2021 NNAAP Nurse Aide Practice Written Exam, CNA - NNAAP Practice Exam - 2017, CNA Practice Questions 2016, 2018 CNA practice test, Certified Nursing Assistant (CNA) Practice Exam (Edition 2019), NNAAP NURSE AIDE PRACTICE WRITTEN EXAM 2020

What does the abbreviation ADL mean?

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?

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?

Assisting the client to read the client's religious materials

When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse aide to take?

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

Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care?

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

6. When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse 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

33. Which of the following activities is within the role of the nurse aide? (A) Observing clients for changes in condition (B) Deciding the staging of a pressure ulcer (C) Suggesting new special diets to clients (D) Giving clients spiritual advice

(A) Observing clients for changes in condition

35. A new client expressed to the nurse aide, "I would love to go to my religious services weekly." What SHOULD the nurse aide do? (A) Report the client's statement to the nurse (B) Tell the client's family of the client's wishes (C) Share this information with another nurse aide to coordinate when to take the client (D) Not share this information because the client's personal wishes should be kept private

(A) Report the client's statement to the nurse

39. While the nurse aide is helping a client to shower, the client falls to the floor. What should the nurse aide do IMMEDIATELY? (A) Report the fall to the nurse (B) Insist that the client take a bath instead of a shower (C) Discuss the fall with the client's family member (D) Inform the client that the client should hold on to the grab bars while showering

(A) Report the fall to the nurse

13. The nurse aide is assisting a client to the bathroom. After the client uses the toilet, the nurse aide notices red streaks in the client's stool. The nurse aide SHOULD: (A) avoid flushing the toilet and report the finding to the nurse. (B) ask the Dietary department to change the client's diet. (C) tell the client to report the finding to the primary health care provider. (D) understand that this is an expected finding in the older adult client.

(A) avoid flushing the toilet and report the finding to the nurse.

36. After cleaning the client's denture, the nurse aide SHOULD store the client's dentures: (A) in a labeled container. (B) wrapped in a paper towel. (C) at the nurses' station. (D) in the utility room.

(A) in a labeled container.

12. 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 from the edge of the bed. (C) standing at the side of the bed. (D) sitting in a wheelchair.

(A) lying down in bed.

38. A client who is confused refuses to change from sleepwear to other clothes. The nurse aide SHOULD: (A) respect the client's refusal and ask the client again later. (B) insist that the client change clothes. (C) get another nurse aide to help change the client's clothes. (D) inform the client that the client cannot leave the room without changing clothes.

(A) respect the client's refusal and ask the client again later.

2. 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) 450 mL.

24. 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

5. What is the MOST important reason for using a mechanical lift to transfer clients? (A) It takes fewer staff to transfer someone (B) It is the safest method for clients and staff (C) It is faster than other methods (D) It is the method that clients like best

(B) It is the safest method for clients and staff

15. 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.

26. Articles contaminated with blood or body fluids should be disposed of in the: (A) soiled linen basket. (B) biohazard container. (C) soiled utility room. (D) client's room trash container.

(B) biohazard container.

34. The Heimlich maneuver (abdominal thrust) is used when the client is: (A) having a seizure. (B) choking. (C) coughing. (D) having difficulty swallowing.

(B) choking.

14. In order to move a client up in bed, the nurse aide SHOULD: (A) raise the head of the bed. (B) get assistance from a coworker. (C) place the bed in the lowest position possible. (D) wait until the end-of-shift report.

(B) get assistance from a coworker.

3. When a nurse gives 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 it with other staff members in the break room. (D) discuss it with the client's family.

(B) keep the information private.

8. When making an occupied bed 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.

23. The health care team member who assists the client's performance of activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager.

(B) occupational therapist.

7. The nurse aide SHOULD use proper body mechanics in order to: (A) keep the nurse aide's weight down. (B) protect the nurse aide from injury. (C) keep facility equipment in working order. (D) make a good impression.

(B) protect the nurse aide from injury.

16. The nurse aide MUST wear gloves when: (A) transferring a client. (B) providing mouth care. (C) dressing a client. (D) weighing a client.

(B) providing mouth care.

What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke

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?

Face

Which of the following actions SHOULD the nurse aide take to communicate with a client who has a hearing loss?

Face the client when speaking

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?

Introduce the client to other clients and staff members

When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on FIRST?

Left sleeve

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?

Lower the bed, and place the call light within reach

What SHOULD the nurse aide do when a client with Alzheimer's disease seems depressed and quiet?

Observe the client for non-verbal cues

30. A nurse aide is assisting a client with mouth care. Which of the following actions SHOULD the nurse aide take? (A) Avoid brushing the tongue with the toothbrush (B) Brush the outer surface of the teeth by using a side-to-side motion (C) Floss between the teeth moving the floss up and down (D) Floss the teeth before brushing the teeth

(C) Floss between the teeth moving the floss up and down

21. The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide has forgotten 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

25. Which of the following client observations should the nurse aide report IMMEDIATEL Y to the nurse? (A) Pink nailbeds (B) Rectal temperature, 99.6° F (37.5° C) (C) Radial pulse, 110 (D) Clear, yellow urine

(C) Radial pulse, 110

20. To promote independence when feeding a client, the nurse aide SHOULD: (A) inform the client to drink all the liquids before the solid food. (B) assist the client in mixing the meat and vegetables together. (C) allow self-feeding as much as possible. (D) ask family and visitors to leave the room when the client is eating.

(C) allow self-feeding as much as possible.

27. The nurse aide should understand that the signaling device MUST be: (A) answered after the nurse aide has made care rounds. (B) placed on the bedside table at the foot of the bed. (C) placed within the client's reach. (D) deactivated for clients with dementia.

(C) placed within the client's reach.

10. Pillows should be used for a client placed in a side-lying position to: (A) promote sleep. (B) decrease pain. (C) prevent skin breakdown. (D) decrease edema.

(C) prevent skin breakdown.

37. The nurse aide SHOULD understand that a back massage: (A) causes muscle spasms. (B) increases blood pressure. (C) promotes circulation. (D) increases the heart rate.

(C) promotes circulation.

22. A client requests that the nurse aide call the client's minister. The nurse aide SHOULD: (A) ask the client why the client wants the nurse aide to call the minister. (B) tell the client that this is not part of the nurse aide's job. (C) tell the client that the nurse aide will inform the nurse of the client's request. (D) call the minister for the client.

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

17. A client asks the nurse aide, "Am I going to die?" Which of the following would be the BEST response for the nurse aide to make? (A) "You should ask your primary health care provider." (B) "Well, we all die someday." (C) "Why do you ask a question like that?" (D) "Is this something you have been thinking about?"

(D) "Is this something you have been thinking about?"

1. If a client expresses anger during care, which of the following would be an APPROPRIATE response for the nurse aide to make? (A) "Why are you being so 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?"

18. A lunch of 50% Hamburger, 20% Salad, 10% Fruit, and 20% Milk is served to a client. The client ate only the fruit, milk, and half of the salad. What percentage of intake SHOULD the nurse aide record? (A) 50% (B) 55% (C) 45% (D) 40%

(D) 40%

40. What should the nurse aide do FIRST when finding out that a client's property has been stolen? (A) Keep quiet and try to catch the thief (B) Call the family (C) Call the police (D) Inform the nurse

(D) Inform the nurse

11. 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's skin (C) Ambulating the client once a day (D) Repositioning the client every 2 hours

(D) Repositioning the client every 2 hours

19. When caring for a vision-impaired client, the nurse aide SHOULD: (A) ambulate the client by holding the client's hand and walk in front of the client. (B) tell the client that the food tray is in front of the client after the food tray has been delivered. (C) provide a dimly lit environment for the client. (D) announce self before touching the client.

(D) announce self before touching the client.

Which of the following is MOST important for the prevention of skin breakdown in the client?

Repositioning the client every 2 hours

Which of the following actions by the nurse aide can BEST demonstrate active listening skills?

Responding when appropriate

Which of the following methods is the correct way to remove a dirty isolation gown?

Roll the gown dirty side in and away from the body

A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT?

Stay with the client and call for help

A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do NEXT?

Talk to the client in a calm voice about familiar things

The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST?

Tell the client what the nurse aide is going to do

What does "ambulate with assistance" mean?

The client can walk with the nurse aide providing help

Which of the following equipment should the nurse aide have available when caring for a client's beard?

Towel, gloves, razor and shaving cream

When getting ready to make a bed, the nurse aide SHOULD place the clean linens on:

a chair or table beside the bed

While the nurse aide 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:

ask the client about the client's favorite memories of the client's child.

28. 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 meat. (C) drink 2 L of water. (D) discard the first voided urine.

(D) discard the first voided urine.

29. When caring for a client who has a hearing loss, the nurse aide SHOULD: (A) speak very loudly and use gestures as much as possible. (B) let the client use the roommate's hearing aid. (C) use only written communication with the client. (D) face the client when speaking to the client.

(D) face the client when speaking to the client.

31. A nurse aide who wants to demonstrate effective listening skills SHOULD: (A) plan what to say next while the client is talking. (B) show no emotion when listening to the client. (C) finish the client's sentences for the client. (D) give complete attention to the client while the client is talking.

(D) give complete attention to the client while the client is talking.

32. When a client has memory loss or confusion, the nurse aide SHOULD: (A) laugh at the client's confused statements. (B) speak loudly to the client. (C) ignore the client. (D) give the client simple step-by-step instructions.

(D) give the client simple step-by-step instructions.

4. 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.

9. Frequent turning and repositioning of the client help prevent: (A) cyanosis. (B) indigestion. (C) coronary disease. (D) pressure ulcers.

(D) pressure ulcers.

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 faceshield

When ambulating the client, the nurse aide SHOULD:

be sure the client is wearing non-skid footwear

When changing a soiled dressing, the nurse aide SHOULD wash the nurse aide's hands:

before, during, and after the procedure

Articles contaminated with blood or body fluids SHOULD be disposed of in the:

biohazard container

A client wakes up during the night and asks for something to eat. The nurse aide SHOULD:

check client's diet before offering nourishment

When providing care for a client receiving oxygen therapy, the nurse aide SHOULD:

check ears for pressure points.

When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client:

discard the first voided urine

The only purpose for using a restraint is to:

ensure the safety of the client or others

When a client has memory loss or confusion, the nurse aide SHOULD:

give the client simple step-by-step instructions.

To find out what type of diet the client should be receiving, it would be BEST for the nurse aide to check:

in the client's care plan.

The nurse aide SHOULD place the client's soiled bedsheets:

in the soiled linen container

When a nurse provides the nurse aide confidential information about a client, the nurse aide SHOULD:

keep the information private

The nurse aide can help prevent pressure injuries in the client by:

keeping linens clean, dry, and wrinkle-free.

Before entering a client's room, the nurse aide should FIRST:

knock on the door

When transferring a client, MOST of the client's weight should be supported by the nurse aide's:

legs

When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client:

lying down in bed.

Once a client has been pronounced dead, the responsibility of the nurse aide is to:

make sure the body is clean

When making a bed that is occupied by a client, the nurse aide SHOULD:

make the toe pleat

The health care team member who assists the client with the performance of activities of daily living is the:

occupational therapist

To prevent dehydration of the client, the nurse aide SHOULD:

offer fluids frequently while the client is awake.

When helping a client who is recovering from a stroke to walk, the nurse aide SHOULD assist:

on the client's weak side

When caring for a client who is dying, the nurse aide SHOULD:

pay special attention to fluid intake and mouth care

When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD:

place the signaling device within the client's reach

The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD:

point to the date on a calendar and say the date

Frequent turning and repositioning of the client helps prevent:

pressure injuries

The nurse aide SHOULD understand that a back massage:

promotes circulation

The nurse aide MUST wear gloves when:

providing mouth care

If a nurse aide discovers a small fire in a client's room, the nurse aide should FIRST

remove the client from any danger

When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide SHOULD support the client's:

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:

suggest that this is not the place to discuss the client.

A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD:

tell the client that the nurse aide will inform the nurse of the client's request.

To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's:

upper thigh

The client's signaling device SHOULD be placed:

within the client's reach

To BEST communicate with a client who has total hearing loss, the nurse aide should:

write out the information

Mouth care for a client who is unconscious MUST be done every:

2 hours

Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide SHOULD wait:

20 minutes

The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs SHOULD the nurse aide understand that a quad cane has?

4

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:

450 mL