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Nurse Aide Written exam 2 TMU- Iowa

Question 1 of 70

A resident who cannot swallow safely should receive

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Nurse Aide Written exam 2 TMU- Iowa Practice Questions

Review these Nurse Aide Written exam 2 TMU- Iowa nursing practice questions with answer choices and explanations.

Question 1

A resident who cannot swallow safely should receive

  1. regular diet
  2. thickened liquids
  3. spicy food
  4. fried food
View answer and explanation

Correct answer:

  1. thickened liquids

Explanation: Thickened liquids help prevent aspiration in residents with dysphagia.

Question 2

The best way to help prevent falls is

  1. cluttering the floor
  2. removing hazards
  3. turning off lights
  4. locking residents in rooms
View answer and explanation

Correct answer:

  1. removing hazards

Explanation: Removing hazards like loose rugs and clutter reduces fall risk.

Question 3

Which of the following is a sign of low blood sugar?

  1. sweating and shakiness
  2. dry skin
  3. weight gain
  4. strong pulse
View answer and explanation

Correct answer:

  1. sweating and shakiness

Explanation: Hypoglycemia symptoms include sweating, shakiness, confusion, and weakness.

Question 4

Which system controls hormones?

  1. nervous system
  2. endocrine system
  3. digestive system
  4. skeletal system
View answer and explanation

Correct answer:

  1. endocrine system

Explanation: The endocrine system regulates hormones such as insulin and thyroid hormones.

Question 5

A resident who cannot hear well should be

  1. ignored
  2. spoken to clearly while facing them
  3. shouted at
  4. spoken to from behind
View answer and explanation

Correct answer:

  1. spoken to clearly while facing them

Explanation: Facing the resident helps with lip reading and communication clarity.

Question 6

Which of the following helps prevent dehydration?

  1. limiting fluids
  2. encouraging fluids
  3. avoiding water
  4. skipping meals
View answer and explanation

Correct answer:

  1. encouraging fluids

Explanation: Adequate fluid intake prevents dehydration, UTIs, and constipation.

Question 7

A resident’s pulse should be counted for

  1. 5 seconds
  2. 15 seconds
  3. 30 seconds
  4. 60 seconds
View answer and explanation

Correct answer:

  1. 60 seconds

Explanation: Counting for one full minute ensures the most accurate pulse reading.

Question 8

Which of the following is a pressure ulcer risk factor?

  1. frequent movement
  2. immobility
  3. hydration
  4. exercise
View answer and explanation

Correct answer:

  1. immobility

Explanation: Immobility increases pressure on skin and can cause pressure ulcers.

Question 9

A resident’s call light should be kept

  1. across the room
  2. within reach
  3. outside the room
  4. hidden
View answer and explanation

Correct answer:

  1. within reach

Explanation: Residents must be able to call for help quickly.

Question 10

A resident complaining of pain should be

  1. ignored
  2. reported to the nurse
  3. punished
  4. given medication by CNA
View answer and explanation

Correct answer:

  1. reported to the nurse

Explanation: CNAs observe and report pain, but do not administer medication.

Question 11

A resident’s room temperature should be

  1. comfortable
  2. freezing
  3. extremely hot
  4. dark
View answer and explanation

Correct answer:

  1. comfortable

Explanation: Comfortable temperature supports resident comfort and health.

Question 12

Which system controls thinking and memory?

  1. digestive system
  2. nervous system
  3. skeletal system
  4. respiratory system
View answer and explanation

Correct answer:

  1. nervous system

Explanation: The nervous system includes the brain and spinal cord, controlling thoughts and body responses.

Question 13

Which of the following promotes resident independence?

  1. doing everything for the resident
  2. encouraging participation in care
  3. ignoring requests
  4. rushing care
View answer and explanation

Correct answer:

  1. encouraging participation in care

Explanation: Residents should perform tasks they are capable of to maintain independence.

Question 14

A resident with shortness of breath should be placed

  1. flat
  2. head elevated
  3. face down
  4. standing
View answer and explanation

Correct answer:

  1. head elevated

Explanation: Elevating the head improves lung expansion and breathing.

Question 15

A resident refusing care has the right to

  1. be punished
  2. refuse care
  3. be ignored
  4. lose privileges
View answer and explanation

Correct answer:

  1. refuse care

Explanation: Residents have the legal right to refuse treatment or care.

Question 16

Which device measures blood pressure?

  1. stethoscope and cuff
  2. thermometer
  3. scale
  4. walker
View answer and explanation

Correct answer:

  1. stethoscope and cuff

Explanation: Blood pressure is measured with a sphygmomanometer and stethoscope.

Question 17

A resident experiencing loneliness may benefit from

  1. isolation
  2. social activities
  3. strict bed rest
  4. silence
View answer and explanation

Correct answer:

  1. social activities

Explanation: Social interaction helps reduce depression and loneliness.

Question 18

A CNA must document

  1. opinions
  2. rumors
  3. facts
  4. guesses
View answer and explanation

Correct answer:

  1. facts

Explanation: Charting must include objective and factual information.

Question 19

A resident with fragile skin should be

  1. handled roughly
  2. handled gently
  3. ignored
  4. rushed
View answer and explanation

Correct answer:

  1. handled gently

Explanation: Older adults have thin, fragile skin prone to injury.

Question 20

A resident choking cannot breathe or speak. The CNA should

  1. give water
  2. perform abdominal thrusts
  3. ignore it
  4. leave
View answer and explanation

Correct answer:

  1. perform abdominal thrusts

Explanation: Abdominal thrusts help remove airway obstruction.

Question 21

The largest organ of the body is

  1. liver
  2. skin
  3. brain
  4. lungs
View answer and explanation

Correct answer:

  1. skin

Explanation: The skin protects the body and regulates temperature.

Question 22

Which of the following helps prevent infection?

  1. handwashing
  2. touching wounds
  3. sharing towels
  4. ignoring hygiene
View answer and explanation

Correct answer:

  1. handwashing

Explanation: Handwashing is the primary infection prevention method.

Question 23

A resident who cannot move easily may develop

  1. pressure sores
  2. improved circulation
  3. strong muscles
  4. faster healing
View answer and explanation

Correct answer:

  1. pressure sores

Explanation: Immobility increases pressure ulcer risk.

Question 24

Which nutrient provides energy?

  1. carbohydrates
  2. minerals
  3. vitamins
  4. water
View answer and explanation

Correct answer:

  1. carbohydrates

Explanation: Carbohydrates are the body's main energy source.

Question 25

A resident with dementia may

  1. forget recent events
  2. gain perfect memory
  3. speak multiple languages suddenly
  4. become stronger
View answer and explanation

Correct answer:

  1. forget recent events

Explanation: Memory loss is a common dementia symptom.

Question 26

A resident's belongings should

  1. be shared freely
  2. be respected
  3. be thrown away
  4. be ignored
View answer and explanation

Correct answer:

  1. be respected

Explanation: Respecting belongings supports resident dignity and rights.

Question 27

When transferring a resident, the CNA should

  1. bend at the waist
  2. use proper body mechanics
  3. twist the spine
  4. lock knees
View answer and explanation

Correct answer:

  1. use proper body mechanics

Explanation: Proper mechanics protect both resident and caregiver.

Question 28

A resident with fever may have

  1. infection
  2. broken bone
  3. hearing loss
  4. muscle growth
View answer and explanation

Correct answer:

  1. infection

Explanation: Fever commonly signals infection.

Question 29

A CNA should respect resident choices because of

  1. facility policy only
  2. resident rights
  3. convenience
  4. staffing
View answer and explanation

Correct answer:

  1. resident rights

Explanation: Residents have the right to make decisions about their care.

Question 30

The best way to build trust with residents is

  1. ignoring them
  2. rushing care
  3. treating them with respect
  4. avoiding conversation
View answer and explanation

Correct answer:

  1. treating them with respect

Explanation: Respectful care builds trust and positive relationships.

Question 31

Which action helps prevent infection spread? (Scenario 1)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 32

Which is the safest way to transfer a resident? (Scenario 2)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 33

A resident with poor vision should be assisted by (Scenario 3)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 34

A resident with poor vision should be assisted by (Scenario 4)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 35

A CNA should report immediately if a resident (Scenario 5)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 36

A resident with poor vision should be assisted by (Scenario 6)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 37

A CNA should report immediately if a resident (Scenario 7)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 38

A resident with poor vision should be assisted by (Scenario 8)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 39

Which action helps prevent infection spread? (Scenario 9)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 40

A CNA should report immediately if a resident (Scenario 10)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 41

Which action helps prevent infection spread? (Scenario 11)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 42

A resident with confusion should be approached by (Scenario 12)

  1. arguing
  2. speaking calmly
  3. ignoring
  4. shouting
View answer and explanation

Correct answer:

  1. speaking calmly

Explanation: Calm communication reduces anxiety and improves understanding.

Question 43

A resident with confusion should be approached by (Scenario 13)

  1. arguing
  2. speaking calmly
  3. ignoring
  4. shouting
View answer and explanation

Correct answer:

  1. speaking calmly

Explanation: Calm communication reduces anxiety and improves understanding.

Question 44

Which action helps prevent infection spread? (Scenario 14)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 45

Which action helps prevent infection spread? (Scenario 15)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 46

A CNA should report immediately if a resident (Scenario 16)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 47

Which is the safest way to transfer a resident? (Scenario 17)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 48

A CNA should report immediately if a resident (Scenario 18)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 49

A resident with poor vision should be assisted by (Scenario 19)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 50

A CNA should report immediately if a resident (Scenario 20)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 51

A resident with poor vision should be assisted by (Scenario 21)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 52

A resident with poor vision should be assisted by (Scenario 22)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 53

A resident with confusion should be approached by (Scenario 23)

  1. arguing
  2. speaking calmly
  3. ignoring
  4. shouting
View answer and explanation

Correct answer:

  1. speaking calmly

Explanation: Calm communication reduces anxiety and improves understanding.

Question 54

A CNA should report immediately if a resident (Scenario 24)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 55

Which is the safest way to transfer a resident? (Scenario 25)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 56

Which is the safest way to transfer a resident? (Scenario 26)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 57

Which is the safest way to transfer a resident? (Scenario 27)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 58

Which is the safest way to transfer a resident? (Scenario 28)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 59

Which is the safest way to transfer a resident? (Scenario 29)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 60

A resident with confusion should be approached by (Scenario 30)

  1. arguing
  2. speaking calmly
  3. ignoring
  4. shouting
View answer and explanation

Correct answer:

  1. speaking calmly

Explanation: Calm communication reduces anxiety and improves understanding.

Question 61

Which action helps prevent infection spread? (Scenario 31)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 62

Which action helps prevent infection spread? (Scenario 32)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.

Question 63

Which is the safest way to transfer a resident? (Scenario 33)

  1. twisting body
  2. using proper body mechanics
  3. lifting quickly
  4. locking knees
View answer and explanation

Correct answer:

  1. using proper body mechanics

Explanation: Proper body mechanics prevent injury.

Question 64

A CNA should report immediately if a resident (Scenario 34)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 65

A CNA should report immediately if a resident (Scenario 35)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 66

A resident with poor vision should be assisted by (Scenario 36)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 67

A resident with confusion should be approached by (Scenario 37)

  1. arguing
  2. speaking calmly
  3. ignoring
  4. shouting
View answer and explanation

Correct answer:

  1. speaking calmly

Explanation: Calm communication reduces anxiety and improves understanding.

Question 68

A resident with poor vision should be assisted by (Scenario 38)

  1. speaking loudly
  2. providing adequate lighting
  3. ignoring needs
  4. rushing care
View answer and explanation

Correct answer:

  1. providing adequate lighting

Explanation: Adequate lighting improves visibility and safety for residents with vision impairment.

Question 69

A CNA should report immediately if a resident (Scenario 39)

  1. smiles
  2. eats
  3. falls
  4. talks
View answer and explanation

Correct answer:

  1. falls

Explanation: Falls can cause serious injury and must be reported immediately.

Question 70

Which action helps prevent infection spread? (Scenario 40)

  1. sharing equipment
  2. proper handwashing
  3. ignoring precautions
  4. using same gloves
View answer and explanation

Correct answer:

  1. proper handwashing

Explanation: Hand hygiene is the most effective infection prevention method.