Nursing Assistant Exam Paper PDF

1. When washing the perineum of the female resident, in which direction should the washcloth be applied? A. From the front to the back of the perineum B. From the middle of the perineum to the top of the perineum C. From any direction as long as the washcloth is wet and warm D. From the back of...

1. When washing the perineum of the female resident, in which direction should the washcloth be applied? A. From the front to the back of the perineum B. From the middle of the perineum to the top of the perineum C. From any direction as long as the washcloth is wet and warm D. From the back of the perineum to the front 2. A resident is upset and crying over being admitted to the nursing home. How should the nurse aide respond? A. Tell the resident that this is normal and not to be upset. B. Leave the resident alone to cry in private. C. Change the subject to help the resident forget her current situation. D. Sit with the resident and allow her to talk about her feelings. 3. The nursing assistant can help prevent tooth decay by assisting residents to brush their teeth how often? A. At least once a day B. Gums once a day C. in the morning and then after each meal D. Three times at least three hours apart 4. The first step in preventing the spread of germs is which of the following? A. Covering of the resident's mouth when sneezing B. Handwashing C. Keeping the living area clean D. Emptying the trash every day 5. All of the following are examples of the Patients' Bill of Rights except the right to which of the following? A. Privacy and dignity B. Confidentially C. Accept or refuse treatment D. Low-cost care 6. Which of the following members of the health-care team is responsible for prescribing medical care? A. Nurse B. Physician or nurse practitioner C. Social worker D. Nurse assistant 7. When the resident requests pain medication, but the nurse appears busy, what is the appropriate action of the nursing assistant? A Report the request for pain medication to the nurse immediately. B. Report the request for pain medication to the nurse when he or she appears less busy. C. Tell the resident to wait for the pain medication until the pain is worse. D. Tell the resident to call the nurse herself and request the pain medication. 8. The procedure used to rescue a choking victim is called which of the following? A. Heimlich B. CPR C. Arm elevation D. Abdominal thrust 9. An observation of warmth and redness to the resident's elbow is reported as which of the following? A. Jaundice B. Edema C. Inflammation D. Cyanosis 10. The correct statement regarding religious beliefs of residents is which of the following? A. Residents should not be concerned about religious beliefs. B.Each resident has a right to his or her own religious beliefs. C. The staff may force residents to believe as they do. D. Staff or residents are not to discuss religious beliefs. 11. Which of the following residents has the greatest risk for falling? A. The resident who has difficulty with balance B. The hearing-impaired resident C. The resident who uses a cane to ambulate D. The resident who often has visitors 12. Which of the following is appropriate for a nursing assistant working in a long-term care facility? A. Preparing and administering tube feedings for a resident who is on aspiration precautions B Changing linens of an incontinent resident C. Applying splints of a resident who has had a stroke D. Changing the intravenous tubings of a resident receiving medications 13. A nursing assistant who is threatening to apply a restraint to a resident is an example of which of the following? A. Assault B. False imprisonment C. Invasion of privacy D. Battery 14. Which of the following is an example of verbal communication? A. Touch B. Facial expressions C. Body language D. Speech 15. Which of the following statements describes the role of the nursing assistant? A. Performs the list of activities an employer expects the nursing assistant to carry out once hired B Provides personal care and assistance as needed C. Performs work for moral or ethical reasons D. Conducts actions out of a sense for what is right or wrong 16. The nursing assistant obtained a resident's temperature as 102°F. Which of the following is the nursing assistant's next action? A. Continue with obtaining the vital signs of the other residents and report the temperature to the first nurse the nursing assistant encounters. B. Ask another nursing assistant to report the temperature to the nurse assigned to the resident. C. Come back to the resident and repeat the temperature after collecting all the vital signs of the other residents. D. Report the temperature to the nurse assigned to the resident immediately. 17. Which of the following demonstrates dignity and respect for the resident? A. The nursing assistant addresses the resident by his or her first name. B. After hugging the resident, the nursing assistant calls the resident "honey" or "dear." C. The nursing assistant uses the resident's proper name and title whenever addressing the resident. D. The staff calls the resident by a nickname given by the staff. 18. Which team member is responsible for planning the meals for the residents? A. Orderly B. Nursing assistant Nurse D Dietician 19. The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nurse assistant admits forgetting the resident. This is an example of which of the following? Accountability B. Flexibility C. Dependability D. Respectability 20 Á resident's neighbor inquiries about the condition of the resident. Which of the following actions is a demonstration of confidentially by the nursing assistant? A. Share with the neighbor the condition of the resident. B Inform the neighbor that you cannot share that information. C. Suggest that the neighbor go to the nurse's station with you and view the chart. D. Ask the neighbor to step out into the hall to share the condition of the resident. 21 When the nursing assistant Cleanses the resident's genital and rectal areas, he or she is performing which of the following? A. P.M. care C. GI care B. Perineal care D. Hygiene care 22. Which of the following ways can a nursing assistant demonstrate empathy? A. Putting others ahead of self B. Sharing of emotions with residents C. Imagining self in the place of others D. Going the extra mile for someone 23. What is the second leading Cause of death in an individual 65 years of age or older? A. Car accident B. Falls C. Choking D. Drowning 24. Which of the following is not an example of contamination caused by droplet transmission? A. Pneumonia B. Influenza C. Cold D. Hepatitis B 25. When equipment is used by multiple residents, it is important To decrease the opportunity for contamination. One way to avoid contamination is by cleaning the equipment with the cleanser provided by the institution. When should the equipment be cleansed? A. Before using the equipment again B. At the end of the shift C. After use by every resident D. At the time of each scheduled cleaning 26. The nursing assistant notices the smell of smoke as he passes by a resident's room. He enters the roomand sees that a pillow is on fire in the empty bed next to where a resident is sleeping. What should be the nursing assistant's first action according to the RACE plan? A. Confine C. Extinguish B. Alarm D. Rescue 27, Which of the following is not considered appropriate handling of linen? A. Changing it promptly when soiled B. Folding the soiled portion inward C. Depositing the soiled linen on the floor D. Carrying the linen away from your body 28. Which of following are age-related changes? A. Decreased vision and hearing B. Lower intelligence level C. Difficulty communicating D. Ability to learn a new skill 29. Which of the following actions is not a part of standard precautions? A. Washing hands before and after contact with a resident B. Wearing gown, goggles, and gloves whenever entering a resident's room C. Wearing goggles when there is a possibility of splashes D. Using gloves when there is a possibility of contact with body fluids 30. Before serving a resident a meal, it is important for the nursing assistant to properly check that the meal belongs to the resident by which of the following activities? A. Checking the resident's identification according to facility policy. B. Asking the roommate to identify the resident. C. Asking the resident to identify self. D. There is no need to check identification because you see the resident several times a week. 31. The registered nurse calls for your help to assist with a resident who has fallen on the floor. You know this incident must be reported to the risk manager of the facility. Which of the nurse's following actions would best relay the events that occurred? A. Writing a note to the physician B Completing an incident report C. Calling the director for the facility D. Completing an adverse drug reaction form 32. A nursing assistant comes to work complaining of a sore throat, fever, and chills. She knows the unit is short a nursing assistant for today, so she did not call in sick. Which of the following is the best action of the nurse who is in charge? A. Give the nursing assistant who is ill medication. B. Allow the nursing assistant who is ill to rest after a.m. care is completed. C. Instruct all the nursing assistants on the unit to work in pairs. D. Send the ill nursing assistant home. 33. Which of the following are two general goals for a.m. care? A. Remove soil and promote an increase in skin moisture. B. Promote relaxation of the resident and decrease need for mobility. C. Increase circulation and decrease incidence of pressure ulcers. D. Remove harmful bacteria and promote well-being. 34. The nurse hands the nurse assistant a tube of medication and asks her to apply it after she has completed the resident's bath. Which of the following would be the nursing assistant's best response? A. "I will gladly apply the medication as soon as I dry the skin." B. "I don't have the time to do your job and mine too." C. "As a nursing assistant, I can't apply medication without a nurse present in the room." D. "Applying medication is not part of my role as a nursing assistant." 35. Which statement about taking an oral temperature is false? A. The thermometer is placed in the mouth under the tongue in the sublingual pocket. B. Wait 10 minutes if the resident has consumed any hot or cold liquids. C. The normal oral temperature is 96.6°F. D Thermometer covers are used on all residents. 36. Which of the following apical pulse rates should be repeated? A. A pulse rate of 84 beats per minute A pulse rate of 54 beats per minutute C. A pulse rate of 76 beats per minute D. A pulse rate of 66 beats per minute 37. Which statement is true? A. Tachycardia is a slow heart rate. B. An irregular heart rate should be taken for at least 30 seconds. C. The carotid site is used most often to obtain the pulse. Bradycardia is a slow heart rate. 38. Which blood pressure should the nursing assistant repeat before reporting it to the nurse? A. 90/40 mm Hg B. 120/74 mm Hg C. 140/68 mm Hg D. 130/70 mm Hg 39. Which of the following is not part of the procedure for weighing residents? A. Residents are to remove shoes before weighing. B. Residents are to void before being weighed. C. Weights are obtained when the nursing assistant has time in the day's schedule. D. Scales are to be calibrated to zero each day or routinely. 40. A resident who was very talkative earlier in the day is now difficult to awaken for his bath. The most appropriate action for the nursing assistant is which of the following? A. Ask another nursing assistant if this has ever happened before. B Report the change in condition to the charge nurse immediately. C. Realize he does not want his bath now and come back later. D. Reposition the resident and make sure he is comfortable. 41. The nurse assistant might expect to find pressure ulcers in all of the following locations except which of the following? A. Heels B. Nose C. Elbows D. Knees 42. Which of the following is false regarding assisting a resident with his or her bath? A. Have the room free from drafts. B. Assure the resident's privacy. C. Warm the bath water to at least room temperature. D. Use only one washcloth and towel. 43. How can the nursing assistant best ensure the safety of a resident who is legally blind? A. Keep the call light within easy reach. B. Keep an overhead light in front of the resident. C. Speak loudly when addressing the resident. D. When assisting residents to walk, stand in front of them and hold their hand to guide them 44. Which of the following is the best way to communicate with a resident who is completely deaf? A. Speak loudly and clearly. B. Smile and turn on the television. C. Write out all communication. D. Sit next to the resident and speak into his or her ear. 45. Which of the following is not preventative care for a resident receiving oxygen therapy? A. Provide oral care more frequently. B Provide the resident supervision while smoking. C. Encourage fluids. D. Provide careful skin care around nares. 46. A resident complains of sudden chest pain and shortness of breath. What is the nursing assistant's first action? A. Help the resident to sitting position. B. Call for another nursing assistant's help. C. Offer the resident a medication for pain relief. D. Call the nurse immediately. 47. A resident with diabetes wakes up in the middle of the night asking for a snack. What is the best action of the nursing assistant? A Check the resident's diet before bringing the snack. B. Inform the resident that snacks are not served on the night shift. C. Let the resident know the kitchen staff is not available. D. Serve the resident his or her breakfast early. 48, Which of the following is the appropriate response of the nursing assistant when a resident complains of dysuria? A. Encourage the resident to drink more water. B. Tell the nurse during the end of shift report. C. Offer the resident cranberry juice with a meal. D. Report the complaint to the nurse as soon as possible. 49. A resident who is on continuous gastrostomy tube feedings needs to have the linens changed. Which of the following is a necessary action of the nursingassistant to prevent aspiration of the tube feeding liquid? A. Keep the tube feeding infusing and place the resident in supine position. (b) Ask the nuase to stop the tube feeding and wait 15 min before changing the resident to Supine position. C. Keep the tube feeding infusing and place the resident in prone position. D. Ask the nurse to stop the tube feeding and wait 5 minutes before changing the resident to prone position. 50. What protective equipmentshould be worn when disposing of emesis? A. Gown C. Gloves B. Mask D. Goggles 51. Which of the following is not a sign of hypoglycemia? A. Shallow respirations B. Cool skin C. Irritability D. Slurred speech 52. Which of the following is a form of paralysis? A. Hemiplegia B. Hypertension D. Flaccid C. Aphasia 53. In which of the following locations would a nursing assistant stand when assisting a resident who has experienced a stroke to ambulate? A. On the resident's affected side B. Behind the resident C. On the resident's unaffected side D. In front of the resident 54. Which of the following is appropriate care for a resident who is agitated and talking loudly? A. Tell the resident he or she needs to be quiet because he or she is disturbing the other residents. B. Speak to the resident in a calm, comforting manner. C. Ask to have your assignment changed. D. Report the behavior to the nurse. 55. Gloves are to be worn when performing which of the following activities? A. Changing the resident's clothes B. Feeding the resident C. Performing peri-care D. Changing the resident's position in the chair 56. Which of the following is an example of neglect? A. Changing the resident as soon as you discover he or she is soiled B. Leaving the floor after reporting to your supervisor C. Calling for assistance when needed to care for the resident D Applying a restraint too tight 57. When a resident is dying, which sense is lost last? A. Taste C. Hearing B. Smell D. Sight 58. Which of the following is the first sign of a decubitus ulcer? A. Bleeding. B Redness C. Bruising D. Swelling 59. The nursing assistant demonstrates correct listening skills by which of the following activities? A. Speaking at the same time as the resident (B) Leaning toward the resident and responding when appropriate C. Talking to the resident while continuing to work D. Asking the right questions to lead the direction of the conversation 60. Which of the following locations is the body temperature of a resident taken most often? A) Oral B. Rectal C. Axillary D. Tympanic 61. Which of the following is performed to increase muscle strength and joint mobility of a resident who is unable to voluntarily move his or her limbs? A. Resistance exercises B. Aerobic exercises C. Active range of motion exercises D Passive range of motion exercises 62. When a resident is being transferred to a wheelchair by the nursing assistant, which of the following is the position for the nursing assistant during the transfer? A. Left side of the wheelchair B. Right side of the wheelchair C. In front of the wheelchair D. Behind the wheelchair 63. What is the first action of a nursing assistant before performing a procedure? A. Informing the nurse that you are going to the resident's room to perform the procedure B Checking the resident's identification C. Providing privacy D. Documenting the procedure 64. Which muscles are injured most often when a nursing assistant does not use proper body mechanics for a procedure? A. Back muscles B. Shoulder muscles C. Neck muscles D. Leg muscles 65. Which of the following choices is not a safety precaution used for showering a resident? A. Checking the water temperature before assisting the resident into the shower B. Locking the wheels on the shower chair C. Leaving the resident unattended in the shower D. Promptly drying and covering the resident after the shower is completed 66. Which of the following phrases best defines the term STAT? A. As soon as possible B. Within the next 2-3 hours C. By the end of the shift D Immediately 67. Which of the following is the most appropriate action of the nursing assistant when a resident complains of chest pain? A. Provide the resident with water B. Place the resident in proneposition C. Call for help immediately D. Check the resident's blood sugar 68. A bed that is free of wrinkles is necessary to prevent which of the following complications? A. Pressure sore B. Agitation C. Hypertension D. Infection 69. In which of the following food groups is Vitamin D found? A. Bread and cereals B. Fruits and Vegetables C. Protein D. Dairy 70. Which of the following is a true statement regarding religious beliefs? A. Employees are to impose their religious beliefs on the residents. B. Employees are never to discuss religious beliefs with residents. C. Residents have a right to practice their own religious beliefs. D. Family members are responsible to bring the religious leaders in to speak to the residents. 71. Which of the following choices is needed to communicate with a completely deaf resident? A. An amplified phone system B. A loud voice C. Reduced noise D Pen and paper 72. The nurse administering the wrong medication to a resident is an example of which of the following? A. Negligence C. Slander Malpractice D. Assault 73, A nursing assistant threatening to restrain a resident is an example of which of the following? A Assault C. Slander B. Battery D. Negligence 74. Select the appropriate equipment to use when giving mouth care to an unconscious resident. A. Toothbrush B. Toothpaste C. Mouthwash. D. Soft Toothette 75. Which of the following is a description of a stage one decubitus ulcer? A. Redness B. Open area with redness C. Black area D. Open area with visible bone 76. Which of the following is the medical term for intestinal gas? A. Feces C. Flank B. Flatus D. Friction 77. Which of the following statements by a nursing assistant suggests that he or she has an understanding of cultural awareness? A. All cultures are the same B. Once a person enters this country, he or she should learn the culture C. care is planned to include resident's cultural needs D. Culture does not influence the care of residents 78. The nursing assistant is offered a $10 tip by a family member for taking good care of her mother. Which of the following is the best course of action for the nursing assistant? A. Ask another nursing assistant what they would do. B. Say thank you and take the money C. Refuse to accept the money. D. Instruct the family member to give the money to the supervisor. 79. Which of the following is the best action of the nursing assistant when assisting a resident with a.m. (morning) care to encourage independence? A. Allowing the resident to do as much as possible for himself or herself and then assisting him or her with the rest of the am. care B. Waiting until the resident is well rested and then offering a.m. care C. Providing the resident with the needed materials and then leaving him or her alone to complete the a.m. care without further assistance D. Waiting until the resident complains of the need to be cleaned and then he or she will want to do more for himself or herself 80. It is appropriate for the nursing assistant to share resident information with all of the following persons, except A. The physician caring for the resident B. A member of the resident's church C. The nurse caring for the resident D. The nursing assistant who will be caring for the resident 81. When assisting a resident who has right-sided weakness to get dressed in the morning, which arm is placed in the sleeve of the shirt first? A. Right side (the affected side) B. Left side (the non-affected side) C. Both sides at the same time D. Whichever side is easiest for the nursing assistant 82. Which of the following products are applied to a resident's skin before shaving? A. Shaving cream B. Soap C. Warm water D. Lotion 83. A resident has just been told of a family member's death. The best way to help the resident deal with the death is by which of the following actions? A. Assuring him or her that everyone eventually dies B. Allowing him or her to grieve alone C. Sharing with him or her that the family member is in a better place D. Staying with the resident and encouraging him or her to talk 84. Which of the following is not part of the procedure when documenting in the medical record? A Write in pencil B. Write in pen C. Do not erase D. Use correct spelling 85. As a nursing assistant, you can refuse to do a delegated task when which of the following occurs? A. It is not part of your assignment (B) It is not a task a nursing assistant should perform C. When you have already completed the task once this shift D. When the nurse is sitting at the desk talking 86, Which of the following is the lást action taken by the nursing assistant when making a resident's bed? A. Handwashing B. Removing all wrinkles from the bed C. Repositioning the bed to a low position D. Fastening the call light near the resident 87, Which of the following is the correct definition for NPO? A Nothing by mouth B. Only liquids by mouth C. Resident may only have ice chips D. Resident may have only thickened liquids 88. To safely transfer a person with a mechanical lift, at least: A. 2 workrs. B. 1 worker C. 4 workers D. 3 workers 89. Who is responsible to ask visitors to leave the resident's room before giving the resident a bath? A. The charge nurse B. Someone in housekeeping C. The nursing assistant preparing to give the bath D. The nurse assigned to the resident 99. Which of the following is true regarding the resident's phone rights? A. Telephones are provided to each resident. B. Access to phones and privacy is provided to each resident. C. Telephones can be used under supervision. D. Resident access is provided during daytime hours only. 91. Which of the following is the first stage of grief? A. Denial C. Anger B. Acceptance D. Bargaining 92. Which of the following best defines restorative nursing? A. Helping to regain strength B. Promoting well-being C. Increasing self-care ability (D.) All of the above 93. Who should the nursing assistant report to when the resident is threatening to leave the facility without physician permission? A. Physician B. Supervisor. C. Nurse D. Dietician 94, Which of the following is least likely to cause a skin tear? A. Ring or watch B. Friction C. Short, cropped nails D. Pulling on an extremity 95. A fellow nursing assistant comes to work under the influence of marijuana. As a member of the health-care team, your best action is which of the following? A. Inform the nurse immediately B. Ignore it C. Tell the nursing assistant to get help D. Give the nursing assistant coffee to drink 96. An assigned resident does not want lifesaving measures to be performed if he expires. You know the term written on the chart is which of the following? A. NPO C. CPR B. DNR D. ADL 97. Which of the following behaviors is considered a demonstration of caring? A. The timely completion of an assignment B. Taking the time to listen to the resident C. Obtaining the vital signs for the unit before lunch D. Not changing the resident when soiled 98. If the nursing assistant recognizes that a resident is not eating enough, he or she should do which of the following? A. Offer dietary supplements as prescribed B. Administer vitamins to the resident C. Provide an additional tray D. Tell the nurse the resident needs tube feedings 99. When a resident falls, what is the most frequent injury that occurs? A. Broken wrist B. Fractured ankle C. Strained ligament D. Fractured hip 100. In which of the following conditions is a cold pack applied? A. To decrease a burn injury B. To stop bleeding C. To decrease swelling D. To stop back pain