Role of the Nurse Aid
A nurse aide is allowed to perform a task only if:
A. Another aide shows them how
B. It is listed in their job description
C. It is assigned by the nurse and within their scope
D. They feel confident doing it
C. It is assigned by the nurse and within their scope
A resident begins to fall while walking with a gait belt. The aide should:
A. Try to hold the resident upright
B. Lower the resident gently to the floor
C. Step back and call for help
D. Pull the resident toward their body forcefully
B. Lower the resident gently to the floor
The single most effective way to prevent infection is:
A. Cleaning surfaces
B. Sterilization
C. Wearing gloves
D. Hand hygiene
D. Hand hygiene
When speaking to a resident with hearing loss, the aide should:
A. Shout
B. Face the resident directly
C. Sit behind the resident
D. Speak very slowly and exaggeratedly
B. Face the resident directly
Residents have the right to:
A. Choose what time to wake up
B. Be restrained if confused
C. Share rooms without consent
D. Provide their own medications
A. Choose what time to wake up
Normal adult temperature is approximately:
A. 95.0°F
B. 97.6–99.6°F
C. 100.5°F
D. 92.5°F
B. 97.6–99.6°F
Perineal care is performed:
A. Front to back
B. Back to front
C. Side to side
D. In circles
A. Front to back
A resident with dementia becomes agitated. The aide should:
A. Argue to correct them
B. Speak calmly and redirect
C. Leave them alone for hours
D. Restrain them
B. Speak calmly and redirect
A resident with Alzheimer’s suddenly forgets their room. The aide should:
A. Scold them
B. Guide them gently
C. Lock their door
D. Laugh it off
B. Guide them gently
Restorative care focuses on:
A. Dependence
B. Maintaining function
C. Speed
D. Restraints
B. Maintaining function
Normal age-related changes include:
A. Increased vision
B. Decreased skin elasticity
C. Stronger bones
D. Faster digestion
B. Decreased skin elasticity
A sign of approaching death is:
A. Increased appetite
B. Cool skin
C. Rapid movements
D. Sudden strength
B. Cool skin
When measuring height in bed, the aide should:
A. Estimate it
B. Measure from head to heel
C. Ask family
D. Use last year’s measurement
B. Measure from head to heel
Soiled linens are placed:
A. On the floor
B. On a Clean surface
C. In a designated hamper
D. On another resident’s bed
C. In a designated hamper
Which of the following is a responsibility of the nurse aide?
A. Giving medications
B. Assigning tasks to other aides
C. Reporting changes in a resident’s condition
D. Changing sterile dressings independently
C. Reporting changes in a resident’s condition
RACE stands for:
A. Run, Alarm, Clear, Exit
B. Remove, Activate, Contain, Extinguish
C. Rescue, Advise, Care, Exit
D. Remove, Announce, Confine, Evacuate
B. Remove, Activate, Contain, Extinguish
Gloves must be worn when:
A. Feeding a resident
B. Shaving a resident
C. Handing out meal trays
D. Helping with mobility
B. Shaving a resident
Active listening includes:
A. Interrupting to offer advice
B. Maintaining eye contact
C. Completing the resident’s sentences
D. Looking away while listening
B. Maintaining eye contact
Privacy is protected by:
A. Closing curtains and doors
B. Posting care information on the door
C. Discussing residents in the hall
D. Leaving personal items in view
A. Closing curtains and doors
The pulse site at the wrist is:
A. Brachial
B. Apical
C. Radial
D. Carotid
C. Radial
Dentures should be cleaned:
A. In hot water
B. In cool or lukewarm water
C. Without water
D. With bleach solution
B. In cool or lukewarm water
Depression may include:
A. Increased energy
B. Loss of interest
C. Constant giggling
D. Rapid talking
B. Loss of interest
The best way to reduce sundowning is:
A. Increase afternoon naps
B. Keep the resident active and exposed to daylight
C. Lock them in their room
D. Provide caffeine before bed
B. Keep the resident active and exposed to daylight
When assisting with ambulation, the aide should walk:
A. Behind the resident
B. On the resident’s weaker side
C. On the stronger side
D. Several feet ahead
B. On the resident’s weaker side
Older adults often have:
A. Decreased thirst sensation
B. Increased saliva
C. Faster reflexes
D. Improved hearing
A. Decreased thirst sensation
Hospice care focuses on:
A. Cure
B. Comfort
C. Surgery
D. Prolonging life at all costs
B. Comfort
Before weighing a resident, ensure they:
A. Are wearing heavy clothing
B. Void if possible
C. Had a large meal
D. Walk without assistance
B. Void if possible
Which resident is at highest fall risk?
A. New admission
B. One with prior falls
C. One who exercises
D. One who eats well
B. One with prior falls
Professional boundaries mean the nurse aide should:
A. Share personal problems with residents
B. Accept gifts for good care
C. Avoid becoming too emotionally involved
D. Attend resident family gatherings
C. Avoid becoming too emotionally involved
To prevent choking during meals, the nurse aide should:
A. Encourage fast eating
B. Provide thin liquids
C. Ensure the resident is seated upright
D. Ask residents to talk while chewing
C. Ensure the resident is seated upright
When removing PPE, gloves are removed:
A. First
B. Last
C. After the gown
D. Only if soiled
A. First
Documentation must be:
A. Completed before care
B. Written in pencil
C. Objective and accurate
D. Based on what another aide said
C. Objective and accurate
Residents may refuse:
A. Only meals
B. Any treatment
C. Only showers
D. Only medications
B. Any treatment
Respiration includes:
A. Coughing
B. Inhalation and exhalation
C. Clearing the throat
D. Snoring
B. Inhalation and exhalation
When giving a partial bed bath, begin with:
A. Perineal area
B. Feet
C. Face
D. Back
C. Face
A resident crying frequently may need:
A. Immediate punishment
B. Emotional support
C. More TV time
D. Forced socialization
B. Emotional support
When giving instructions, the aide should:
A. Use short, simple phrases
B. Give several steps at once
C. Correct constantly
D. Speak loudly
A. Use short, simple phrases
ROM exercises prevent:
A. Muscle strength
B. Contractures
C. Deep breathing
D. Appetite
B. Contractures
Constipation in elderly residents is often due to:
A. Excessive exercise
B. Decreased mobility
C. Very high fluid intake
D. Low-fiber diets only
B. Decreased mobility
A resident becomes non-responsive. The aide should:
A. Assume they cannot hear
B. Speak respectfully
C. Stop all care
D. Ignore visitors
B. Speak respectfully
A fractured hip resident needs pillows where?
A. Between the legs
B. On the stomach
C. Behind the knees
D. Under the head only
A. Between the legs
When assisting with dressing, start with:
A. The strong side
B. The weak side
C. Shoes
D. Jacket first
B. The weak side
The chain of command exists to:
A. Protect staff from liability
B. Prevent residents from making complaints
C. Ensure residents receive safe care
D. Allow aides to discipline other aides
C. Ensure residents receive safe care
Which action MOST reduces fall risk?
A. Lowering the bed to its lowest position
B. Raising all side rails
C. Keeping the floor slightly damp
D. Turning off all lights
A. Lowering the bed to its lowest position
When a resident is on Contact Precautions, the aide must:
A. Wear a mask only
B. Wear gown and gloves
C. Keep the door open
D. Limit their own handwashing
B. Wear gown and gloves
A resident says, “I feel scared.” This is considered:
A. Objective information
B. Subjective information
C. Irrelevant information
D. A behavioral problem
B. Subjective information
HIPAA protects:
A. Staff training
B. Resident privacy
C. Facility finances
D. Visitor access
B. Resident privacy
When measuring BP, the cuff is placed:
A. Over the wrist
B. On a bare upper arm
C. Over clothing
D. On the forearm of choice
B. On a bare upper arm
Oral care for an unconscious resident requires:
A. Lots of water
B. No mouth care
C. Using minimal fluid to prevent aspiration
D. Having the resident sit upright
C. Using minimal fluid to prevent aspiration
Cultural sensitivity means:
A. Ignoring resident beliefs
B. Respecting cultural differences
C. Making residents follow staff customs
D. Refusing cultural foods
B. Respecting cultural diff
Wandering residents need:
A. Restraints
B. A safe, supervised environment
C. Locked rooms
D. No activity
B. A safe, supervised environment
The best way to encourage independence is to:
A. Do tasks for the resident
B. Give praise for small progress
C. Criticize mistakes
D. Rush through care
B. Give praise for small progress
Aging may affect sleep by:
A. Increasing deep sleep
B. Making sleep lighter
C. Eliminating naps
D. Ending nighttime waking
B. Making sleep lighter
Family members may express anger. The aide should:
A. Take it personally
B. Stay calm and supportive
C. Argue
D. Avoid them
B. Stay calm and supportive
To prevent aspiration, sit residents at:
A. 15 degrees
B. 45–90 degrees
C. 0 degrees
D. Prone position
A. Between the legs
During catheter care, clean:
A. Up the tubing
B. Down the tubing
C. From meatus outward
D. Toward the meatus
C. From meatus outward
Before performing a skill, the nurse aide must FIRST:
A. Close the privacy curtain
B. Wash their hands
C. Explain the procedure to the resident
D. Provide the call light
B. Wash their hands
A resident with oxygen must NEVER have:
A. A humidifier
B. Tubing near their face
C. Petroleum-based products applied
D. A nasal cannula
C. Petroleum-based products applied
A resident coughs blood onto the aide’s arm. The aide should FIRST:
A. Report to the nurse
B. Wash the area immediately
C. Put on new gloves
D. Finish the current task
B. Wash the area immediately
When a resident refuses care, the aide should:
A. Force the care if it is required
B. Notify the nurse immediately
C. Document but not tell the nurse
D. Ignore the refusal
B. Notify the nurse immediately
A resident wants to review their medical record. The aide should:
A. Say no
B. Allow them unsupervised access
C. Report the request to the nurse
D. Tell the family instead
C. Report the request to the nurse
“Intake and output” refers to:
A. Weight gain
B. Fluid balance
C. Urinary infections
D. Meal refusals
B. Fluid balance
To prevent pressure injuries, the aide should:
A. Reposition every 2 hours
B. Keep residents seated all day
C. Use massaging over bony areas
D. Reduce fluid intake
A. Reposition every 2 hours
A resident expresses grief. The aide should:
A. Change the subject
B. Allow them to talk
C. Tell them to stop crying
D. Avoid them
B. Allow them to talk
A confused resident thinks the aide stole something. The aide should:
A. Argue
B. Defend angrily
C. Stay calm and report incident
D. Ignore completely
C. Stay calm and report incident
A resident using a cane should hold it:
A. On the weaker side
B. On the stronger side
C. Behind them
D. With both hands
B. On the stronger side
Osteoporosis increases risk of:
A. Infection
B. Fractures
C. Memory loss
D. Diarrhea
B. Fractures
Postmortem care includes:
A. Leaving dentures out
B. Positioning the body properly
C. Not touching the body
D. Refusing family entry
B. Positioning the body properly
When a resident complains of pain, the aide should:
A. Ignore it
B. Report to the nurse
C. Diagnose the cause
D. Offer medication
B. Report to the nurse
When using a mechanical lift, the aide must:
A. Work alone
B. Have at least two trained staff
C. Move quickly
D. Skip safety checks
B. Have at least two trained staff