What this section covers: Activities of Daily Living (22%, 13 scored items), Basic Nursing Skills (35%, 21 scored items), Self Care/Independence (7%, 4 scored items).
12 free practice questions
Click an answer: you see at once whether it is right, with the explanation.
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Question 1A client has a weak right arm. When putting on her shirt, which arm goes into a sleeve first?
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Answer: A — The weak right arm.
Dress the affected (weak) side first and undress it last. Putting the weak arm in first lets the aide move it gently without forcing the joint, and the strong arm can then slide into its sleeve more easily.
Checked against: NNAAP skills listing, Skill 9 Dresses Client with Affected (Weak) Right Arm
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Question 2Why does the aide line the bottom of the sink or partly fill it with water before cleaning a denture?
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Answer: D — To cushion the denture so it does not break if it is dropped.
The sink is lined or partly filled with water before the denture is held over it, so that a slippery denture that falls is not cracked or broken. Dentures are rinsed and stored in moderate-temperature water, never boiled.
Checked against: NNAAP skills listing, Skill 5 Cleans Upper or Lower Denture
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Question 3A resident with swallowing problems has just finished lunch. How long should she stay sitting upright?
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Answer: D — 30 to 45 minutes.
MedlinePlus advises people with dysphagia to sit upright for 30 to 45 minutes after eating. Staying upright helps food and liquid move down and lowers the risk of it entering the airway.
Checked against: MedlinePlus, Swallowing problems (Home Care)
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Question 4An aide measures urine in a graduate on a flat surface at eye level. The level is between the 325 mL and 350 mL lines. What should the aide record?
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Answer: A — 350 mL.
The NNAAP skills listing says that if the level falls between measurement lines, round up to the nearest 25 mL. A level between 325 and 350 mL is therefore recorded as 350 mL.
Checked against: NNAAP skills listing, Skill 13 Measures and Records Urinary Output
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Question 5According to the CDC, when should a health care worker wash with soap and water instead of using alcohol-based hand sanitizer?
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Answer: C — When hands are visibly soiled.
The CDC says alcohol-based hand sanitizer is preferred in most clinical situations unless hands are visibly soiled. Soap and water is also used before eating, after using the restroom and during C. difficile or norovirus outbreaks.
Checked against: CDC, Hand Hygiene for Healthcare Workers (when to use soap and water)
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Question 6An aide is wearing a gown and gloves. In what order should they be removed?
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Answer: D — Gloves first, then the gown.
In the NNAAP PPE skill the gloves are removed before the gown, then the gown is unfastened and removed without touching its outside, rolled inside out and discarded, and hands are washed.
Checked against: NNAAP skills listing, Skill 8 Donning and Removing PPE (Gown and Gloves)
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Question 7Which infection requires airborne precautions?
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Answer: B — Tuberculosis of the lungs.
MedlinePlus lists chickenpox, measles and tuberculosis of the lungs or larynx as germs that need airborne precautions, with a negative pressure room and a well-fitted respirator. C. difficile needs contact precautions, and influenza needs droplet precautions.
Checked against: MedlinePlus, Isolation precautions (Airborne precautions)
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Question 8Where is a transfer (gait) belt placed?
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Answer: B — Securely around the client's waist, over clothing or a gown.
The transfer belt is applied securely at the waist over clothing or a gown before the client stands. The aide grasps it on both sides with an upward grasp.
Checked against: NNAAP skills listing, Skill 3 Assists to Ambulate Using Transfer Belt
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Question 9A resident falls to the floor with a generalized seizure. Which action is correct?
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Answer: C — Turn him gently onto one side and put something soft and flat under his head.
The CDC advises easing the person to the ground, turning them onto one side, clearing the area and cushioning the head. Nothing is put in the mouth, the person is not held down, and food or water is not offered until fully alert.
Checked against: CDC, First Aid for Seizures (generalized seizures)
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Question 10An aide counts 38 radial pulse beats in 30 seconds. What is the pulse rate per minute?
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Answer: B — 76 beats per minute.
A count taken for 30 seconds is multiplied by 2: 38 × 2 = 76. MedlinePlus describes counting for 1 full minute or for 30 seconds and multiplying by 2; on the NNAAP skills evaluation the radial pulse is counted for one full minute.
Checked against: MedlinePlus, Pulse (How the Test is Performed)
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Question 11How should a cane be adjusted to a resident's height?
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Answer: B — The handle is at the level of the wrist, with the elbow slightly bent when holding it.
MedlinePlus says the cane handle should be at wrist level and the elbow slightly bent when holding it. A cane that is too long or too short makes walking less stable.
Checked against: MedlinePlus, Using a cane (Cane Basics)
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Question 12A resident with a weak right leg uses a cane. How should he go up one step?
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Answer: D — Step up with the stronger left leg first, then bring the cane and the weaker leg up.
MedlinePlus sums it up as 'up with the good, down with the bad': go up leading with the stronger leg, and go down leading with the cane and the weaker leg.
Checked against: MedlinePlus, Using a cane (Stepping Up or Down)
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NNAAP is a registered trademark of its owner. passmock is not affiliated with or endorsed by Credentia, the National Council of State Boards of Nursing (NCSBN), Prometric, D&S Diversified Technologies (Headmaster) or any state nurse aide registry. Original practice questions, not questions from the real test.