STNA MCQ 3 — Questions and Answers
Question 1: When collecting a mid-stream clean-catch urine specimen, the nurse aide should instruct the resident to:
- Collect the first portion of urine flow
- Begin urinating, stop, then collect the middle portion (Correct answer)
- Collect urine at the very end of urination
- Collect urine at any point during urination
Correct answer: Begin urinating, stop, then collect the middle portion
The mid-stream technique discards the first flow to flush the urethra, then collects a clean specimen.
Question 2: A nurse aide is caring for a resident with a diagnosis of congestive heart failure (CHF). Which observation is most critical to report?
- Mild fatigue after walking
- Sudden weight gain of 3 pounds overnight (Correct answer)
- Mild decrease in appetite
- Preference for a softer pillow
Correct answer: Sudden weight gain of 3 pounds overnight
Sudden weight gain indicates fluid retention, a dangerous sign of worsening CHF that requires immediate reporting.
Question 3: The primary purpose of a transfer belt (gait belt) is to:
- Restrain a resident during transfer
- Provide a secure grip for the nurse aide during transfers and ambulation (Correct answer)
- Support the resident's back during sitting
- Measure a resident's waist circumference
Correct answer: Provide a secure grip for the nurse aide during transfers and ambulation
A gait belt provides a secure, padded grip point for the aide, reducing injury risk for both resident and aide.
Question 4: Informed consent means a resident has the right to:
- Refuse all treatments without explanation
- Receive information about their care and agree or refuse based on that information (Correct answer)
- Have family members make all decisions
- Choose which nurse aide cares for them daily
Correct answer: Receive information about their care and agree or refuse based on that information
Informed consent requires that residents receive full information about proposed care and voluntarily agree or refuse.
Question 5: When making an occupied bed, the nurse aide should:
- Complete one side entirely before moving to the other (Correct answer)
- Ask the resident to stand while the bed is changed
- Change sheets only when the resident is out of bed
- Have two aides present at all times
Correct answer: Complete one side entirely before moving to the other
Working one side at a time reduces resident movement and ensures a smooth, wrinkle-free surface.
Question 6: A nurse aide suspects a resident is experiencing a hypoglycemic episode. Which symptom would support this?
- Flushed, dry skin with fruity breath
- Shakiness, sweating, and confusion (Correct answer)
- Increased urination and extreme thirst
- High fever and chills
Correct answer: Shakiness, sweating, and confusion
Low blood sugar causes shakiness, diaphoresis, and altered mental status, requiring immediate reporting.
Question 7: Which of the following best describes the role of the nurse aide in advance directives?
- Complete the advance directive form with the resident
- Witness and notarize advance directive documents
- Honor the resident's documented wishes and report their existence to the nurse (Correct answer)
- Override the advance directive in an emergency
Correct answer: Honor the resident's documented wishes and report their existence to the nurse
The nurse aide's role is to honor documented wishes and ensure the care team is aware of the advance directive.
STNA MCQ 3
When collecting a mid-stream clean-catch urine specimen, the nurse aide should instruct the resident to: