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

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NY Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

1. When providing basic nursing care, which of the following is the most important action a nurse aide can take to prevent the spread of infection? A) Wearing gloves at all times B) Washing hands before and after patient contact C) Using hand sanitizer instead of washing hands D) Cleaning the patient's room once a day Correct Answer : B Rationale: Hand hygiene is the most effective way to prevent the spread of infections in healthcare settings.
2. A resident with limited mobility needs to be repositioned. What is the best technique for a nurse aide to use to promote the resident's safety? A) Ask another staff member for help to lift the resident B) Use a mechanical lift device C) Reposition the resident by pulling on their arms D) Encourage the resident to reposition themselves Correct Answer : B Rationale: Using a mechanical lift device helps prevent injury to both the resident and the healthcare provider.

B) Advise the resident to stay positive C) Ignore the signs as they will pass with time D) Tell the resident to get more sleep Correct Answer : A Rationale: Offering emotional support can help residents feel heard and understood, which is important for mental health.

6. A resident with dementia is experiencing agitation. What technique can a nurse aide use to help calm the resident? A) Restrain the resident for their safety B) Speak loudly and firmly to establish control C) Engage the resident in a familiar activity or conversation D) Leave the resident alone until they calm down Correct Answer : C Rationale: Engaging in familiar activities can reduce agitation and provide comfort to residents with dementia.
7. When providing specialized care for residents with changes in health, what is a key consideration for a nurse aide? A) Changing the treatment plan without consulting a nurse B) Monitoring and reporting any changes in the resident's condition C) Administering medications independently D) Making decisions about end-of-life care

Correct Answer : B Rationale: Monitoring and reporting changes ensures that residents receive timely and appropriate care.

8. In the event of a fire, what is the priority action for a nurse aide? A) Save the residents' personal belongings B) Immediately evacuate all residents C) Search for the source of the fire D) Continue with scheduled activities until further notice Correct Answer : B Rationale: Evacuating residents is crucial to ensure their safety in an emergency situation.
9. A nurse aide is assisting a resident with eating. The resident begins to choke. What is the first action the nurse aide should take? A) Offer the resident a drink of water B) Perform the Heimlich maneuver C) Call for help and start back blows D) Wait for the resident to cough up the obstruction Correct Answer : C Rationale: Calling for help and starting back blows can help dislodge the obstruction and prevent further complications.

B) Offer to reschedule the bath for a more convenient time C) Report the resident for non-compliance D) Ignore the resident's wishes and proceed with the bath Correct Answer : B Rationale: Respecting the resident's autonomy and preferences is important, and offering alternatives can lead to cooperation.

13. A nurse aide is caring for a resident with a terminal illness. What approach is most appropriate for providing emotional support? A) Avoid discussing the illness to keep the resident's spirits high B) Share personal stories of loss to relate to the resident C) Provide a listening ear and empathetic presence D) Tell the resident to remain hopeful for a cure Correct Answer : C Rationale: Providing a listening ear and empathetic presence can help residents feel supported during difficult times.
14. In the context of infection control, why is it important for a nurse aide to wear personal protective equipment (PPE)? A) To set an example for other healthcare workers B) To protect themselves and residents from potential infections C) Because it is a legal requirement D) To make the residents feel more secure

Correct Answer : B Rationale: PPE is essential for creating a barrier against infections, protecting both healthcare workers and residents.

15. A nurse aide finds a resident on the floor. After checking for responsiveness, what is the next step? A) Move the resident back into bed B) Call for help and assess for injuries C) Leave the resident to find a nurse D) Take a break, as this situation is stressful Correct Answer : B Rationale: Calling for help and assessing for injuries ensures the resident receives immediate and appropriate care. Question: What is the primary role of a nurse aide in a long-term care facility? A) Administering medications B) Performing surgical procedures C) Assisting residents with activities of daily living D) Conducting medical diagnoses Correct Answer : C Rationale: Nurse aides primarily assist residents with daily activities such as bathing, dressing, and eating.

B) Monitoring vital signs C) Assisting with feeding D) Prescribing medications Correct Answer : C Rationale: Assisting with feeding is a fundamental aspect of basic nursing care provided by nurse aides. Question: How should a nurse aide approach providing specialized care for residents with changes in health? A) Ignoring changes in residents' health status B) Following the care plan provided by healthcare professionals C) Experimenting with new treatments without authorization D) Refusing to assist residents with complex needs Correct Answer : B Rationale: Following the care plan ensures that residents receive appropriate and specialized care tailored to their changing health conditions. Question: In a long-term care facility, what should a nurse aide prioritize when assisting residents with mobility challenges? A) Encouraging residents to remain sedentary B) Using proper body mechanics to prevent injury C) Forcing residents to move quickly

D) Neglecting assistance with mobility Correct Answer : B Rationale: Using proper body mechanics is essential to prevent injuries to both the nurse aide and the resident. Question: When assisting residents with personal hygiene, what should a nurse aide do to maintain their dignity? A) Rush through the task to save time B) Avoid engaging in conversation with residents C) Provide privacy and respect during care D) Perform tasks forcefully to save effort Correct Answer : C Rationale: Providing privacy and respect during personal care tasks upholds the dignity of the residents. Question: How can a nurse aide effectively communicate changes in a resident's condition to the nursing staff? A) Keep the information to themselves B) Document the changes in the resident's chart C) Share information with other residents D) Disregard any changes observed Correct Answer : B

Question: How can a nurse aide promote social interaction among residents in a long-term care facility? A) Isolating residents in their rooms B) Encouraging group activities and conversations C) Restricting communication between residents D) Avoiding social events Correct Answer : B Rationale: Encouraging group activities and conversations fosters social interaction and reduces feelings of loneliness. Question: When assisting residents with feeding, what precautions should a nurse aide take to prevent aspiration? A) Feeding residents quickly B) Allowing residents to eat alone C) Ensuring proper positioning during meals D) Using large utensils Correct Answer : C Rationale: Proper positioning during meals helps prevent aspiration and ensures safe feeding practices. Question: What should a nurse aide do if a resident refuses to take their medication? A) Administer the medication forcefully

B) Document the refusal and inform the nursing staff C) Discard the medication without informing anyone D) Hide the medication from the resident Correct Answer : B Rationale: Documenting refusals and informing the nursing staff allows for appropriate follow-up and alternative solutions. Question: How can a nurse aide assist residents in maintaining their independence in activities of daily living? A) Doing everything for the resident B) Allowing the resident to skip certain tasks C) Encouraging the resident to do what they can independently D) Forcing the resident to comply with all instructions Correct Answer : C Rationale: Encouraging residents to do what they can independently promotes their autonomy and well-being. Question: What is the nurse aide's responsibility regarding infection control in a healthcare setting? A) Ignoring signs of infection in residents B) Following proper hand hygiene protocols C) Using the same gloves for all residents D) Disregarding isolation precautions

Question: How can a nurse aide contribute to the emotional well-being of residents in a long-term care facility? A) Ignoring residents' emotional needs B) Providing companionship and emotional support C) Avoiding interactions with residents D) Discouraging residents from expressing their feelings Correct Answer : B Rationale: Providing companionship and emotional support helps residents feel valued and cared for. Question: What should a nurse aide do if they discover a resident has fallen? A) Laugh at the resident B) Report the fall to the nursing staff immediately C) Blame the resident for the fall D) Keep the incident to themselves Correct Answer : B Rationale: Reporting the fall immediately ensures that the resident receives necessary medical attention and interventions. Question: Why is it important for a nurse aide to respect residents' rights to privacy and confidentiality?

A) To gossip about residents B) To maintain professionalism and trust C) To violate residents' trust D) To share residents' personal information with others Correct Answer : B Rationale: Respecting residents' privacy and confidentiality builds trust and maintains professionalism in the healthcare setting. Which of the following is most crucial for a nurse aide when documenting in a resident's medical record?

• A) Using subjective opinions.
• B) Transcribing verbal orders directly into the record.
• C) Documenting care and observations accurately and timely.
• D) Deleting outdated information. ** Answer :** C) Documenting care and observations accurately and timely. Rationale: Accurate and timely documentation ensures continuity of care and proper communication among the healthcare team. A nurse aide suspects a resident in their care is being abused. What is the first action the nurse aide should take?
• A) Confront the suspected abuser.
• B) Document the incident in the resident's chart.

Promotion of Safety

Under what circumstance is the use of restraints on a resident justified?

• A) To prevent the resident from wandering.
• B) As a response to non-compliance with staff instructions.
• C) When absolutely necessary to ensure the resident's safety with a physician's order.
• D) To manage violent behavior without documentation. ** Answer :** C) When absolutely necessary to ensure the resident's safety with a physician's order. Rationale: Restraints should only be used when necessary for safety and with a physician's order, ensuring ethical care and abiding by legal guidelines. During a fire emergency, the nurse aide’s priority should be:
• A) Evacuating ambulatory residents first.
• B) Calling maintenance to address the fire.
• C) Using fire extinguishers on the blaze.
• D) Following the facilities evacuation protocol and ensuring resident safety.

** Answer :** D) Following the facilities evacuation protocol and ensuring resident safety. Rationale: Nurse aides must follow established protocols to ensure the safety of residents during emergencies.

Promotion of Function and Health of Residents

Which of the following is an appropriate action for a nurse aide to promote respiratory health in a bedridden resident?

• A) Encourage minimal physical activity.
• B) Reposition the resident every two hours.
• C) Administer respiratory medications.
• D) Keep the room temperature lower than usual. ** Answer :** B) Reposition the resident every two hours. Rationale: Regular repositioning helps prevent complications like pneumonia by promoting lung expansion and circulation. When assisting a resident with range-of-motion exercises, the nurse aide should:
• A) Perform exercises rapidly for efficiency.