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

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PA 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 health conditions Correct Answer : C Rationale: The nurse aide's role is to assist residents with activities of daily living, which is fundamental to basic nursing care.
2. A resident has developed a pressure ulcer. What is the first action a nurse aide should take? A) Apply a high-grade disinfectant B) Notify the supervising nurse C) Adjust the resident's position D) Increase the resident's fluid intake Correct Answer : B Rationale: Notifying the supervising nurse is crucial for proper assessment and intervention for a pressure ulcer.

B) Prone C) Fowler's D) Sims' Correct Answer : C Rationale: Fowler's position allows for better expansion of the chest, facilitating easier breathing.

6. Which of the following is a sign of infection that a nurse aide should report immediately? A) Increased appetite B) Improved mobility C) Elevated temperature D) Enhanced mood Correct Answer : C Rationale: An elevated temperature can indicate an infection, requiring prompt reporting for further assessment and treatment.
7. What is the primary purpose of hand hygiene in healthcare settings? A) To prevent dry skin B) To avoid glove use C) To reduce the spread of infection D) To improve personal cleanliness

Correct Answer : C Rationale: Hand hygiene is a critical practice to reduce the spread of infections in healthcare environments.

8. A resident with dementia is agitated and confused. What is the best approach for a nurse aide? A) Restrain the resident B) Speak loudly and firmly C) Provide a calm and quiet environment D) Ignore the resident's behavior Correct Answer : C Rationale: Providing a calm and quiet environment can help reduce agitation and confusion in residents with dementia.
9. When documenting the care provided to a resident, what is the most important consideration? A) Writing in pencil for easy corrections B) Including personal opinions for context C) Ensuring accuracy and completeness of information D) Using medical jargon to demonstrate knowledge Correct Answer : C Rationale: Accurate and complete documentation is essential for continuity of care and legal purposes.

B) Immediately report to the supervising nurse C) Provide aspirin to the resident D) Begin cardiopulmonary resuscitation (CPR) Correct Answer : B Rationale: Immediate reporting is vital for a suspected stroke to ensure timely medical intervention.

13. Which of the following is an appropriate measure for infection control? A) Reusing gloves for non-invasive procedures B) Washing hands only after patient contact C) Disposing of sharps in designated containers D) Wearing the same gown for all residents Correct Answer : C Rationale: Proper disposal of sharps in designated containers is a key practice in preventing the spread of infection.
14. When a resident is on bedrest, what is an essential task for a nurse aide to perform regularly? A) Keeping the resident in one position for comfort B) Changing the resident's position every two hours C) Allowing the resident to determine their position D) Placing pillows under the resident's feet only

Correct Answer : B Rationale: Regularly changing the resident's position helps prevent pressure ulcers and promotes circulation.

15. What is the best way for a nurse aide to support a resident who is grieving the loss of a loved one? A) Offer advice based on personal experiences B) Change the subject to distract from the grief C) Listen empathetically and offer emotional support D) Encourage rapid acceptance of the loss Correct Answer : C Rationale: Empathetic listening and emotional support validate the resident's feelings and assist in the grieving process. Question: What is the primary role of a nurse aide in a long-term care facility? A. Administering medications B. Providing direct patient care C. Creating care plans D. Conducting medical procedures Correct Answer : B Rationale: Nurse aides are responsible for providing direct patient care under the supervision of licensed nurses.

A. Changing sterile dressings B. Inserting urinary catheters C. Assisting with bathing and grooming D. Administering IV medications Correct Answer : C Rationale: Assisting with activities of daily living, such as bathing and grooming, is part of basic nursing care. Question: When caring for a resident with diabetes, what should the nurse aide be aware of? A. Limiting fluid intake B. Encouraging high-sugar snacks C. Monitoring blood glucose levels D. Avoiding physical activity Correct Answer : C Rationale: Monitoring blood glucose levels is crucial in managing diabetes and preventing complications. Question: What is the appropriate procedure for transferring a resident from a bed to a wheelchair? A. Lift the resident without assistance B. Use a mechanical lift for all transfers C. Follow the facility's established transfer protocols

D. Transfer the resident quickly to save time Correct Answer : C Rationale: Following established protocols ensures the safety and well- being of both the resident and the caregiver. Question: In the event of a fire in a healthcare facility, what is the nurse aide's primary responsibility? A. Evacuate all residents immediately B. Attempt to extinguish the fire C. Close all windows and doors D. Call for emergency assistance Correct Answer : A Rationale: Ensuring the safety of the residents by evacuating them is the top priority in fire emergencies. Question: When providing oral care to a resident, why is it important to use a soft-bristled toothbrush? A. To save time B. To prevent injury to the gums C. To provide a deeper clean D. To avoid brushing the teeth Correct Answer : B

Question: When assisting a resident with eating, what should the nurse aide do to ensure proper nutrition? A. Rush the resident through meals B. Offer a limited variety of foods C. Encourage the resident to feed themselves D. Force-feed the resident if they refuse Correct Answer : C Rationale: Encouraging residents to feed themselves promotes independence and ensures they receive adequate nutrition. Question: How can a nurse aide contribute to the emotional well-being of residents in a long-term care facility? A. Minimize social interactions B. Ignore residents' emotional needs C. Provide companionship and emotional support D. Restrict access to family members Correct Answer : C Rationale: Providing companionship and emotional support helps residents feel cared for and valued. Question: What is the nurse aide's responsibility when assisting with range of motion exercises for residents? A. Perform exercises quickly to save time

B. Stop if the resident experiences discomfort C. Skip exercises that seem difficult D. Perform exercises without proper training Correct Answer : B Rationale: Stopping exercises if the resident experiences discomfort helps prevent injury and promotes safe care. Question: Why is it important for nurse aides to communicate effectively with residents and their families? A. To limit interactions B. To prevent misunderstandings C. To avoid sharing information D. To discourage family involvement Correct Answer : B Rationale: Effective communication helps prevent misunderstandings and ensures that residents receive appropriate care. Question: How can nurse aides promote a safe environment for residents with dementia? A. Keep the environment noisy B. Maintain a consistent routine C. Use harsh lighting D. Limit social interactions

Question: What is the nurse aide's role in preventing infections in a healthcare facility? A. Use proper hand hygiene techniques B. Skip wearing personal protective equipment C. Avoid cleaning and disinfecting surfaces D. Discard contaminated linens in regular bins Correct Answer : A Rationale: Proper hand hygiene is crucial in preventing the spread of infections among residents and staff. Question: When assisting a resident with toileting, what should the nurse aide prioritize? A. Rushing the resident B. Providing privacy and dignity C. Ignoring residents' preferences D. Limiting access to the bathroom Correct Answer : B Rationale: Providing privacy and dignity during toileting promotes the resident's comfort and well-being. Question: How can nurse aides contribute to the overall quality of life for residents in long-term care?

A. Minimize social interactions B. Focus solely on physical needs C. Provide emotional support and companionship D. Disregard residents' preferences Correct Answer : C Rationale: Providing emotional support and companionship enhances residents' quality of life and promotes their well-being. Which of the following best describes the primary role of a nurse aide in a healthcare setting? A. Administering medications B. Providing direct patient care C. Performing medical procedures D. Creating treatment plans Answer : B. Providing direct patient care Rationale: Nurse aides are responsible for providing hands-on care to patients under the supervision of licensed healthcare professionals. When promoting safety for residents in a healthcare facility, which of the following actions should the nurse aide prioritize? A. Keeping the environment clean and organized

C. Obtaining blood samples D. Assisting with toileting Answer : D. Assisting with toileting Rationale: Nurse aides help residents with toileting activities as part of providing basic nursing care. When providing specialized care for residents with changes in health, which of the following actions should the nurse aide take first? A. Notify the physician immediately B. Document the changes in the resident's condition C. Administer prescribed medications D. Consult with other healthcare team members Answer : B. Document the changes in the resident's condition Rationale: Documenting changes in a resident's health is important for monitoring their condition and communicating with the healthcare team. In promoting safety for residents with mobility issues, which of the following measures is most important for the nurse aide to implement? A. Encouraging residents to move around independently B. Using assistive devices as needed C. Restraining residents to prevent falls

D. Ignoring residents' requests for assistance Answer : B. Using assistive devices as needed Rationale: Using assistive devices can help residents with mobility issues move safely and prevent falls. Which of the following strategies is most effective in preventing pressure ulcers in residents who are immobile? A. Turning and repositioning residents frequently B. Using harsh chemicals for skin care C. Applying direct pressure to ulcerated areas D. Avoiding the use of pressure-reducing devices Answer : A. Turning and repositioning residents frequently Rationale: Regular turning and repositioning are essential in preventing pressure ulcers in immobile residents. When assisting residents with eating, the nurse aide should prioritize: A. Feeding residents quickly to save time B. Encouraging residents to eat large portions C. Allowing residents to feed themselves independently D. Ensuring residents are positioned properly for eating