dressing Rationale: Maintaining clean dressings is important to prevent infection and promote healing.
13. Multiple Choice: Which of the following is a sign that a patient may need CPR? a) Coughing forcefully b) Speaking in full sentences c) Unresponsive and not breathing

Rationale: Asepsis refers to the practice of preventing infection by maintaining a sterile environment. Fill-in-the-Blank: Proper handwashing should last for at least _ seconds to effectively remove germs. Correct Answer : 20 Rationale: Washing hands for at least 20 seconds helps to eliminate harmful bacteria and viruses. True/False: True or False: CPR stands for Cardio-Pulmonary Resuscitation. Correct Answer : True Rationale: CPR is a life-saving technique used in emergencies to revive individuals who are not breathing or have no pulse. Multiple Choice: When assisting a patient with activities of daily living (ADLs), which of the following is NOT a typical ADL? A) Bathing B) Eating C) Walking D) Taking medication

Correct Answer : D) Taking medication Rationale: Taking medication is not considered an activity of daily living but rather a part of medical treatment. Fill-in-the-Blank: The term "tachycardia" refers to a heart rate that is _ normal. Correct Answer : Above Rationale: Tachycardia indicates a heart rate that is higher than the normal range. True/False: True or False: Patients should be encouraged to maintain good oral hygiene as part of their overall care. Correct Answer : True Rationale: Proper oral hygiene is essential for overall health and well- being in patients. Multiple Choice: Which of the following is NOT a recommended safety measure when transferring a patient from a bed to a wheelchair? A) Locking the wheelchair wheels B) Using a transfer belt C) Asking the patient to stand without assistance

B) Gown, gloves, mask, goggles C) Mask, gloves, gown, goggles D) Goggles, mask, gloves, gown Correct Answer : B) Gown, gloves, mask, goggles Rationale: Proper sequence for donning PPE is essential to prevent contamination and ensure safety.

1. Multiple Choice: Which of the following is the best practice for preventing bedsores in bedridden patients? A) Turning the patient every 8 hours B) Changing the patient’s position every 2 hours C) Providing a high-protein diet only D) Keeping the patient immobile to avoid discomfort ** Answer **: B Rationale: Changing the patient's position every 2 hours helps prevent pressure sores by redistributing pressure.
2. Fill in the Blank: To address a patient’s personal hygiene, particularly hair care, the CNA should _______________. ** Answer **: brush the patient’s hair daily or as needed. Rationale: Regular brushing maintains hair health and comfort.

3. True/False: Assisting a patient with their daily living activities, such as bathing and dressing, does not contribute to their overall well- being. ** Answer **: False Rationale: Assisting with daily living activities significantly contributes to a patient’s physical and emotional well-being.

Understanding of Medical Terminology

4. Multiple Choice: What does the term "tachycardia" refer to? A) Slow heart rate B) Rapid heart rate C) Normal heart rate D) Irregular heart rate ** Answer **: B Rationale: Tachycardia refers to an abnormally rapid heart rate.
5. Fill in the Blank: The medical term for difficulty breathing is _______________. ** Answer **: dyspnea Rationale: Dyspnea is the proper term for experiencing difficulty in breathing.
6. True/False: "Hypertension" refers to high blood pressure.

Rationale: PPE is intended for single use to prevent cross- contamination.

Observing Patients and Reporting Incidents

10. Multiple Choice: If a CNA observes a change in a patient's condition, what should they do first? A) Consult the patient’s family B) Report immediately to the nurse C) Document it at the end of the shift D) Ignore it if the patient is not in pain ** Answer **: B Rationale: Promptly reporting changes to a nurse ensures timely medical intervention.
11. Fill in the Blank: When documenting observations, the CNA should ensure the notes are __________ and ________. ** Answer **: accurate, timely Rationale: Accurate and timely documentation is critical for patient care continuity and safety.
12. True/False: If a CNA witnesses an incident, they should wait until the end of the shift to file a report. ** Answer **: False

Rationale: Incident reports should be completed immediately to ensure accurate information and timely response.

Patient’s Personal Care Needs

13. Multiple Choice: Which action should a CNA take to ensure a patient’s oral hygiene is maintained? A) Provide oral care only once a day B) Offer mouthwash without brushing C) Perform oral hygiene twice daily or as needed D) Only assist if the patient requests ** Answer **: C Rationale: Regular and as-needed oral care prevents infections and maintains comfort.
14. Fill in the Blank: When shaving a patient, the CNA should use _______________. ** Answer **: an electric razor or a safety razor with shaving cream Rationale: Using an electric razor or safety razor with shaving cream minimizes injury risk.
15. True/False: CNAs are responsible for ensuring patients with dentures clean them daily. ** Answer **: True

Rationale: Anyone who is trained can and should perform CPR in an emergency.

Handwashing and Indirect Care Skills

19. Multiple Choice: Which is the minimum duration recommended for proper handwashing with soap and water? A) 10 seconds B) 20 seconds C) 1 minute D) 2 minutes ** Answer **: B Rationale: Proper handwashing should last for at least 20 seconds.
20. Fill in the Blank: After washing hands, it is important to use a _______________ to turn off the faucet. ** Answer **: paper towel Rationale: Using a paper towel prevents recontaminating hands.
21. True/False: Hand sanitizer is an effective substitute for handwashing when hands are visibly dirty. ** Answer **: False Rationale: Handwashing with soap and water is necessary when hands are visibly soiled.

Additional Case Study Questions

22. Multiple Choice: Which of the following best describes indirect care when assisting a patient? A) Performing tasks only B) Engaging in meaningful conversation during care C) Ignoring the patient’s preferences D) Working silently ** Answer **: B Rationale: Indirect care involves engaging the patient to support emotional well-being.
23. Multiple Choice: What is the critical first step in ensuring proper patient identification? A) Ask the patient's roommate B) Ask the patient’s family C) Directly ask the patient to state their name and date of birth D) Assume based on the patient’s location ** Answer **: C Rationale: Verifying the patient’s identity personally ensures accurate identification.

Rationale: Proper disinfection and sterilization prevent infection spread.

28. True/False: Informing patients and families about safety protocols is outside the CNA’s responsibility. ** Answer **: False Rationale: CNAs should educate patients and families on safety to promote compliance and safety awareness.
29. Multiple Choice: When assisting a patient to eat, the CNA should: A) Feed the patient as quickly as possible B) Allow the patient to eat independently as much as possible C) Only feed high-calorie foods D) Ignore dietary restrictions ** Answer **: B Rationale: Encouraging patients to eat independently promotes their dignity and self-sufficiency.
30. Fill in the Blank: Conditions such as _______________ increase the risk of impaired skin integrity. ** Answer **: diabetes, immobility, or poor nutrition Rationale: These conditions are risk factors for skin breakdown and require extra care.

31. True/False: Proper body mechanics can help prevent injuries for both patients and healthcare workers. ** Answer **: True Rationale: Using proper body mechanics minimizes the risk of injury.
32. Multiple Choice: How often should high-touch surfaces in patient areas be disinfected? A) Once a week B) Daily C) Multiple times per day D) Only when visibly dirty ** Answer **: C Rationale: High-touch areas require frequent disinfection to prevent infection spread.
33. Fill in the Blank: The primary goal of incident reporting is to _______________. ** Answer **: improve patient safety and prevent future events Rationale: Incident reports are analyzed to enhance safety protocols.