STNA MCQ 4 — Questions and Answers
Question 1: When assisting a visually impaired resident to ambulate, the nurse aide should:
- Walk ahead and describe the path verbally
- Allow the resident to hold the aide's arm just above the elbow (Correct answer)
- Hold the resident's hand and lead them
- Use a wheelchair instead to prevent falls
Correct answer: Allow the resident to hold the aide's arm just above the elbow
The sighted guide technique has the visually impaired person hold the guide's arm above the elbow for safe navigation.
Question 2: A resident with a colostomy has output that is liquid and foul-smelling. The nurse aide should:
- Empty and change the pouch, then report the observation to the nurse (Correct answer)
- Ignore it as liquid output is always expected from a colostomy
- Contact the family to discuss dietary changes
- Place an order for a stool softener
Correct answer: Empty and change the pouch, then report the observation to the nurse
The aide should provide appropriate ostomy care and report any unusual output characteristics to the nurse.
Question 3: The Omnibus Budget Reconciliation Act (OBRA) of 1987 primarily protects nursing home residents by:
- Setting Medicare reimbursement rates
- Establishing minimum staffing and quality-of-care standards (Correct answer)
- Requiring all residents to have private rooms
- Mandating specific menus for all meals
Correct answer: Establishing minimum staffing and quality-of-care standards
OBRA 1987 established federal standards for nursing home quality of care and residents' rights.
Question 4: Which communication technique is most effective when speaking with a resident who has moderate hearing loss?
- Shout loudly from across the room
- Face the resident, speak slowly and clearly in a lower-pitched tone (Correct answer)
- Write all communication in large print notes only
- Speak very rapidly to convey information efficiently
Correct answer: Face the resident, speak slowly and clearly in a lower-pitched tone
Facing the resident and speaking at a slower pace with a lower pitch helps those with hearing loss understand better.
Question 5: A nurse aide witnesses a co-worker slapping a resident. The aide's FIRST action should be to:
- Confront the co-worker about the behavior
- Ensure the resident is safe, then immediately report the incident to the supervisor (Correct answer)
- Document the incident privately and report next shift
- Ask other residents if they witnessed the event
Correct answer: Ensure the resident is safe, then immediately report the incident to the supervisor
The aide must first ensure resident safety, then immediately report abuse to the supervisor as required by law.
Question 6: In the context of infection control, 'contact precautions' require the nurse aide to:
- Wear an N95 respirator mask upon entering the room
- Don gloves and a gown before entering the resident's room (Correct answer)
- Wear only gloves when performing direct care
- Use a face shield but no other PPE
Correct answer: Don gloves and a gown before entering the resident's room
Contact precautions require gloves and a gown to prevent transmission of infections spread by direct contact.
Question 7: A nurse aide is assisting a resident who has right-sided weakness to dress. Which limb should be dressed first?
- Left (stronger) side first to make it easier
- Right (weaker) side first (Correct answer)
- Either side; order does not matter
- Ask the resident to dress the strong side independently
Correct answer: Right (weaker) side first
Dress the weak side first because the garment can be positioned on the affected limb while range of motion is least restricted.
STNA MCQ 4
When assisting a visually impaired resident to ambulate, the nurse aide should: