National Nurse Aide Assessment Program (NNAAP) Examination Questions MCQ Quiz-2

Certified Nurse Aide, CNA (NNAAP) Examination Questions Answers

National Nurse Aide Assessment Program (NNAAP) Nurse Aide, Questions MCQ

National Nurse Aide Assessment Program (NNAAP) is a certification program for nurse aides developed by the National Council of State Boards of Nursing.

Certified Nursing Assistants CNA

CNAs (Certified Nursing Assistants) provide intimate, hands-on care for patients under the direction of a Registered Nurse (RN) or Licensed Practical Nurse (LPN). CNAs assist patients with basic activities involved in daily life. 

How to become a CNA?

Certified nursing assistants (CNAs) are not required to hold a college degree; however, training is required, leading to a post-secondary diploma or certificate. State-issued CNA credentials require prospective nursing assistants to enrol in a state-approved program and pass a state certification exam.

What are the basic education requirements for a CNA?

In order to become a CNA, one must have a high school diploma or a GED, as well as training in nursing. You can find these programs at community colleges, trade schools, and medical facilities. Before enrolling, prospective CNAs should be sure the program they're looking into is approved by their state's nursing board and by the National Nurse Aide Assessment Program (NNAAP). 

Try part -2 of this Quiz series.

1. What is the term for a device used to take the place of a missing body part?

1. Pronation
2. Prosthesis
3. Abduction
4. External rotation

2. All of the following situations are examples of abuse or neglect EXCEPT:

1. leaving a client alone in a bathtub
2. restraining a client according to a physician’s order
3. threatening to withhold a client’s meals
4. leaving a client in a wet and soiled bed

3. If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD:

1. leave the client alone and provide privacy
2. report the incident to the other nurse aides
3. tell the client to stop
4. laugh and tell the client to go in the bathroom

4. To convert four ounces of juice to milliliters (ml), the nurse aide should multiply:

1. 4 x 5 ml
2. 4 x 10 ml
3. 4 x 30 ml
4. 4 x 15 ml

5. 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:

1. 360 mL.
2. 450 mL.
3. 480 mL.
4. 520 mL.

6. When a nurse gives the nurse aide confidential information about a client, the nurse aide SHOULD:

1. share it with other clients.
2. discuss it with other staff members in the break room.
3. discuss it with the client’s family.
4. keep the information private.

7. The nurse aide SHOULD place the client’s soiled bedsheets:

1. on the bedside table
2. on the floor of the soiled utility room
3. in a biohazard bag.
4. in the soiled linen container.

8. Proper use of a waist restraint requires that the nurse aide:

1. release the restraint every four hours
2. watch for skin irritation
3. tie restraints to the siderail
4. apply the restraint tightly so the client cannot move

9. In giving care according to the client’s Bill of Rights, the nurse aide SHOULD:

1. open the client’s mail without permission
2. use the client’s personal possessions for another client
3. provide privacy during the client’s personal care
4. prevent the client from complaining about care

10. The LAST sense a dying client will lose is:

1. smell
2. hearing
3. taste
4. sight

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

1. check client’s diet before offering nourishment
2. tell the client nothing is available at night
3. explain that breakfast is coming in three hours
4. tell the client that eating is not allowed during the night

12. The Heimlich maneuver (abdominal thrust) is used when the client is:

1. having a seizure.
2. coughing
3. choking.
4. having difficulty swallowing.

13. A new client expressed to the nurse aide, “I would love to go to my religious services weekly.” What SHOULD the nurse aide do?

1. Tell the client’s family of the client’s wishes
2. Report the client’s statement to the nurse
3. Share this information with another nurse aide to coordinate when to take the client
4. Not share this information because the client’s personal wishes should be kept private

14. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client’s bed?

1. Put them in the dirty linen container
2. Shake them in the air
3. Place them in a neat pile on the floor
4. Carry them close to the nurse aide’s body

15. The nurse aide is providing evening care for a client with a full set of dentures. Proper procedure requires that the dentures be placed:

1. in the client’s bathroom on the sink.
2. in tissue on the bedside stand.
3. under the client’s pillow
4. in a denture cup with the client’s name on it.

16.A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone.The nurse aide should:

1. try to move the client alone
2. ask another nurse aide to help
3. have the family do it
4. go on to another task

17. If a client expresses anger during care, which of the following would be an APPROPRIATE response for the nurse aide to make?

1. “Why are you being so mean today?”
2. “You seem upset. Would you like to talk about it?”
3. “You should not say such mean things to people.”
4. “I will come back when your bad mood is over.”

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

1. wake the client hourly during the night to offer fluids
2. offer fluids frequently while the client is awake
3. give the client frequent baths
4. feed the client salty food to increase thirst

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

1. back
2. shoulders
3. wrists
4. legs

20. After cleaning the client’s denture, the nurse aide SHOULD store the client’s dentures:

1. wrapped in a paper towel.
2. in a labeled container.
3. at the nurses’ station.
4. in the utility room.

21. The nurse aide SHOULD understand that a back massage:

1. causes muscle spasms
2. increases blood pressure.
3. promotes circulation.
4. increases the heart rate.

22. Which of the following methods is the CORRECT way to remove a dirty isolation gown?

1. Roll it dirty side in and away from the body
2. Pull it over the head
3. Let it drop to the floor and step out of it
4. Pull it off by the sleeve and shake it out

23. When making an occupied bed the nurse aide SHOULD:

1. make the toe pleat.
2. leave the bed in the lowest position.
3. leave the bottom sheet untucked.
4. place soiled linens on the floor.

24. Frequent turning and repositioning of the client help prevent:

1. cyanosis.
2. indigestion.
3. pressure ulcers.
4. coronary disease.

25. Pillows should be used for a client placed in a side-lying position to:

1. promote sleep.
2. decrease pain.
3. decrease edema
4. prevent skin breakdown.

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

1. Air-drying the client’s skin
2. Rubbing lotion on the client’s skin
3. Ambulating the client once a day
4. Repositioning the client every 2 hours

27. How many tips does a quad-cane base have?

1. 1
2. 4
3. 2
4. 3

28. BEFORE taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait:

1. 25 to 35 minutes
2. 45 to 55 minutes
3. 10 to 20 minutes
4. least 1 hour

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

1. dangling the legs from the edge of the bed.
2. lying down in bed.
3. standing at the side of the bed.
4. sitting in a wheelchair.

30. When making an occupied bed, the nurse aide SHOULD:

1. raise side rail on unattended side
2. put the dirty sheets on the floor
3. help the client to sit in a chair while the bed is being made
4. lower both side rails before changing the sheets

31. The nurse aide should understand that the signaling device MUST be:

1. answered after the nurse aide has made care rounds.
2. placed within the client’s reach.
3. placed on the bedside table at the foot of the bed.
4. deactivated for clients with dementia.

32. The normal aging process is BEST defined as the time when:

1. people become dependent and childlike
2. Alzheimer’s disease begins
3. people are over sixty-five years of Age
4. normal body functions and senses decline

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

1. discard the first voided urine
2. take a bath or shower before starting the urine collection
3. select food items that do not contain red meat.
4. drink 2 L of water.

34. The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is:

1. help the client into a sitting position
2. call for assistance from the nurse in charge
3. offer the client a drink of water
4. check for signs of injury

35. If a nurse aide finds a client who is sad and crying, the nurse aide should:

1. tell the client to cheer up
2. tell the client to stop crying
3. call the client’s family
4. ask the client if something is wrong

36. When caring for a client who has a hearing loss, the nurse aide SHOULD:

1. speak very loudly and use gestures as much as possible
2. face the client when speaking to the client.
3. let the client use the roommate’s hearing aid.
4. use only written communication with the client.

37. A nurse aide is assisting a client with mouth care. Which of the following actions SHOULD the nurse aide take?

1. Floss between the teeth moving the floss up and down
2. Avoid brushing the tongue with the toothbrush
3. Brush the outer surface of the teeth by using a side-to-side motion
4. Floss the teeth before brushing the teeth

38. Clients have the right to:

1. smoke in any area of the facility
2. go anywhere in the facility
3. see other clients’ medical reports
4. have access to a telephone

39. A nurse aide who wants to demonstrate effective listening skills SHOULD:

1. give complete attention to the client while the client is talking.
2. plan what to say next while the client is talking
3. show no emotion when listening to the client
4. finish the client’s sentences for the client.

40. 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:

1. suggest that this is not the place to discuss the client
2. join in the conversation
3. be quiet and not say anything to the other nurse aides
4. return to the unit and tell the client what was said

41. The Heimlich maneuver (abdominal thrust) is used for a client who has:

1. a bloody nose
2. fallen out of bed
3.
4. impaired eyesight

42. What is the MOST important reason for using a mechanical lift to transfer clients?

1. It is the safest method for clients and staff
2. It takes fewer staff to transfer someone
3. It is faster than other methods
4. It is the method that clients like best

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

1. Make sure the client’s favorite foods are present
2. Keep all foods covered until eaten
3. Determine if enough fluids have been ordered
4. Check that the client’s name is displayed on the tray card

44. The nurse aide SHOULD use proper body mechanics in order to:

1. protect the nurse aide from injury
2. keep the nurse aide’s weight down
3. keep facility equipment in working order.
4. make a good impression.

45. To BEST communicate with a client who is totally deaf, the nurse aide should:

1. write out information
2. smile frequently and speak loudly
3. smile often and talk rapidly
4. avoid eye contact

46. 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:

1. ask the Dietary department to change the client’s diet.
2. tell the client to report the finding to the primary health care provider
3. understand that this is an expected finding in the older adult client.
4. avoid flushing the toilet and report the finding to the nurse.

47. In order to move a client up in bed, the nurse aide SHOULD:

1. raise the head of the bed.
2. place the bed in the lowest position possible.
3. get assistance from a coworker
4. wait until the end-of-shift report.

48. The nurse aide is asked by a confused client what day it is. The nurse aide should:

1. explain that memory loss is natural and the date is not important
2. ignore the request
3. point to the date on a calendar and say the date
4. provide the date and then test the client later

49. The nurse aide enters a client’s room, and the client states that he has pain. What should the nurse aide do?

1. Tell the client to get out of bed for awhile
2. Tell the client that the pain will go away soon
3. Ignore the client’s statement
4. Report it to the nurse in charge

50. What would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke?

1. Give the client a complete bath only when the client requests it
2. Leave the client alone and assume the client will do as much as she can
3. Encourage the client to do as much as possible and assist as needed
4. Limit the client to washing her hands

51. Articles contaminated with blood or body fluids should be disposed of in the:

1. soiled linen basket.
2. soiled utility room
3. client’s room trash container.
4. biohazard container.

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

1. laugh at the client’s confused statements
2. give the client simple step-by-step instructions
3. speak loudly to the client.
4. ignore the client.

53. Which of the following activities is within the role of the nurse aide?

1. Deciding the staging of a pressure ulcer
2. Suggesting new special diets to clients
3. Giving clients spiritual advice
4. Observing clients for changes in condition

54. A safety device used to assist a DEPENDENT client from a bed to a chair is called a:

1. posey vest
2. hand roll
3. transfer/gait belt
4. foot board

55. If a nurse aide finds a client who is sad and crying, the nurse aide should:

1. ask the client if something is wrong
2. tell the client to cheer up
3. tell the client to stop crying
4. call the client’s family

56. If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST:

1. wear the same gown to care for all other assigned clients
2. take the gown off before leaving the client’s room
3. leave the gown untied
4. take the gown off in the dirty utility room

57. What type of fire can be put out with water?

1. Electrical
2. Paper
3. Grease
4. Chemical

58. The nurse aide is responsible for all of the following fire prevention measures EXCEPT:

1. being aware of the locations of fire extinguishers.
2. reporting all damaged wiring and/or sockets in clients’ rooms.
3. taking cigarettes and matches away from all clients and visitors
4. participating in fire drills.

59. The nurse aide is preparing to help a client walk from the bed to a chair. Which of the following SHOULD the nurse aide put on the client’s feet?

1. Rubber-soled slippers or shoes
2. Socks or stockings only
3. Cloth-soled slippers
4. Cloth-soled slippers

60. Clients have the right to:

1. have access to a telephone
2. smoke in any area of the facility
3. go anywhere in the facility
4. go anywhere in the facility

61.The nurse aide understands that the MOST important reason for using soap and water to clean the client’s skin after elimination is to:

1. The nurse aide understands that the MOST important reason for using soap and water to clean the client’s skin after elimination is to:
2. remove feces and urine from the skin.
3. keep the client happy
4. keep the client happy

62. The nurse aide SHOULD refuse to perform a task if the:

1. The nurse aide SHOULD refuse to perform a task if the:
2. client is difficult to deal with
3. nurse aide can find someone else to do it
nurse aide is at the end of the shift.

63. Before helping a client into a bath or shower, the nurse aide should FIRST:

1. shampoo the client’s hair.
2. soak the client’s feet.
3. apply lotion or oil to the client’s skin.
4. check the temperature of the water

64. When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s:

1. chest.
2. wrist.
3. neck.
4. elbow

65. The nurse aide reports directly to the:

1. physician.
2. staff development nurse.
3. nurse supervisor
4. administrator.

66. When communicating with the client’s family, the nurse aide SHOULD:

1. offer advice about the client’s medical treatment.
2. get involved in family problems.
3. share the latest facility gossip.
4. listen to concerns and offer support

67. The nurse aide is making an empty bed and notices that the side rail is broken. The nurse aide SHOULD:

1. wait for the next safety check to report the broken side rail
2. report the broken side rail immediately.
3. tie the side rail in the raised position until it is fixed
4. warn the client to be careful when getting back into bed