National Nurse Aide Assessment Program (NNAAP) Examination Questions MCQ Quiz-3

Nurse Aide Assessment Program (NNAAP)

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. 

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 enroll 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) 

1. The nurse aide is caring for a client who becomes incontinent of urine right before dinner. The nurse aide SHOULD:

1. take the client to the dinner table and clean up after dinner
2. clean the client and take to dinner as soon as possible
3. tell the client not to eat until the client has cleaned and changed self.
4. insist that the client eat dinner in the room.

2. The nurse aide notices that the client’s radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aide should do is:

1. tell the client the radio is a safety hazard and take it away.
2. see if any changes can be made so that the radio can be plugged in safely
3. unplug the radio and ask the client not to use it.
4. take the radio to the activities room and tell the client to listen to it there.

3. The nurse aide is walking with a client who is confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD:

1. comfort the client while moving to a safe place.
2. push the wheelchair out of the hallway and carry the client out of the facility.
3. leave the client to search for help
4. lock the client’s wheelchair and check the surrounding area for smoke.

4. A new client refuses to wear a clothing protector at lunch. The nurse aide SHOULD:

1. tell the client that he must wear it
2. put the clothing protector on the client
3. respect the client’s wishes
4. report this to the nurse in charge

5. A client who is confused refuses to change from sleepwear to other clothes. The nurse aide SHOULD:

1. insist that the client change clothes.
2. respect the client’s refusal and ask the client again later.
3. get another nurse aide to help change the client’s clothes.
4. inform the client that the client cannot leave the room without changing clothes.

6. Techniques that promote good communication include:

1. avoiding calling the client by the client’s preferred name
2. correcting the client when the client forgets a word.
3. informing the client that the nurse aide has a limited amount of time to talk.
4. speaking clearly and slowly

7. While the nurse aide is transporting a client to receive physical therapy, the fire alarm sounds. The nurse aide SHOULD:

1. return the client to the client’s own room.
2. transport the client in the elevator to receive physical therapy.
3. leave the client in the hallway and look for the source of the fire.
4. evacuate the client to a safe area

8. One of the MOST important tasks in caring for the agitated or confused client is to:

1. transfer the client to a mental health hospital for proper care.
2. protect the client and others from physical harm
3. request that the nurse administer a tranquilizer for the client.
4. restrain the client until the primary health care provider examines the client.

9. If a client is confused, the nurse aide should:

1. ignore the client until he starts to make sense
2. restrain the client so that he does not hurt himself
3. help the client to recognize familiar things and people
4. keep the client away from other clients

10. The nurse aide notices a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD:

1. call the nurse
2. clean up the spill
3. call housekeeping
4. leave the spill

11. For safety, when leaving a client alone in a room, the nurse aide SHOULD:

1. place signaling device within client’s reach
2. keep the door tightly closed
3. apply a restraint to the client.
4. leave the bed elevated in highest position

12. The nurse aide understands that physical restraints may be used:

1. when staff is short.
2. at the family’s request
3. to prevent client injury
4. at the roommate’s request

13. The nurse aide is concerned about a client’s care. Which of the following should the nurse aide speak to FIRST?

1. Another nurse aide
2. The nurse in charge
3. The Director of Nursing
4. The Administrator

14. The nurse aide is preparing to take a client’s oral temperature. The nurse aide SHOULD:

1. place the thermometer under the tongue
2. place the thermometer in the rectum.
3. place the thermometer under the arm
4. put lubricant on the thermometer

15. The nurse aide SHOULD understand that pressure ulcers can often be prevented if the client is:

1. placed in an incontinence brief
2. positioned with a pillow under the head
3. dressed in loosely fitting clothing.
4. turned or repositioned every two hours.

16.What is the process of restoring a disabled client to the highest level of functioning possible?

1. Responsibility
2. Rehabilitation
3. Retention
4. Reincarnation

17. The nurse aide is caring for a client with hand tremors. The nurse aide SHOULD:

1. restrain the hand that has the tremor
2. assist the client with the activity of daily living as needed
3. tell the client to stop shaking and control the tremors
4. do everything for the client.

18. The nurse aide is assisting a client in resolving grievances. The nurse aide should report the grievance to the:

1. doctor
2. nurse in charge.
3. family
4. administrator.

19. When changing an unsterile dressing, the nurse aide should wash hands:

1. before the procedure
2. after the procedure
3. before and after the procedure
4. before, after removal of the soiled dressing, and after the procedure

20. While the nurse aide is helping a client to shower, the client falls to the floor. What should the nurse aide do IMMEDIATELY?

1. Insist that the client take a bath instead of a shower
2. Report the fall to the nurse
3. Discuss the fall with the client’s family member
4. Inform the client that the client should hold on to the grab bars while showering

21. What should the nurse aide do FIRST when finding out that a client’s property has been stolen?

1. Keep quiet and try to catch the thief
2. Call the family
3. Inform the nurse
4. Call the police

22. Clean bed linen placed in a client’s room but NOT used should be:

1. put in the dirty linen container
2. returned to the linen closet
3. used for a client in the next room
4. taken to the nurse in charge

23. When working with a client with Alzheimer’s disease, it is IMPORTANT that the nurse aide:

1. provide a regular routine for the client.
2. speak very loudly
3. approach the client from behind.
4. correct the client every time the client forgets a word.

24. How can the nurse aide BEST help the client to maintain independence?

1. Request that the client’s family provide assistance to the client when performing activities of daily living
2. Do as many activities of daily living for the client as possible
3. Allow the client to do as many activities of daily living as possible without assistance
4. Remind the client to quickly complete activities of daily living

25. A nurse aide can assist clients with their spiritual needs by:

1. taking clients to the nurse aide’s church
2. avoiding any religious discussions
3. talking about the nurse aide’s own spiritual beliefs
4. allowing clients to talk about their beliefs

26. When providing care to a client, the nurse aide SHOULD avoid unnecessary exposure of the client to protect the client’s right to:

1. confidentiality
2. personal choice
3. personal hygiene.
4. privacy

27. The nurse aide is caring for a client who needs assistance getting out of bed to sit in a wheelchair. Which of the following actions by the nurse aide would make this a safe procedure?

1. place the bed in the low position
2. place a pillow on the wheelchair seat
3. lower both footrest pedals
4. release the wheel brakes

28. The nurse aide SHOULD understands that the female perineum should be cleansed:

1. without soap.
2. with a disinfectant.
3. from front to back.
4. from back to front.

29. When caring for a client from another country, the nurse aide SHOULD:

1. orient the client to the cultural practices of the facility
2. be sensitive to the client’s cultural needs.
3. promote group activity participation.
4. decline to care for the client.

30. The nurse aide should provide oral hygiene to a client who is unconscious at LEAST every:

1. 2 hours.
2. 4 hours
3. 6 hours
4. 8 hours

31. The client looks forward to playing Bingo each morning. The nurse aide SHOULD:

1. tell the client that the nurse aide does not have time to get the client ready for Bingo.
2. plan the client’s schedule so client is bathed and dressed in time for Bingo.
3. tell the client the nurse aide forgot about Bingo, but they will go the next day.
4. ask the client to bathe and dress self.

32. A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond?

1. “Can’t you knock?”
2. “Hi, come on in.”
3. “Boy, he was dirty today.”
4. “Would you please wait in the lobby?”

33. A nurse aide MUST wear gloves when:

1. doing peri-care
2. feeding a client
3. giving a back rub
4. doing range of motion

34. The nurse aide is caring for a client who is confused and disoriented. The client starts begging to go home. Which of the following would be the BEST action for the nurse aide to take?

1. tell the client, “This is your home.”
2. ask the client to tell the nurse aide about his/her home.
3. take the client to the activity room.
4. tell the client, “We will take you home later.

35. The nurse aide is caring for the client who is alert and oriented. The client touches the nurse aide inappropriately. Which of the following actions SHOULD the nurse aide take?

1. Slap the client’s hand
2. Refuse to care for the client
3. Warn the client that the behavior may be punished
4. Step back and ask the client not to do it again

36. The nurse aide is caring for a client with Alzheimer’s disease who wanders from room to room moving the belongings of other clients to different locations. The other clients, who are alert and oriented, are angry that their things have been moved. The nurse aide SHOULD:

1. return the client to the client’s room and close the door
2. find the missing articles and return them.
3. walk with the client to keep from wandering.
4. assure the other clients that the client with Alzheimer’s disease will not harm them

37. Which of the following is a restraint alternative?

1. Pain management
2. Lap buddy/tray
3. A sedative
4. A hand mitt

38. When getting ready to dress a client, the nurse aide SHOULD:

1. get the first clothes the nurse aide can reach in the closet
2. use the clothes the client wore the day before
3. choose clothes that the nurse aide personally likes
4. give the client a choice of what to wear

39. If the nurse aide discovers fire in a client’s room, the FIRST thing do is:

1. remove the client
2. call the nurse in charge
3. try to put out the fire
4. open a window

40. The nurse aide is taking a client’s vital signs. What SHOULD the nurse aide do if a client’s pulse oximetry reading is 95%?

1. Record the finding in the client’s chart
2. Provide oxygen to the client
3. Move the pulse oximetry sensor to another location
4. Report the finding to the nurse immediately

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

1. on the client’s strong side
2. from behind the client
3.
4. with a wheelchair

42. Which of the following documents would inform the nurse aide of the client’s needs?

1. Procedure manual
2. Care plan
3. Policy manual
4. Resident’s Bill of Rights

43. To orient a new client to the facility, it would be BEST for the nurse aide to:

1. inform the client that it is mandatory to participate in activities.
2. encourage the client to make friends with at least two other clients.
3. restrict visits from the client’s family during the first month.
4. introduce the client to other clients and staff members.

44. The nurse aide has been instructed to place the client in a supine position. The nurse aide SHOULD position the client on the client’s:

1. back
2. abdomen
3. left side
4. right side

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

1. Stay with the client and call for help
2. Take the client to the hospital
3. Help the client back to bed
4. Take the client into the bathroom to wash out the cut

46. To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client’s:

1. bed sheet
2. bed frame
3. hip
4. upper thigh

47. The nurse aide can provide the client with a sense of security by:

1. rushing through care
2. leaving the room without speaking.
3. explaining all routines and procedures.
4. talking to another nurse aide while providing care.

48. The nurse aide is caring for a client with a protective device (restraint). The nurse aide SHOULD:

1. assess the client once every hour.
2. assure the protective device is tight
3. check the client’s body alignment
4. release the protective device once a shift.

49. In order to communicate clearly with a client who has hearing loss, the nurse aide should:

1. speak in a high pitched tone of voice
2. stand behind the client when speaking
3. speak in a loud and slow manner
4. look directly at the client when speaking

50. The nurse aide is caring for a client with an ostomy. What should the nurse aide do FIRST when changing the ostomy bag?

1. Put on gloves
2. Wash hands
3. Explain procedure to client
4. Wash area around stoma

51. When giving a back rub to a client the nurse aide SHOULD:

1. place the client in the supine position.
2. use short, light strokes
3. warm the lotion in the microwave before applying the lotion on the client.
4. use circular motion over bony areas.

52. What is the FIRST thing a nurse aide should do when finding a client who is unresponsive?

1. Start compressions
2. Call for help
3. Close the door
4. Call family

53. Which of the following stages of dying is usually the final stage?

1. Anger
2. Bargaining
3. Depression
4. Acceptance

54. When operating a manual bed, the nurse aide SHOULD remember to:

1. elevate the client’s head at all times
2. lock the wheels when the cranks are folded.
3. fold cranks under bed.
4. keep the bed in the neutral position

55. The nurse aide is preparing to provide oral care for a client who is unconscious. The nurse aide SHOULD place the client in which of the following positions?

1. Lateral
2. Supine
3. Prone
4. Sims’

56. The nurse aide should place the soiled linen:

1. on the floor.
2. in the dirty linen container
3. on the chair
4. on the overbed table.

57. The nurse aide is caring for a client with diabetes. Which of the following would be BEST for the nurse aide to use when shaving the client?

1. a safety razor.
2. an electric razor
3. a disposable razor.
4. a straight edge razor.

58. The nurse aide is caring for a client who only speaks and understands a foreign language. Which of the following actions SHOULD the nurse aide take?

1. Use gestures
2. Speak slower
3. Use an interpretation guide
4. Listen and say nothing

59. The nurse aide is transferring a client to a different unit. The nurse aide should understand that the MOST important information needed from the nurse is the:

1. name and room number.
2. phone number to the client’s room.
3. client’s medical diagnosis.
4. client’s medical diagnosis.

60. The nurse aide SHOULD understand that the main purpose of continuing education is for:

1. client safety.
2. a review of skills.
3. facility compliance.
4. facility compliance.

61.Incident reports are written in order to:

1. Incident reports are written in order to:
2. determine patterns and trends.
3. inform the physician
4. inform the physician

62. The nurse aide SHOULD understand that the button hook and a sock assist devices are both part of what type of nursing care?

1. The nurse aide SHOULD understand that the button hook and a sock assist devices are both part of what type of nursing care?
2. Activities of daily living
3. Disability and reactivity
Prosthetic mobility

63. If a client says, “God is punishing me” or “Why me?”, how should the nurse aide respond?

1. Reply, “God doesn’t punish people.”
2. Ignore the client
3. Make jokes
4. Listen quietly

64. The role of the ombudsman is to:

1. run a group of nursing homes
2. work with the nursing home to protect clients’ rights
3. control the nursing home budget
4. prepare classes that nurse aides take to learn about client hygiene

65. The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide SHOULD:

1. take the money so as not to offend the client
2. take the money and buy something for the floor
3. politely refuse the money
4. ask the nurse in charge what to do