STNA Random 4 — Questions and Answers
Question 1: When caring for a resident who is visually impaired, the nurse aide should:
- Rearrange furniture frequently to make the room feel fresh
- Always announce presence before touching and keep pathways clear (Correct answer)
- Speak louder than normal to compensate
- Limit the resident's mobility for safety
Correct answer: Always announce presence before touching and keep pathways clear
Announcing presence prevents startling, and clear pathways reduce fall risk for visually impaired residents.
Question 2: A resident's oral temperature is 99.6°F. The nurse aide should:
- Apply a cooling blanket immediately
- Offer extra fluids and report the elevated temperature to the nurse (Correct answer)
- Do nothing, as this is a normal temperature
- Administer acetaminophen from the medication cart
Correct answer: Offer extra fluids and report the elevated temperature to the nurse
A temperature of 99.6°F is above normal (98.6°F) and should be reported to the nurse for further assessment.
Question 3: Which type of isolation precaution requires the use of a gown and gloves when entering the room?
- Droplet precautions
- Contact precautions (Correct answer)
- Airborne precautions
- Standard precautions only
Correct answer: Contact precautions
Contact precautions require gown and gloves to prevent transmission of pathogens via direct or indirect contact.
Question 4: The best method to identify a resident before providing care is:
- Ask the resident's roommate for confirmation
- Call the resident by their first name and wait for a response
- Check the resident's identification bracelet and ask the resident to state their name (Correct answer)
- Verify identity by the resident's room number only
Correct answer: Check the resident's identification bracelet and ask the resident to state their name
Using two identifiers — the ID bracelet and verbal confirmation — is the safest way to confirm a resident's identity.
Question 5: When a resident with a catheter is being ambulated, the drainage bag should be kept:
- At the level of the bladder
- Above the level of the bladder at all times
- Below the level of the bladder at all times (Correct answer)
- Clamped and emptied before ambulation
Correct answer: Below the level of the bladder at all times
Keeping the drainage bag below bladder level allows urine to drain by gravity and prevents backflow.
Question 6: Sundowning behavior in a resident with dementia typically occurs:
- Immediately after waking in the morning
- During mealtimes only
- In the late afternoon and evening hours (Correct answer)
- Only during full moon nights
Correct answer: In the late afternoon and evening hours
Sundowning refers to increased confusion, agitation, or restlessness that occurs in the late afternoon or evening.
Question 7: Which of the following best describes the purpose of an advance directive?
- A form used to report workplace injuries
- A legal document that outlines a resident's wishes for medical care if they cannot communicate (Correct answer)
- A plan created by the nurse aide for daily care routines
- A form authorizing family to enter a resident's room
Correct answer: A legal document that outlines a resident's wishes for medical care if they cannot communicate
An advance directive (such as a living will) documents a person's medical care preferences in advance of incapacity.
STNA Random 4
When caring for a resident who is visually impaired, the nurse aide should: