Best Practices for Nurse Aides in Direct Patient Care, Exams of Nursing

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VT Nurse Aide (CNA)

Written Test

Comprehensive Final

Assessment

Q & A

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.

B) Encourage high sodium foods. C) Keep the resident in a flat position. D) Reduce medication usage to prevent dependency. Correct Answer : A Rationale: Limiting fluid intake helps to prevent fluid overload, which can exacerbate congestive heart failure symptoms.

6. The proper way to address a resident who has had a stroke with right- sided weakness is to: A) Stand on the resident's left side and speak only to that side. B) Speak loudly and quickly to ensure understanding. C) Provide support to the right side while encouraging independence. D) Complete tasks for the resident to avoid frustration. Correct Answer : C Rationale: Providing support while encouraging independence helps maintain the resident's dignity and promotes recovery.
7. A resident with diabetes has a blood sugar reading of 250 mg/dL. The nurse aide should: A) Give the resident a sugary drink to boost energy. B) Report the reading to the nurse immediately. C) Wait an hour and recheck the blood sugar. D) Encourage the resident to exercise.

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.

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

Rationale: Regular catheter care prevents infection and ensures the resident's comfort and hygiene.

15. The role of the nurse aide in providing specialized care for residents includes: A) Diagnosing health conditions and prescribing treatments. B) Following the care plan and reporting changes in the resident's health. C) Making decisions about the resident's care without consulting the nurse. D) Ignoring minor complaints to focus on more serious conditions. Correct Answer : B Rationale: Following the care plan and reporting changes ensures that residents receive consistent and appropriate care. Question: What is the primary role of a nurse aide in a long-term care facility? A. Administrative tasks B. Direct patient care C. Facility maintenance D. Patient transportation Correct Answer : B. Direct patient care

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

Correct Answer : A. Encouraging frequent repositioning Rationale: Encouraging residents to change positions regularly helps prevent pressure ulcers by reducing prolonged pressure on vulnerable areas of the skin. Question: What is the nurse aide's responsibility in addressing resident complaints or concerns? A. Dismissing the complaints B. Listening actively and reporting to the nurse C. Avoiding residents with complaints D. Making promises to resolve all complaints Correct Answer : B. Listening actively and reporting to the nurse Rationale: Nurse aides should listen attentively to resident complaints, take them seriously, and report them to the appropriate healthcare professionals for resolution. Question: How can a nurse aide promote a safe environment for residents with dementia? A. Using complex language B. Keeping the environment cluttered C. Providing clear directions D. Ignoring signs of agitation Correct Answer : C. Providing clear directions

Rationale: Clear and simple directions help residents with dementia navigate their environment safely and reduce confusion or agitation. Question: When assisting a resident with personal hygiene, what should the nurse aide prioritize? A. Completing the task quickly B. Respecting the resident's preferences C. Skipping steps in the routine D. Avoiding communication with the resident Correct Answer : B. Respecting the resident's preferences Rationale: Respecting the resident's preferences during personal hygiene tasks fosters a sense of autonomy and dignity. Question: How can a nurse aide contribute to preventing falls in a healthcare facility? A. Encouraging residents to walk alone B. Keeping walkways cluttered C. Assisting residents with mobility as needed D. Ignoring safety hazards Correct Answer : C. Assisting residents with mobility as needed Rationale: Assisting residents with mobility reduces the risk of falls by providing support and supervision during walking or transferring activities.

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:

4. In the scope of nurse aide practice, confidentiality regarding resident information is primarily regulated by:
   • A. Occupational Safety and Health Administration (OSHA)
   • B. The facility's internal policies
   • C. Health Insurance Portability and Accountability Act (HIPAA)
   • D. The nurse aide's personal judgement ** Answer :** C. Health Insurance Portability and Accountability Act (HIPAA) Rationale: HIPAA sets the national standards for confidentiality and privacy of patient information.
5. A nurse aide should approach care with respect to a resident's cultural, spiritual, and personal values by:
   • A. Avoiding any questions about the resident's preferences
   • B. Enforcing the facility's standard care routine without exceptions
   • C. Asking and incorporating the resident’s individual preferences into care
   • D. Deciding what is best based on the aide's experience ** Answer :** C. Asking and incorporating the resident’s individual preferences into care

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