STNA MCQ 5 — Questions and Answers
Question 1: When a nurse aide records care in a resident's medical record, this is considered:
- A legal document that must be accurate and objective (Correct answer)
- An informal note for personal reference only
- Optional unless the nurse requests documentation
- A document only nurses are allowed to complete
Correct answer: A legal document that must be accurate and objective
Medical records are legal documents requiring accurate, objective, and timely documentation by all care team members.
Question 2: Which of the following is a normal age-related change in older adults?
- Increased kidney function
- Decreased skin elasticity and thinner skin (Correct answer)
- Improved immune system response
- Faster wound healing
Correct answer: Decreased skin elasticity and thinner skin
Aging causes a natural decrease in skin elasticity, collagen production, and subcutaneous fat, leading to thinner, more fragile skin.
Question 3: A resident is receiving oxygen therapy via nasal cannula. Which safety measure is most important?
- Keep the flow rate above 6 L/min for maximum benefit
- Ensure no smoking or open flames near the oxygen source (Correct answer)
- Place petroleum jelly in the nares to prevent dryness
- Cover the oxygen tubing with a blanket to keep it warm
Correct answer: Ensure no smoking or open flames near the oxygen source
Oxygen is highly flammable and greatly accelerates combustion, making fire prevention the primary safety concern.
Question 4: A resident who has been independent in self-care suddenly refuses to bathe or perform ADLs. The nurse aide's best response is to:
- Perform all ADLs for the resident without discussion
- Force the resident to comply with the schedule
- Report the behavior change to the nurse and try to understand the reason (Correct answer)
- Document refusal and take no further action
Correct answer: Report the behavior change to the nurse and try to understand the reason
A sudden change in behavior or ADL participation can indicate depression, pain, or illness and must be reported.
Question 5: When applying anti-embolism stockings (TED hose), the nurse aide should:
- Apply them only when the resident is ambulatory
- Apply them while the resident is lying down before getting out of bed (Correct answer)
- Apply them tightly for maximum compression
- Remove them and reapply them only once per week
Correct answer: Apply them while the resident is lying down before getting out of bed
TED hose should be applied while the resident is supine to prevent blood from pooling in the legs before application.
Question 6: The nurse aide's scope of practice is defined by:
- The preferences of the supervising nurse on duty
- State law and the facility's policies and procedures (Correct answer)
- The nurse aide's personal training and experience
- Federal Medicare guidelines only
Correct answer: State law and the facility's policies and procedures
Scope of practice for nurse aides is established by state law and further guided by facility-specific policies.
Question 7: A resident with dementia is agitated and repeatedly calling out. Which approach is most therapeutic?
- Firmly remind the resident to be quiet
- Use a calm voice, make eye contact, and use simple reassuring statements (Correct answer)
- Administer a PRN sedative from the medication cart
- Ignore the behavior to avoid reinforcing it
Correct answer: Use a calm voice, make eye contact, and use simple reassuring statements
Calm, reassuring communication with eye contact helps de-escalate agitation in residents with dementia.
STNA MCQ 5
When a nurse aide records care in a resident's medical record, this is considered: