NNAAP Nurse Aide (CNA) Practice Exam Questions Answers
NNAAP Nurse Aide (CNA)
NNAAP Exam: What Is It
& How Do You Prepare?
Developed by the National Council of State
Boards of Nursing, the National Nurse Aide Assessment Program exam measures
nurse aide competencies.
By passing the assessment, you become a Certified Nurse Aide and are included on the state's nurse aide registry, which employers use to confirm potential workers meet the state and federal requirements to work as a Certified Nurse Aide (CNA).
How can you pass your NNAAP Exam or CNA Exam?
Who Uses the NNAAP Exam?
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.
While this exam is referred to as the national
program, some states actually have their own CNA programs and standards (such
as Florida). Overall the NNAAP exam is used in 21 states to determine whether a
person can be added to their state nurse aide registry.
The Examination topics are broken down as follows:
Domain I. Physical Care
Skills
Activities of Daily Living (14%)
Basic Nursing Skills (39%)
Restorative Skills (8%)
Domain II. Psychosocial Care Skills
Emotional and Mental Health Needs (11%)
Spiritual and Cultural Needs (2%)
Domain III. Role of the Nurse Aide
Communication (8%)
Client Rights (7%)
Legal and Ethical Behavior (3%)
Member of the Healthcare Team (8%)
The purpose of this Practice Written Examination is to help individuals prepare for the NNAAP Examination. You can familiarize yourself with the types and styles of questions you will see on the real exam by taking this Practice NNAAP CNA MCQ test.
1. What is the term for a device used to take the place of a missing body part?
Pronation
Prosthesis
Abduction
External rotation
2. All of the following situations are
examples of abuse or neglect EXCEPT:
leaving a client alone in a bathtub
restraining
a client according to a physician’s order
threatening to withhold a client’s
meals
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:
leave
the client alone and provide privacy
report the incident to the other nurse
aides
tell the client to stop
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:
4 x 5 ml
4 x 10 ml
4
x 30 ml
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:
360 mL.
450
mL.
480 mL.
520 mL.
6. When a nurse gives the nurse aide
confidential information about a client, the nurse aide SHOULD:
share it with other clients.
discuss it with other staff members in
the break room.
discuss it with the client’s family.
keep
the information private.
7. The nurse aide SHOULD place the
client’s soiled bedsheets:
on the bedside table
on the floor of the soiled utility
room
in a biohazard bag.
in
the soiled linen container.
8. Proper use of a waist restraint
requires that the nurse aide:
release the restraint every four hours
watch
for skin irritation
tie restraints to the siderail
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:
open the client’s mail without
permission
use the client’s personal possessions
for another client
provide
privacy during the client’s personal care
prevent the client from complaining
about care
10. The LAST sense a dying client will
lose is:
smell
hearing
taste
sight
11. Proper use of a waist restraint requires
that the nurse aide:
release the restraint every four hours
watch
for skin irritation
tie restraints to the siderail
apply the restraint tightly so the client
cannot move
12. To be sure that a client’s weight
is measured accurately, the client
should be weighed:
after a meal
at
the same time of day
by a different nurse aide
after a good night’s sleep
13. The family members of a client
with diabetes mellitus brought the client cookies as a bedtime snack. The nurse
aide SHOULD:
inform
the nurse of the cookies.
let the client eat the cookies.
convince the client to drink a diet
soda instead.
substitute fruit for the cookies.
14. After turning and repositioning
the client, the nurse aide SHOULD make sure that:
all side rails are up.
all pillows have been removed.
the
signaling device is placed within reach.
the bed is placed in the highest
position.
15. The BEST approach for assisting a
client who is vision impaired to ambulate in an unfamiliar area is to:
guide the client by holding the
client’s arm.
offer
an arm to the client.
walk in front of the client
walk behind the client.
16. When giving a client a bed bath,
it is IMPORTANT for the nurse aide to:
ensure that the water temperature is
140° F (60° C).
uncover the whole body so that the
linens do not get wet.
wash and dry the skin vigorously.
cleanse
the eyes by wiping from the inner to the outer corners of the eyes
17. To find out what type of diet the
client should be receiving, it would be BEST for the nurse aide to check:
with the kitchen staff.
on the client’s room bulletin board.
with the client’s family
in
the client’s care plan.
18. The nurse aide is using an
electric shaver to shave a client when it begins to spark and smoke. Which of
the following actions SHOULD the nurse aide take?
Call the nurse in charge
Unplug
the shaver
Finish shaving the client as quickly
as possible
Use the roommate’s shaver to finish
shaving the client
19. The nurse aide is caring for a
client who has right-sided paralysis. The nurse aide SHOULD place the signaling
device:
on the right side of the bed near the
client’s hand.
under the pillow
on
the left side of the bed near the client’s hand.
at the foot of the bed.
20. The nurse aide is preparing to
lift a client using proper body mechanics. The nurse aide SHOULD:
keep both feet close together.
bend
knees and keep back straight.
lift with abdominal muscles.
hold the object away from the body
21. A client wakes up during the night
and asks for something to eat. The nurse aide SHOULD:
check
client’s diet before offering nourishment
tell the client nothing is available
at night
explain that breakfast is coming in
three hours
tell the client that eating is not
allowed during the night
22. The Heimlich maneuver (abdominal
thrust) is used when the client is:
having a seizure.
coughing
choking.
having difficulty swallowing.
23. A new client expressed to the
nurse aide, “I would love to go to my religious services weekly.” What SHOULD
the nurse aide do?
Tell the client’s family of the
client’s wishes
Report
the client’s statement to the nurse
Share this information with another
nurse aide to coordinate when to take the client
Not share this information because the
client’s personal wishes should be kept private
24. To prevent the spread of
infection, how should the nurse aide handle the soiled linens removed from a
client’s bed?
Put
them in the dirty linen container
Shake them in the air
Place them in a neat pile on the floor
Carry them close to the nurse aide’s
body
25. The nurse aide is providing
evening care for a client with a full set of dentures. Proper procedure
requires that the dentures be placed:
in the client’s bathroom on the sink.
in tissue on the bedside stand.
under the client’s pillow
in
a denture cup with the client’s name on it.
26. 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:
try to move the client alone
ask
another nurse aide to help
have the family do it
go on to another task
27. If a client expresses anger during
care, which of the following would be an APPROPRIATE response for the nurse
aide to make?
“Why are you being so mean today?”
“You
seem upset. Would you like to talk about it?”
“You should not say such mean things
to people.”
“I will come back when your bad mood
is over.”
28. To prevent dehydration of the
client, the nurse aide SHOULD:
wake the client hourly during the
night to offer fluids
offer
fluids frequently while the client is awake
give the client frequent baths
feed the client salty food to increase
thirst
29. When transferring a client, MOST
of the client’s weight should be supported by the nurse aide’s:
back
shoulders
wrists
legs
30. After cleaning the client’s
denture, the nurse aide SHOULD store the client’s dentures:
wrapped in a paper towel.
in
a labeled container.
at the nurses’ station.
in the utility room.
31. The nurse aide SHOULD understand
that a back massage:
causes muscle spasms
increases blood pressure.
promotes
circulation.
increases the heart rate.
32. Which of the following methods is
the CORRECT way to remove a dirty isolation gown?
Roll
it dirty side in and away from the body
Pull it over the head
Let it drop to the floor and step out
of it
Pull it off by the sleeve and shake it
out
33. When making an occupied bed the
nurse aide SHOULD:
make
the toe pleat.
leave the bed in the lowest position.
leave the bottom sheet untucked.
place soiled linens on the floor.
34. Frequent turning and repositioning
of the client help prevent:
cyanosis.
indigestion.
pressure
ulcers.
coronary disease.
35. Pillows should be used for a
client placed in a side-lying position to:
promote sleep.
decrease pain.
decrease edema
prevent
skin breakdown.
36. Which of the following is MOST
important for the prevention of skin breakdown in the client?
Air-drying the client’s skin
Rubbing lotion on the client’s skin
Ambulating the client once a day
Repositioning
the client every 2 hours
37. How many tips does a quad-cane
base have?
1
4
2
3
38. BEFORE taking the oral temperature
of a client who has just finished a cold drink, the nurse aide should wait:
25 to 35 minutes
45 to 55 minutes
10
to 20 minutes
least 1 hour
39. When applying elastic stockings to
the client, it would be BEST for the nurse aide to position the client:
dangling the legs from the edge of the
bed.
lying
down in bed.
standing at the side of the bed.
sitting in a wheelchair.
40. When making an occupied bed, the
nurse aide SHOULD:
raise
side rail on unattended side
put the dirty sheets on the floor
help the client to sit in a chair while
the bed is being made
lower both side rails before changing
the sheets
41. The nurse aide should understand
that the signaling device MUST be:
answered after the nurse aide has made
care rounds.
placed
within the client’s reach.
placed on the bedside table at the
foot of the bed.
deactivated for clients with dementia.
42. The normal aging process is BEST
defined as the time when:
people become dependent and childlike
Alzheimer’s disease begins
people are over sixty-five years of
Age
normal
body functions and senses decline
43. When collecting a 24-hour urine
sample for a client, the nurse aide should request that the client:
discard
the first voided urine
take a bath or shower before starting
the urine collection
select food items that do not contain
red meat.
drink 2 L of water.
44. The nurse aide finds a conscious
client lying on the bathroom floor. The FIRST thing the nurse aide should do
is:
help the client into a sitting
position
call
for assistance from the nurse in charge
offer the client a drink of water
check for signs of injury
45. If a nurse aide finds a client who
is sad and crying, the nurse aide should:
tell the client to cheer up
tell the client to stop crying
call the client’s family
ask
the client if something is wrong
46. The nurse aide is caring for a
client who needs to be transferred. The nursing care plan states, “Transfer
with a mechanical lift.”However, the client is very agitated. To transfer the
client, the nurse aide SHOULD:
get
assistance to move the client.
lift the client without the mechanical
device.
place the client in the lift.
keep wheels unlocked so the lift can
move with the client.
47. The nurse aide is assisting a
client with eating. The client begins to choke and turn blue. The nurse aide
SHOULD:
immediately remove the client’s food
tray and go find the nurse in charge
slap the client on the back until the
food dislodges.
call
for assistance and perform the Heimlich maneuver (abdominal thrust).
give the client a drink of water.
48. The nurse aide is preparing to
ambulate a client who is unsteady. It would be BEST for the nurse aide to use
a:
walker
gait
belt.
quad cane.
wheelchair.
49. The client’s Bill of Rights
includes:
freedom
of choice.
free medical care
access to the medicine cart.
access to the laundry
50. When a client has left-sided weakness,
what part of a sweater is put on first?
Both sleeves
Client’s choice
Right sleeve
Left
sleeve
51. It is appropriate for a nurse aide
to share the information regarding a client’s status with:
any one the nurse aide sees fit
the
staff on the next shift
the client’s family members
the client’s roommate
52. Which of the following statements
might strongly support that a client is considering suicide?
“I think I need to see a
psychiatrist.”
“I
might as well be dead.”
“I don’t really care.”
“We all have to go sometime.”
53. The nurse aide is caring for
client who answers every question by nodding and saying “yes.” Which of the
following actions would be appropriate for the nurse aide to take?
Ask a family member to translate for
the client
Inform
the nurse of the client’s behavior
Speak to the client with multiple
medical terms
Shout at the client when assisting
with morning care
54. The nurse aide gave the client the
wrong diet. Which of the following actions SHOULD the nurse aide take?
Ignore the error and move to the next
task
Remove the evidence of the error
Blame another nurse aide for the error
Report
the error immediately to the nurse
55. The nurse aide is caring for a
client who has bilateral hearing aids. The nurse aide understands that if a
hearing aid is not in use, it SHOULD
be placed in the client’s pocket.
have
the battery removed.
be left turned on.
be left on the client’s bedside table
56. A family member asks the nurse
aide what medication the client is receiving. The nurse aide SHOULD:
allow the family member to read the
client’s medication list
tell the family member what
medications are given
refer
the family member to the nurse
give the family member the client’s
chart.
57. The nurse aide is caring for a
client whose religious beliefs do not allow the client to eat certain foods.
The nurse aide SHOULD report this information to the:
charge
nurse.
dietician
other nurse aides.
client’s family
58. A nurse aide who is active in her church
is assigned to care for a client who is not a member of any religious group.
The nurse aide SHOULD:
respect
the client’s beliefs and avoid starting religious discussions
help the client understand the nurse
aide’s faith
tell the client that it is important for
the client to join some church, even if it is not the nurse aide’s church
arrange to have the nurse aide’s clergyman
visit the client
59. The nurse aide notices that a
client’s mail has been delivered to the client’s room. The nurse aide SHOULD:
open the mail and leave it on the client’s
table
open the mail and read it to the client
give
the client the unopened mail and offer help as needed
read the mail to make sure it doesn’t
contain upsetting news
60. Which of the following is a
correct measurement of urinary output?
40 oz
2 cups
1 quart
300
cc
61. The nurse aide is caring for a
client who is agitated. The nurse aide SHOULD:
speak loudly so the client can hear the
instructions
ask to reassign the care of this client
tell the client to be quiet
talk
in a slow, calm, reassuring manner
62. Exercises that move each muscle
and joint are called:
adduction
range
of motion
abduction
rotation
63. The purpose for padding side rails
on the client’s bed is to:
use them as a restraint
have a place to connect the call signal
protect
the client from injury
keep the client warm
64. How can the nurse aide BEST help a
client who is not accepting a loss?
Leave the client alone
Encourage
the client to talk
Convince the client to accept the loss
Discourage individual activity
65. The nurse aide finds a conscious
client lying on the bathroom floor. The FIRST thing the nurse aide should do
is:
call
for assistance from the nurse in charge
help the client into a sitting position
offer the client a drink of water
check for signs of injury
66. The nurse aide can BEST show that he
is listening to the client by:
changing the subject frequently
responding
when appropriate
correcting the client’s mistakes
directing the conversation
67. When caring for a client who has a
hearing loss, the nurse aide SHOULD:
speak very loudly and use gestures as
much as possible
face
the client when speaking to the client.
let the client use the roommate’s
hearing aid.
use only written communication with
the client.
68. A nurse aide is assisting a client
with mouth care. Which of the following actions SHOULD the nurse aide take?
Floss
between the teeth moving the floss up and down
Avoid brushing the tongue with the
toothbrush
Brush the outer surface of the teeth
by using a side-to-side motion
Floss the teeth before brushing the
teeth
69. Clients have the right to:
smoke in any area of the facility
go anywhere in the facility
see other clients’ medical reports
have
access to a telephone
70. A nurse aide who wants to demonstrate
effective listening skills SHOULD:
give
complete attention to the client while the client is talking.
plan what to say next while the client
is talking
show no emotion when listening to the
client
finish the client’s sentences for the
client.
71. 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
join in the conversation
be quiet and not say anything to the
other nurse aides
return to the unit and tell the client
what was said
72. The Heimlich maneuver (abdominal
thrust) is used for a client who has:
a bloody nose
fallen out of bed
a
blocked airway
impaired eyesight
73. What is the MOST important reason
for using a mechanical lift to transfer clients?
It
is the safest method for clients and staff
It takes fewer staff to transfer
someone
It is faster than other methods
It is the method that clients like
best
74. When preparing to take a meal tray
into the client’s room, what is the MOST important action for the nurse to
take?
Make sure the client’s favorite foods
are present
Keep all foods covered until eaten
Determine if enough fluids have been
ordered
Check
that the client’s name is displayed on the tray card
75. The nurse aide SHOULD use proper
body mechanics in order to:
protect
the nurse aide from injury
keep the nurse aide’s weight down
keep facility equipment in working
order.
make a good impression.
76. To BEST communicate with a client
who is totally deaf, the nurse aide should:
write
out information
smile frequently and speak loudly
smile often and talk rapidly
avoid eye contact
77. 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:
ask the Dietary department to change
the client’s diet.
tell the client to report the finding
to the primary health care provider
understand that this is an expected
finding in the older adult client.
avoid
flushing the toilet and report the finding to the nurse.
78. In order to move a client up in
bed, the nurse aide SHOULD:
raise the head of the bed.
place the bed in the lowest position
possible.
get
assistance from a coworker
wait until the end-of-shift report.
79. The nurse aide is asked by a
confused client what day it is. The nurse aide should:
explain that memory loss is natural
and the date is not important
ignore the request
point
to the date on a calendar and say the date
provide the date and then test the
client later
80. The nurse aide enters a client’s
room, and the client states that he has pain. What should the nurse aide do?
Tell the client to get out of bed for
awhile
Tell the client that the pain will go
away soon
Ignore the client’s statement
Report
it to the nurse in charge
81. What would be the BEST way for the
nurse aide to promote client independence in bathing a client who has had a
stroke?
Give the client a complete bath only
when the client requests it
Leave the client alone and assume the
client will do as much as she can
Encourage
the client to do as much as possible and assist as needed
Limit the client to washing her hands
82. Articles contaminated with blood
or body fluids should be disposed of in the:
soiled linen basket.
soiled utility room
client’s room trash container.
biohazard
container.
83.When a client has memory loss or
confusion, the nurse aide SHOULD:
laugh at the client’s confused
statements
give
the client simple step-by-step instructions
speak loudly to the client.
ignore the client.
84. Which of the following activities
is within the role of the nurse aide?
Deciding the staging of a pressure
ulcer
Suggesting new special diets to
clients
Giving clients spiritual advice
Observing
clients for changes in condition
85. A safety device used to assist a
DEPENDENT client from a bed to a chair is called a:
posey vest
hand roll
transfer/gait
belt
foot board
86. If a nurse aide finds a client who
is sad and crying, the nurse aide should:
ask
the client if something is wrong
tell the client to cheer up
tell the client to stop crying
call the client’s family
87. If a nurse aide needs to wear a
gown to care for a client in isolation, the nurse aide MUST:
wear the same gown to care for all
other assigned clients
take
the gown off before leaving the client’s room
leave the gown untied
take the gown off in the dirty utility
room
88. What type of fire can be put out
with water?
Electrical
Paper
Grease
Chemical
89. The nurse aide is responsible for
all of the following fire prevention measures EXCEPT:
being aware of the locations of fire
extinguishers.
reporting all damaged wiring and/or
sockets in clients’ rooms.
taking
cigarettes and matches away from all clients and visitors
participating in fire drills.
90. 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?
Rubber-soled
slippers or shoes
Socks or stockings only
Cloth-soled slippers
Nothing