NNAAP Nurse Aide Practice Written Exam #1

A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: A) 360 mL B) 450 mL C) 480 mL D) 520 mL

B) 459 mL

When ambulating the client, the nurse aide SHOULD: A) Ask the nurse for help. B) Be sure the client is wearing non-skid footwear. C) Ask a family member for assistance. D) Walk in front of the client and show the client the way.

B) Be sure the client is wearing non-skid footwear.

Articles contaminated with blood or body fluids SHOULD be disposed of in the: A) Soiled linen basket B) Biohazard contrainer C)Soiled utility room D)Client's room trash container

B) Biohazard contrainer

What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke? A) Give the client a complete bath only when the client requests it B) Encourage the client to do as much as possible and assist as needed C) Leave the client alone and assume the client will do as much as the client can D) Limit the client to washing the client's hands

B) Encourage the client to do as much as possible and assist as needed

What is the FIRST area of a client's body that the nurse aide should wash when providing a bed bath? A) Legs B) Face C) Arms D) Chest

B) Face

When a nurse provides the nurse aide confidential information about a client, the nurse aide SHOULD : A) Share it with other clients B) Keep the information private C) Discuss the information with other staff members in the break room D) Discuss the information with the client's family.

B) Keep the information private

When assisting with dressing a client who has a left-sided weakness, what part of a sweater should be put on FIRST? A) Both sleeves B) Left sleeve C) Client's choice D) Right sleeve

B) Left sleeve

When making a bed that is occupied by a client, the nurse aide SHOULD : A) Leave the bed in the lowest position. B) Make the toe pleat. C) Leave the bottom sheet untucked. D) Place soiled linens on the floor.

B) Make the toe pleat.

What SHOULD the nurse aide do when a client with Alzheimer's disease seems depressed and quiet? A) Talk when the client is silent B) Observe the client for non-verbal cues C) Change subjects until the client begins to discuss something D) Tell the client not to worry

B) Observe the client for non-verbal cues

The health care team member who assists the client with the performance of activities of daily living is the: A) Social worker B) Occupational therapist C) Speech therapist D) Case manager

B) Occupational therapist

When helping a client who is recovering from a stroke to walk, the nurse aide SHOULD assist: A) On the client's strong side. B) On the client's weak side. C) From behind the client. D) With a wheelchair

B) On the client's weak side.

The nurse aide MUST wear gloves when : A) Transferring a client B) Providing mouth care C) Dressing a client D) Weighting a client

B) Providing mouth care

Which of the following actions by the nurse aide can BEST demonstrate active listening skills? A) Changing the subject frequently B) Responding when appropriate C) Correcting the client's mistakes D) Directing the conversation

B) Responding when appropriate

When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide SHOULD support the client's: A) Left side B) Right side C) Front side D) Back side

B) Right side

The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: A) Join in the conversation. B) Suggest that this is not the place to discuss the client. C) Be quiet and not say anything to the other nurse aides. D) Return to the unit and tell the client what was said.

B) Suggest that this is not the place to discuss the client.

Which of the following equipment should the nurse aide have available when caring for a client's beard? A) Basin, mirror, nail file and towel B) Towel, gloves, razor and shaving cream C) Shaving cream, razor, gloves and comb D) Razor, shaving cream, towels and orange stick

B) Towel, gloves, razor and shaving cream

To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's: A) Bed sheet B) Upper thigh C) Bed frame D) Hip

B) Upper thigh

The client's signaling device SHOULD be placed: A) One the bed. B) Within the client's reach. C) From behind the client D) With a wheelchair

B) Within the client's reach.

What does the abbreviation ADL mean? A) Ad Lib B) As Doctor Likes C) Activities of Daily Living D) After Daylight

C) Activities of Daily Living

A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client's independence in eating? A) Cut the food and feed the client B) Insist that the client eat the meal without help C) Assist the client in cutting the food and encourage the client to use the special eating utensils D) Ask the dietary department to puree the client's food

C) Assist the client in cutting the food and encourage the client to use the special eating utensils

Which of the following actions would be BEST for the nurse aide to take to show respect to the spiritual needs of a client? A) Escorting the client to religious services B) Discussing the nurse aide's religion with the client C) Assisting the client to read the client's religious materials D) Requesting that the facility's spiritual advisor visits the client

C) Assisting the client to read the client's religious materials

To find out what type of diet the client should be receiving, it would be BEST for the nurse aide to check : A) With the kitchen staff. B) On the client's room bulletin board. C) In the client's care plan. D) With the client's family.

C) In the client's care plan.

The nurse aide can help prevent pressure injuries in the client by: A) Repositioning the client every 4 hours. B) Massaging reddened areas on the client's skin. C) Keeping lines clean, dry, and wrinkle - free. D) Using perfumed soap to clean the client's skin

C) Keeping lines clean, dry, and wrinkle - free.

Before entering a client's room, the nurse aide should FIRST : A) Turn lights on B) Identify self C) Knock on the door D) Call the client by the client's name.

C) Knock on the door

When transferring a client, MOST of the client's weight should be supported by the nurse aide's : A) Back B) Shoulders. C) Legs. D) Wrists.

C) Legs

The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT? A) Instruct the client to lie still B) Quickly go to get the supplies C) Lower the bed, and place the call light within reach D) Ask the roommate to watch the client while the nurse aide gets the supplies.

C) Lower the bed, and place the call light within reach

When caring for a client who is dying, the nurse aide SHOULD: A) Only allow 1 visitor in the room at a time. B) Keep the room dark at all times. C) Pay special attention to fluid intake and mouth care. D) Wear gloves when providing personal care.

C) Pay special attention to fluid intake and mouth care.

The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD: A) Explain that memory loss is natural and the date is not important. B) Ignore the request. C) Point to the date on a calendar and say the date. D) Provide the date and then test the client later

C) Point to the date on a calendar and say the date.

The nurse aide SHOULD understand that a back message: A) causes muscle spasms. B) Increases blood pressure. C) Promotes circulation. D) Increases the heart rate.

C) Promotes circulation.

If a nurse aide discovers a small fire in a client's room, the nurse aide should FIRST A) Sound the alarm. B) Contain the fire. C) Remove the client from any danger. D) Extinguish the fire.

C) Remove the client from any danger

Which of the following methods is the correct way to remove a dirty isolation gown? A) Pull the gown over the head B) Let he gown drop to the floor and step out of the gown C) Roll the gown dirty side in and away from the body D) Pull the gown off by the sleeve and shake the gown out

C) Roll the gown dirty side in and away from the body

A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do NEXT? A) Place the client in a geriatric chair B) Restrain the client in his bed C) Talk to the client in a calm voice about familiar things D) Leave the client alone in his room until he calms down

C) Talk to the client in a calm voice about familiar things

A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD: A) Ask the client why the client wants the nurse aide to call the client's spiritual advisor. B) Tell the client that this is not part of the nurse aides job. C) Tell the client that the nurse aide will inform the nurse of the client's request. D) Call the spiritual advisor for the client.

C) Tell the client that the nurse aide will inform the nurse of the client's request.

The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST? A) Test the temperature of the water B) Help the client undress C) Tell the client what the nurse aide is going to do D) Close the door and windows

C) Tell the client what the nurse aide is going to do

Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? A) "Why are you being mean today?" B) "You should not say such mean things to people." C) "I will come back when your bad mood is over." D) "You seem upset. Would you like to talk about it?"

D) "You seem upset. Would you like to talk about it?"

The nurse aide is assisting a coworker on obtaining a quad cane for a client. How many legs SHOULD the nurse aide understand that a quad cane has? A) 1 B) 2 C) 3 D) 4

D) 4

Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? A) Shoe covers B) A mask C) Goggles D) A face-shield

D) A face-shield

While the nurse aids is providing care to the client, the client calls the nurse aide by the name of the client's child, who died several years ago. The nurse aide's BEST response would be to: A) Quickly finish providing care and leave the client alone. B) Pretend to be the client's child. C) Ignore the client because the client is confused. D) Ask the client about the client's favorite memories of the client's child.

D) Ask the client about the client's favorite memories of the client's child.

When changing a soiled dressing, the nurse aide SHOULD wash the nurse aide's hands : A) Before the procedure B) After the procedure C) Before and after the procedure D) Before, during and after the procedure

D) Before, during and after the procedure

When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: A) Take a bath or shower before starting the urine collection. B) Select food items that do not contain red meats. C) Drink 2 L of water. D) Discard the first voided urine.

D) Discard the first voided urine.

When a client has memory loss or confusion, the nurse aide SHOULD: A) Reassure the client that forgetting B) Speak loudly to the client. C) Ignore the client's statements that are not accurate. D) Give the client simple step-by-step instructions.

D) Give the client simple step-by-step instructions.

The nurse aide SHOULD place the client's soiled bedsheets: A) On the bedside table. B) On the floor of the soiled utility room. C) In a biohazard bag. D) In the soiled linen container.

D) In the soiled linen container.

The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the nurse aide to do for the client? A) Arrange for the client's spiritual advisor to visit the client B) Turn on the television in the client's room and leave the client alone C) Force the client to take part in facility activities D) Introduce the client to other clients and staff members

D) Introduce the client to other clients and staff members

When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD: A) Check on client every 5 minutes. B) Make sure the client's water pitcher is full C) Protect the client with a seat belt. D) Place the signaling device within the client's reach

D) Place the signaling device within the client's reach

Frequent turning and repositioning of the client helps prevent: A) Cyanosis B) Indigestion C) Coronary disease D) Pressure injuries

D) Pressure injuries

Which of the following is MOST important for the prevention of skin breakdown in the client? A) Air-drying the client's skin B) Rubbing lotion on the client once a day C) Ambulating the client once a day D) Repositioning the client every 2 hours

D) Repositioning the client every 2 hours

A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT? A) Take the client to the hospital B) Help the client back to the bed C) Take the client into the bathroom to wash out the cut D) Stay with the client and call for help

D) Stay with the client and call for help

What does "ambulate with assistance" mean? A) Walk with the client twice a day B) The client may use a wheelchair C) Have the client use a cane for walking D) The client can walk with the nurse aide providing help

D) The client can walk with the nurse aide providing help

To BEST communicate with a client who has total hearing loss, the nurse aide should: A) Smile frequently and speak loudly. B) Smile often and talk rapidly. C) Avoid eye contact D) Wear gloves when providing personal care.

D) Wear gloves when providing personal care.

Mouth care for a client who is unconscious MUST be done every: A) 2 hours B) 4 hours C) 6 hours D) 8 hours

A) 2 hours

Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide SHOULD wait : A) 20 mintures B) 25 to 35 mintures C) 45 to 55 mintures D) at least 1 hour

A) 20 mintures

When getting ready to make a bed, the nurse aide SHOULD place the clean lines on: A) A chair or table beside the bed. B) The roommate's bed. C) A clean surface in the bathroom D) The floor beside the bed

A) A chair or table beside the bed.

A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: A) Check client's diet before offering nourishment. B) Tell the client nothing is available at night. C) Explain the breakfast is coming in 3 hours. D) Tell the client that eating is not allowed during the night.

A) Check client's diet before offering nourishment.

When providing care for a client receiving oxygen therapy, the nurse aide SHOULD: A) Check ears fir pressure points. B) Tape cracks in oxygen tubing. C) Let the nurse know that the nurse aide cannot care for the client. D) Change the flow rate if the client is short of breath.

A) Check ears fir pressure points.

When preparing to take a meal tray into the client's room, what is the MOST IMPORTANT action for the nurse aide to take? A) Check that the client's name is displayed on the tray card B) Make sure the client's favorite foods are present C) Determine if enough fluids have been ordered D) Keep all foods covered until eaten

A) Check that the client's name is displayed on the tray card

The only purpose for using a restraint is to: A) Ensure the safety of the client or others. B) Make the nurse aide's job easier. C) Calm a client who is verbally abusive. D) Help the client be quiet.

A) Ensure the safety of the client or others.

Which of the following actions SHOULD the nurse aide take to communicate with a client who has a hearing loss? A) Face the client when speaking B) Repeat statements twice every time C) Shout so that the client can hear you D) Use a high-pitched voice

A) Face the client when speaking

When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: A) Lying down in bed. B) Dangling the legs for the edge of the bed. C) Standing at the side if the bed. D) Sitting in a wheelchair.

A) Lying down in bed.

Once a client has been pronounced dead, the responsibility of the nurse aide is to: A) Make sure the body is clean . B) Call the family. C) leave the room. D) Give spiritual care.

A) Make sure the body is clean.

To prevent dehydration of the client, the nurse aide SHOULD : A) Offer fluids frequently while the client is awake. B) Wake the client hourly during the night to offer fluids. C) Give the client frequent baths D) Feed the client salty foods to increase thirst.

A) Offer fluids frequently while the client is awake.