1. 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

❍ A. On the resident’s affected side

2. 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.

❍ B. Speak to the resident in a calm, comforting manner.

3. 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

❍ C. Performing peri-care

4. 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

❍ D. Applying a restraint too tight

5. When a resident is dying, which sense is lost last?
❍ A. Taste
❍ B. Smell
❍ C. Hearing
❍ D. Sight

❍ C. Hearing

6. Which of the following is the first sign of a decubitus ulcer?
❍ A. Bleeding
❍ B. Redness
❍ C. Bruising
❍ D. Swelling

❍ B. Redness

7. 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

❍ B. Leaning toward the resident and responding when appropriate

8. Which of the following locations is the body temperature of a resident taken most often?
❍ A. Oral
❍ B. Rectal
❍ C. Axillary
❍ D. Tympanic

❍ A. Oral

9. 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

❍ D. Passive range of motion exercises

10. 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

❍ C. In front of the wheelchair

11. 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

❍ B. Checking the resident’s identification

12. 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

❍ A. Back muscles

13. 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

❍ C. Leaving the resident unattended in the shower

14. 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

❍ D. Immediately

15. 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 prone position
❍ C. Call for help immediately
❍ D. Check the resident’s blood sugar

❍ C. Call for help immediately

16. 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

❍ A. Pressure sore

17. In which of the following food groups is Vitamin D found?
❍ A. Bread and cereals
❍ B. Fruits and Vegetables
❍ C. Protein
❍ D. Dairy

❍ D. Dairy

18. 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.

❍ C. Residents have a right to practice their own religious beliefs.

19. 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

❍ D. Pen and paper

20. The nurse administering the wrong medication to a resident is an example of which of the
following?
❍ A. Negligence
❍ B. Malpractice
❍ C. Slander
❍ D. Assault
From

❍ B. Malpractice

21. A nursing assistant threatening to restrain a resident is an example of which of the following?
❍ A. Assault
❍ B. Battery
❍ C. Slander
❍ D. Negligence

❍ A. Assault

22. Select the appropriate equipment to use when giving mouth care to an unconscious resident.
❍ A. Toothbrush
❍ B. Toothpaste
❍ C. Mouthwash
❍ D. Soft Toothette

❍ D. Soft Toothette

23. 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

❍ A. Redness

24. Which of the following is the medical term for intestinal gas?
❍ A. Feces
❍ B. Flatus
❍ C. Flank
❍ D. Friction

❍ B. Flatus

25. 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 a resident’s cultural needs.
❍ D. Culture does not influence the care of residents.

❍ C. Care is planned to include a resident’s cultural needs.

26. 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.

❍ C. Refuse to accept the money.

27. 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 a.m. 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

❍ A. Allowing the resident to do as much as possible for himself or herself and then assisting

28. 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

❍ B. A member of the resident’s church

29. 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. Which ever side is easiest for the nursing assistant

❍ A. Right side (the affected side)

30. Which of the following products are applied to a resident’s skin before shaving?
❍ A. Shaving cream
❍ B. Soap
❍ C. Warm water
❍ D. Lotion

❍ A. Shaving cream

31. 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

❍ D. Staying with the resident and encouraging him or her to talk

32. 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

❍ A. Write in pencil

33. 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

❍ B. It is not a task a nursing assistant should perform

34. Which of the following is the last 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

❍ A. Handwashing

35. 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

❍ A. Nothing by mouth

36. 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

❍ C. The nursing assistant preparing to give the bath

37. 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.

❍ B. Access to phones and privacy is provided to each resident.

38. Which of the following is the first stage of grief as presented by Elizabeth Kübler-Ross?
❍ A. Denial
❍ B. Acceptance
❍ C. Anger
❍ D. Bargaining

❍ A. Denial

39. 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

❍ D. All of the above

40. 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

❍ C. Nurse

41. 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

❍ A. Ring or watch

42. 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

❍ A. Inform the nurse immediately

43. 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
❍ B. DNR
❍ C. CPR
❍ D. ADL

❍ B. DNR

44. 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

❍ B. Taking the time to listen to the resident

45. 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

❍ A. Offer dietary supplements as prescribed

46. When a resident falls, what is the most frequent injury that occurs?
❍ A. Broken wrist
❍ B. Fractured ankle
❍ C. Strained ligament
❍ D. Fractured hip

❍ D. Fractured hip

47. 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

❍ C. To decrease swelling

48. Which of following is not a sign of impending death?
❍ A. Decreased respirations
❍ B. Irregular, weak, and thready pulse
❍ C. Skin cool and moist
❍ D. Stable vital signs

❍ D. Stable vital signs

49. Select the observation that should be reported to the nurse STAT?
❍ A. Cloudy yellow urine
❍ B. Brown loose stools
❍ C. Respiratory rate of 38
❍ D. Radial pulse of 80

❍ C. Respiratory rate of 38

50. The resident is to be placed in Fowler’s position. Which of the following is the correct definition of
this position?
❍ A. Head of bed 45–60 degrees with legs either bent or straight
❍ B. Head of bed flat
❍ C. Bed flat with feet higher than the head
❍ D. Head of bed 15 degrees with legs either bent or straight

❍ A. Head of bed 45–60 degrees with legs either bent or straight

51. When helping to lift a resident up in bed, which of the following positions demonstrates proper use
of body mechanics?
❍ A. Keep your back and knees straight, and lift using your thigh muscles.
❍ B. Bend slightly at the waist, keep knees partially flexed, and lift with your legs muscles.
❍ C. Bend slightly at the waist, keep knees partially flexed, and lift with your back muscles.
❍ D. Use whatever position and muscles you feel most comfortable.

❍ B. Bend slightly at the waist, keep knees partially flexed, and lift with your legs muscles.

52. Washing your hands appropriately is important to reduce the spread of infection. Which of the following
directions is false?
❍ A. Rub hands vigorously with soap and water for at least 30 seconds.
❍ B. Use a clean paper towel to dry hands.
❍ C. If hands are visibly soiled, you may use an alcohol-based hand sanitizer.
❍ D. Use paper towel to turn off faucet.

❍ C. If hands are visibly soiled, you may use an alcohol-based hand sanitizer.

53. When wearing gloves, remember to do which of the following to ensure adequate protection?
❍ A. Wash your hands before and after glove use.
❍ B. Wash your hands after taking off gloves only.
❍ C. A small tear will still keep out germs.
❍ D. Always wear latex gloves because they are less costly.

❍ A. Wash your hands before and after glove use.

54. When caring for a resident who is anxious, it is important for the nursing assistant to do which of
the following?
❍ A. Have restraints available in case of escalation to violence.
❍ B. Remain calm and speak softly.
❍ C. Keep the room bright.
❍ D. Turn on the television to distract the resident.

❍ B. Remain calm and speak softly.

55. When a confused resident is placed in restraints by the nurse, the nursing assistant knows which
of the following is true?
❍ A. The resident should not be touched because the resident might cause harm to others.
❍ B. The resident is being punished.
❍ C. Assessment of the resident needs such as bathroom, repositioning, and circulation
must be conducted at least every 2 hours.
❍ D. Residents are not allowed to have any visitors.

❍ C. Assessment of the resident needs such as bathroom, repositioning, and circulation
must be conducted at least every 2 hours.

56. The nursing assistant is walking a resident around the unit, and the resident starts to fall. The first
action of the nursing assistant should be which of the following?
❍ A. Leave the resident and quickly grab the nearest chair.
❍ B. Get behind the resident and ease the patient to ground slowly.
❍ C. Get to the nearest phone and call for assistance.
❍ D. Grab the resident by the arms and lift him or her up.

❍ B. Get behind the resident and ease the patient to ground slowly.

57. Which of the following terms is used to define when a resident becomes more confused each day
during the evening or night hours?
❍ A. Alzheimer’s Disease
❍ B. Dementia
❍ C. Psychosis
❍ D. Sundowner’s Syndrome

❍ D. Sundowner’s Syndrome

58. The nursing assistant is ready to enter Mrs. Jane Smith’s room to care for her. Which of the following
is the best way to approach Mrs. Smith?
❍ A. “Hi, I am assigned to care for you today.”
❍ B. “Hi Jane, I am Sue your nursing assistant.”
❍ C. “Good morning, Mrs. Smith. I am Mrs. Jones the nursing assistant on duty today. How
may I help you?”
❍ D. “Time to wake up and get moving, Mrs. Smith. I have a lot to accomplish today.”

❍ C. “Good morning, Mrs. Smith. I am Mrs. Jones the nursing assistant on duty today. How
may I help you?”

59. A nursing assistant smells smoke in the nursing facility. A resident is found smoking a cigarette.
Which of the following actions is correct?
❍ A. Tell the resident to be more careful so no one catches him or her.
❍ B. Tell the resident that it is against the law and to go outside.
❍ C. Tell the resident that it is a safety hazard and ask him or her to go outside.
❍ D. Do nothing as long as the resident isn’t bothering anyone.

❍ C. Tell the resident that it is a safety hazard and ask him or her to go outside.

60. The resident consumed 3 ounces of juice. How many milliliters should the nursing assistant document
on the flow sheet?
❍ A. 120 mL
❍ B. 60 mL
❍ C. 45 mL
❍ D. 90 mL

❍ D. 90 mL

61. When a resident refuses a bath, the nursing assistant should perform which of the following
actions?
❍ A. Inform the resident that everyone must take a bath when it is scheduled
❍ B. Communicate the resident’s refusal to the charge nurse
❍ C. Go ahead and bathe the resident
❍ D. Respect the resident’s wishes

❍ D. Respect the resident’s wishes

62. Which of the following is an appropriate response to a resident who is making sexual comments?
❍ A. “Thank you, no one has flirted with me in a long time.”
❍ B. “I am going to ignore that comment.”
❍ C. “The comment is not acceptable to me.”
❍ D. “I bet you tell all the girls that.”

❍ C. “The comment is not acceptable to me.”

63. Which of the following devices is used to prevent contractures?
❍ A. Hand roll
❍ B. Cane
❍ C. Back support
❍ D. Ace bandage

❍ A. Hand roll

64. What is the medical term for high blood pressure?
❍ A. Tachycardia
❍ B. Hypertension
❍ C. Bradypnea
❍ D. Hypotension

❍ B. Hypertension

65. When residents have visitors, it is important for the nursing assistant to do which of the following?
❍ A. Provide snacks for the resident and family members
❍ B. Provide privacy
❍ C. Remain close enough to hear the resident’s conversation
❍ D. Leave the intercom on in case the resident needs assistance

❍ B. Provide privacy

66. Which of the following is the correct method of washing the perineum of a resident who has an
indwelling catheter?
❍ A. Wash from the rectum to the meatus
❍ B. Wash the meatus with peroxide
❍ C. Wash away from the meatus
❍ D. Provide traction to the catheter while washing the meatus

❍ C. Wash away from the meatus

67. The nursing assistant is cleaning a resident’s dentures. Which of the following is a correct safety
precaution?
❍ A. The nursing assistant places a towel in the sink while cleaning the dentures.
❍ B. The nursing assistant keeps the dentures in a glass on the sink to soak.
❍ C. The nursing assistant places the dentures on the bedside table for easy access.
❍ D. The nursing assistant places a paper towel in the sink while cleaning the dentures.

❍ A. The nursing assistant places a towel in the sink while cleaning the dentures

68. The resident calls the nursing assistant into his room to tell her that his dentures are lost. Which
of the following is the best action of the nursing assistant?
❍ A. Tell the resident that he will be able to eat without them because he is on a pureed diet.
❍ B. Notify the charge nurse.
❍ C. Go through all the resident’s belongings in case he hid them.
❍ D. Notify the resident’s family

❍ B. Notify the charge nurse.

69. Washing your hands as a nursing assistant is very important. Which of the following is a part of
the handwashing procedure?
❍ A. Drying both hands thoroughly with a discarded towel
❍ B. Applying soap to both hands before turning on the water
❍ C. Applying friction for 15–20 seconds
❍ D. Wiping soiled hands on a towel as the first step in the procedure

❍ C. Applying friction for 15–20 seconds

70. The nursing assistant overhears a conversation about a resident on the elevator at work. The nursing
assistant knows this is a violation of which of the following?
❍ A. The resident’s right to be present when his care is discussed
❍ B. The resident’s right to refute any statements made
❍ C. The resident’s right to privacy
❍ D. The resident’s right to medical care

❍ C. The resident’s right to privacy

71. Which of the following is true regarding the use of a gait belt?
❍ A. Use a rocking and pulling motion when using the belt to get up from a sitting position.
❍ B. Transfer to resident’s strong side.
❍ C. More than one caregiver might be needed.
❍ D. Proper body mechanics are not needed with use of a gait belt.

❍ A. Use a rocking and pulling motion when using the belt to get up from a sitting position.

72. Which of the following is the correct method for counting respirations?
❍ A. Look at your watch and the resident’s abdomen at the same time.
❍ B. Look at your watch, count 10 respirations, and then examine your watch again.
❍ C. Look only at the abdomen and count to 30.
❍ D. Look at your watch and have a second nursing assistant count the respirations.

❍ A. Look at your watch and the resident’s abdomen at the same time.

73. Which of the following is not included in the resident’s right to information?
❍ A. Latest hospital inspection results
❍ B. Notification in advance to change of room or roommate
❍ C. Right to file a complaint with the state survey agency
❍ D. Right to free or reduced medical care

❍ D. Right to free or reduced medical care

74. Which of the following best defines quadriplegia?
❍ A. Flaccid lower extremities
❍ B. No movement of all four extremities
❍ C. Inability to move the left side
❍ D. No feeling of both feet

❍ B. No movement of all four extremities

75. One of the residents you care for is a member of your church. When someone from the church
inquires about the resident’s medical condition, your best response should be which of the following?
❍ A. Inform the person that all information regarding all residents is confidential and you
cannot disclose the information to him or her.
❍ B. Tell the person that the resident’s condition is unchanged and that he or she should
visit the resident soon.
❍ C. Ignore the request for the information and talk about upcoming church activities.
❍ D. Tell the person to ask the resident’s nurse for information.

❍ A. Inform the person that all information regarding all residents is confidential and you
cannot disclose the information to him or her.