NurseAide/NursingAssistant

PRACTICETEST
WrittenKnowledgeCompetencyTest

Notice:ThisPracticeTestisprovidedasacourtesytoindividualswhoarepreparingtotaketheirPrometricNurseAide
CompetencyExamination.Youareremindedthathowwellyoudoonthesepracticequestions,doesnotpredictresults
onyouractualexamination.
Directions:Thistestcontains50questions.Eachquestionhasfoursuggestedanswers,(A),(B),(C)or(D).Foreach
question,choosetheONEthatbestanswersit.

1. Aresidentoftencarriesadollwithher,treatingitlikeherbaby.Onedaysheiswanderingaroundcrying
thatshecantfindherbaby.Thenurseaideshould
(A) asktheresidentwhereshelasthadthedoll.
(B) asktheactivitydepartmentiftheyhaveanyotherdolls.
(C) offercomforttotheresidentandhelpherlookforherbaby.
(D) lettheotherstaffknowtheresidentisveryconfusedandshouldbewatchedclosely.

2. Anurseaideisaskedtochangeaurinarydrainagebagattachedtoanindwellingurinarycatheter.The
nurseaidehasneverdonethisbefore.Thebestresponsebythenurseaideisto
(A) changetheindwellingcatheteratthesametime.
(B) askanothernurseaidetochangetheurinarydrainagebag.
(C) changethebagaskingforhelponlyifthenurseaidehasproblems.
(D) askanursetowatchthenurseaidechangethebagsinceitisthefirsttime.

3. Beforefeedingaresident,whichofthefollowingisthebestreasontowashtheresidentshands?
(A) Theresidentmaystilltouchhis/hermouthorfood.
(B) Itreducestheriskofspreadingairbornediseases.
(C) Itimprovesresidentmoraleandappetite.
(D) Theresidentneedstokeepmealroutines.

4. Whichofthefollowingisajobtaskperformedbythenurseaide?
(A) Participatinginresidentcareplanningconferences
(B) Takingatelephoneorderfromaphysician
(C) Givingmedicationstoassignedresidents
(D) Changingsterilewounddressings

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5. Whichofthefollowingstatementsistrueaboutrangeofmotion(ROM)exercises?
(A) Donejustonceaday
(B) Helppreventstrokesandparalysis
(C) Requireatleasttenrepetitionsofeachexercise
(D) AreoftenperformedduringADLssuchasbathingordressing

6. Whilethenurseaidetriestodressaresidentwhoisconfused,theresidentkeepstryingtograba
hairbrush.Thenurseaideshould
(A) putthehairbrushawayandoutofsight.
(B) givetheresidentthehairbrushtohold.
(C) trytodresstheresidentmorequickly.
(D) restraintheresidentshand.

7. Aresidentwhoislyinginbedsuddenlybecomesshortofbreath.Aftercallingforhelp,thenurseaides
nextactionshouldbeto
(A) asktheresidenttotakedeepbreaths.
(B) taketheresidentsvitalsigns.
(C) raisetheheadofthebed.
(D) elevatetheresidentsfeet.

8. Aresidentwhohascancerisexpectedtodiewithinthenextcoupleofdays.Nursingcareforthisresident
shouldfocuson
(A) helpingtheresidentthroughthestagesofgrief.
(B) providingfortheresidentscomfort.
(C) keepingtheresidentscareroutine,suchasforbathing.
(D) givingtheresidentalotofquiettimeandprivacy.

9. Whilegivingabedbath,thenurseaidehearsthealarmfromanearbydoorsuddenlygooff.Thenurse
aideshould
(A) waitafewminutestoseeifthealarmstops.
(B) reportthealarmtothechargenurseimmediately.
(C) maketheresidentbeingbathedsafeandgocheckthedoorrightaway.
(D) stopthebedbathandgocheckonthelocationofallassignedresidents.

10. Glovesshouldbewornforwhichofthefollowingprocedures?
(A) Emptyingaurinarydrainagebag
(B) Brushingaresidentshair
(C) Ambulatingaresident
(D) Feedingaresident
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11. Whenwalkingaresident,agaitortransferbeltisoften
(A) wornaroundthenurseaideswaistforbacksupport.
(B) usedtokeeptheresidentpositionedproperlyinthewheelchair.
(C) usedtohelpstandtheresident,andthenremovedbeforewalking.
(D) putaroundtheresidentswaisttoprovideawaytoholdontotheresident.

12. Whichofthefollowingstatementsistrueaboutresidentswhoarerestrained?
(A) Theyareatgreaterriskfordevelopingpressuresores.
(B) Theyareatlowerriskofdevelopingpneumonia.
(C) Theirpostureandalignmentareimproved.
(D) Theyarenotatriskforfalling.

13. Aresidenthasdiabetes.Whichofthefollowingisacommonsignofalowbloodsugar?
(A) Fever
(B) Shakiness
(C) Thirst
(D) Vomiting

14. Whenprovidingfootcaretoaresidentitisimportantforthenurseaideto
(A) removecallusesandcorns.
(B) checkthefeetforskinbreakdown.
(C) keepthewatercooltopreventburns.
(D) applylotion,includingbetweenthetoes.

15. Whenfeedingaresident,frequentcoughingcanbeasigntheresidentis
(A) choking.
(B) gettingfull.
(C) needstodrinkmorefluids.
(D) havingdifficultyswallowing.

16. Whenapersonisadmittedtothenursinghome,thenurseaideshouldexpectthattheresidentwill
(A) haveproblemsrelatedtoincontinence.
(B) requirealotofassistancewithpersonalcare.
(C) experienceasenseoflossrelatedtothelifechange.
(D) adjustmorequicklyifadmitteddirectlyfromthehospital.

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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17. Aresidentgetsdressedandcomesoutofhisroomwearingshoesthatarefromtwodifferentpairs.The
nurseaideshould
(A) teasetheresidentbycomplimentingtheresidentssenseofstyle.
(B) askiftheresidentrealizesthattheshoesdonotmatch.
(C) remindtheresidentthatthenurseaidecandresstheresident.
(D) askiftheresidentlostsomeofhisshoes.

18. Aresidentswiferecentlydied.Theresidentisnowstayinginhisroomallthetimeandeatingverylittle.
Thebestresponsebythenurseaideisto
(A) remindtheresidenttobethankfulfortheyearshesharedwithhiswife.
(B) telltheresidentthatheneedstogetoutofhisroomatleastonceaday.
(C) understandtheresidentisgrievingandgivehimchancestotalk.
(D) avoidmentioninghiswifewhencaringforhim.

19. Whenaresidentrefusesabedbath,thenurseaideshould
(A) offertheresidentabribe.
(B) waitawhileandthenasktheresidentagain.
(C) remindtheresidentthatpeoplewhosmelldonthavefriends.
(D) telltheresidentthatnursinghomepolicyrequiresdailybathing.

20. Whenaresidentiscombativeandtryingtohitthenurseaide,itisimportantforthenurseaideto
(A) showtheresidentthatthenurseaideisincontrol.
(B) callforhelptomakesuretherearewitnesses.
(C) explainthatiftheresidentisnotcalmarestraintmaybeapplied.
(D) stepbacktoprotectselffromharmwhilespeakinginacalmmanner.

21. Duringlunchinthediningroom,aresidentbeginsyellingandthrowsaspoonatthenurseaide.Thebest
responsebythenurseaideisto
(A) remaincalmandaskwhatisupsettingtheresident.
(B) beginremovingalltheotherresidentsfromthediningroom.
(C) scoldtheresidentandasktheresidenttoleavethediningroomimmediately.
(D) removetheresidentsplate,fork,knife,andcupsothereisnothingelsetothrow.

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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22. Whichofthefollowingquestionsaskedtotheresidentismostlikelytoencourageconversation?
(A) Areyoufeelingtiredtoday?
(B) Doyouwanttowearthisoutfit?
(C) Whatareyourfavoritefoods?
(D) Isthiswaterwarmenough?

23. Whentryingtocommunicatewitharesidentwhospeaksadifferentlanguagethanthenurseaide,the
nurseaideshould
(A) usepicturesandgestures.
(B) facetheresidentandspeaksoftlywhentalking.
(C) repeatwordsofteniftheresidentdoesnotunderstand.
(D) assumewhentheresidentnodshis/herheadthatthemessageisunderstood.

24. Whilewalkingdownthehall,anurseaidelooksintoaresidentsroomandseesanothernurseaidehitting
aresident.Thenurseaideisexpectedto
(A) contactthestateagencythatinspectsthenursingfacility.
(B) entertheroomimmediatelytoprovidefortheresidentssafety.
(C) waittoconfrontthenurseaidewhenhe/sheleavestheresidentsroom.
(D) checktheresidentforanysignsofinjuryafterthenurseaideleavestheroom.

25. Beforetouchingaresidentwhoiscryingtooffercomfort,thenurseaideshouldconsider
(A) theresidentsrecentvitalsigns.
(B) theresidentsculturalbackground.
(C) whethertheresidenthasbeensadrecently.
(D) whethertheresidenthasfamilythatvisitsroutinely.

26. Whenaresidentisexpressinganger,thenurseaideshould
(A) correcttheresidentsmisperceptions.
(B) asktheresidenttospeakinakindertone.
(C) listencloselytotheresidentsconcerns.
(D) remindtheresidentthateveryonegetsangry.

27. Whengivingabackrub,thenurseaideshould
(A) applylotiontothebackdirectlyfromthebottle.
(B) keeptheresidentcoveredasmuchaspossible.
(C) leaveextralotionontheskinwhencompletingtheprocedure.
(D) expecttheresidenttolieonhis/herstomach.

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28. Anurseaidefindsaresidentlookingintherefrigeratoratthenursesstationat5a.m.Theresident,whois
confused,explainsheneedsbreakfastbeforeheleavesforwork.Thebestresponsebythenurseaideisto
(A) helptheresidentbacktohisroomandintobed.
(B) asktheresidentabouthisjobandifheishungry.
(C) tellhimthatresidentsarenotallowedinthenursesstation.
(D) remindhimthatheisretiredfromhisjobandinanursinghome.

29. Whichofthefollowingistrueaboutcaringforaresidentwhowearsahearingaid?
(A) Applyhairsprayafterthehearingaidisinplace.
(B) Removethehearingaidbeforeshowering.
(C) Cleantheearmoldandbatterycasewithwaterdaily,dryingcompletely.
(D) Replacebatteriesweekly.

30. ResidentswithParkinsonsdiseaseoftenrequireassistancewithwalkingbecausethey
(A) becomeconfusedandforgethowtotakestepswithouthelp.
(B) havepoorattentionskillsanddonotnoticesafetyproblems.
(C) havevisualproblemsthatrequirespecialglasses.
(D) haveashufflingwalkandtremors.

31. Aresidentwhoisinactiveisatriskofconstipation.Inadditiontoincreasedactivityandexercise,whichof
thefollowingactionshelpstopreventconstipation?
(A) Adequatefluidintake
(B) Regularmealtimes
(C) Highproteindiet
(D) Lowfiberdiet

32. Aresidenthasanindwellingurinarycatheter.Whilemakingrounds,thenurseaidenoticesthatthereisno
urineinthedrainagebag.Thenurseaideshouldfirst
(A) asktheresidenttotryurinating.
(B) offertheresidentfluidtodrink.
(C) checkforkinksinthetubing.
(D) obtainanewurinarydrainagebag.

33. Aresidentwhoisincontinentofurinehasanincreasedriskofdeveloping
(A) dementia.
(B) urinarytractinfections.
(C) pressuresores.
(D) dehydration.

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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34. Whencleansingthegenitalareaduringperinealcare,thenurseaideshould
(A) cleansethepeniswithacircularmotionstartingfromthebaseandmovingtowardthetip.
(B) replacetheforeskinwhenpushedbacktocleanseanuncircumcisedpenis.
(C) cleansetherectalareafirst,beforecleansingthegenitalarea.
(D) usethesameareaonthewashclothforeachwashingandrinsingstrokeforafemaleresident.

35. Whichofthefollowingisconsideredanormalagerelatedchange?
(A) Dementia
(B) Contractures
(C) Bladderholdinglessurine
(D) Wheezingwhenbreathing

36. Aresidentisonabladderretrainingprogram.Thenurseaidecanexpecttheresidentto
(A) haveafluidintakerestrictiontopreventsuddenurgestourinate.
(B) wearanincontinentbriefincaseofanaccident.
(C) haveanindwellingurinarycatheter.
(D) haveaschedulefortoileting.

37. Aresidentwhohasstressincontinence
(A) willhaveanindwellingurinarycatheter.
(B) shouldwearanincontinentbriefatnight.
(C) mayleakurinewhenlaughingorcoughing.
(D) needstoiletingevery12hoursthroughouttheday.

38. Thedoctorhastoldtheresidentthathiscancerisgrowingandthatheisdying.Whentheresidenttellsthe
nurseaidethatthereisamistake,thenurseaideshould
(A) understandthatdenialisanormalreaction.
(B) remindtheresidentthedoctorwouldnotlie.
(C) suggesttheresidentaskformoretests.
(D) askiftheresidentisafraidofdying.

39. Aslipknotisusedwhensecuringarestraintsothat
(A) therestraintcannotberemovedbytheresident.
(B) therestraintcanberemovedquicklywhenneeded.
(C) bodyalignmentismaintainedwhilewearingtherestraint.
(D) itcanbeeasilyobservedwhethertherestraintisappliedcorrectly.

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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40. Whenusingpersonalprotectiveequipment(PPE)thenurseaidecorrectlyfollowsStandardPrecautions
whenwearing
(A) doublegloveswhenprovidingperinealcaretoaresident.
(B) amaskandgownwhilefeedingaresidentthatcoughs.
(C) glovestoremovearesidentsbedpan.
(D) gloveswhileambulatingaresident.

41. Tohelppreventresidentfalls,thenurseaideshould
(A) alwaysraisesiderailswhenanyresidentisinhis/herbed.
(B) leaveresidentsbedsatthelowestlevelwhencareiscomplete.
(C) encourageresidentstowearlargersized,loosefittingclothing.
(D) remindresidentswhousecalllightsthattheyneedtowaitpatientlyforstaff.

42. Asthenurseaidebeginshis/herassignment,whichofthefollowingshouldthenurseaidedofirst?
(A) Collectlinensuppliesfortheshift
(B) Checkallthenurseaidesassignedresidents
(C) Assistaresidentthathascalledforassistancetogetoffthetoilet
(D) Startbathingaresidentthathasphysicaltherapyinonehour

43. Whichofthefollowingwouldaffectanurseaidesstatusonthestatesnurseaideregistryandalsocause
thenurseaidetobeineligibletoworkinanursinghome?
(A) Havingbeenterminatedfromanotherfacilityforrepeatedtardiness
(B) Missingamandatoryinfectioncontrolinservicetrainingprogram
(C) Failingtoshowforworkwithoutcallingtoreporttheabsence
(D) Havingafindingforresidentneglect

44. Tohelppreventthespreadofgermsbetweenpatients,nurseaidesshould
(A) weargloveswhentouchingresidents.
(B) holdsuppliesandlinensawayfromtheiruniforms.
(C) washhandsforatleasttwominutesaftereachresidentcontact.
(D) warnresidentsthatholdinghandsspreadsgerms.

45. Whenasinkhashandcontrolfaucets,thenurseaideshoulduse
(A) apapertoweltoturnthewateron.
(B) apapertoweltoturnthewateroff.
(C) anelbow,ifpossible,toturnthefaucetcontrolsonandoff.
(D) barehandstoturnthefaucetcontrolsbothonandoff.

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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46. Whenmovingaresidentupinbedwhoisabletomovewithassistance,thenurseaideshould
(A) positionselfwithkneesstraightandbentatwaist.
(B) useagaitortransferbelttoassistwiththerepositioning.
(C) pulltheresidentupholdingontoonesideofthedrawsheetatatime.
(D) bendtheresidentskneesandasktheresidenttopushwithhis/herfeet.

47. Theresidentsweightisobtainedroutinelyasawaytochecktheresidents
(A) growthanddevelopment.
(B) adjustmenttothefacility.
(C) nutritionandhealth.
(D) activitylevel.

48. WhichofthefollowingisarightthatisincludedintheResidentsBillofRights?
(A) Tohavestaffavailablethatspeakdifferentlanguagesoneachshift
(B) Tohavepaymentplanoptionsthatarebasedonfinancialneed
(C) Tohavereligiousservicesofferedatthefacilitydaily
(D) Tomakedecisionsandparticipateinowncare

49. Whichofthefollowing,ifobservedasasuddenchangeintheresident,isconsideredapossiblewarning
signofastroke?
(A) Dementia
(B) Contractures
(C) Slurredspeech
(D) Irregularheartbeat

50. Consideringtheresidentsactivity,whichofthefollowingsetsofvitalsignsshouldbereportedtothe
chargenurseimmediately?
(A) Resting:

98.69832
(B) Aftereating:

97.06424
(C) Afterwalkingexercise:
98.29828
(D) Whilewatchingtelevision:
98.87214

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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Question

CorrectResponse

Question

CorrectResponse

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

C
D
A
A
D
B
C
B
C
A
D
A
B
B
D
C
B
C
B
D
A
C
A
B
B

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

C
B
B
B
D
A
C
C
B
C
D
C
A
B
C
B
C
D
B
B
D
C
D
C
A

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Proprietary to Prometric. Reprints of this Practice Test are permitted.

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