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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 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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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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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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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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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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 Question 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 CorrectResponse 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 Question 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 CorrectResponse 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

Copyright 2010 Prometric Inc., a Delaware corporation. All Rights Reserved. Proprietary to Prometric. Reprints of this Practice Test are permitted.

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