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Nurse Aide Written Exam Set CNA

Question 1 of 59

Adaptive devices are used to:

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Nurse Aide Written Exam Set CNA Practice Questions

Review these Nurse Aide Written Exam Set CNA nursing practice questions with answer choices and explanations.

Question 1

Adaptive devices are used to:

  1. prevent the spread of infection
  2. remind the staff of a client's needs
  3. help a client remain independent
  4. save time for the nurse aide
View answer and explanation

Correct answer:

  1. help a client remain independent

Explanation: Adaptive devices (walkers, grab bars, special utensils) help clients perform activities of daily living independently.

Question 2

Prompt changing of soiled incontinence briefs will help to:

  1. prevent further incontinence
  2. improve range of motion (ROM)
  3. improve decision-making
  4. prevent damage to the skin
View answer and explanation

Correct answer:

  1. prevent damage to the skin

Explanation: Urine and stool can irritate skin and cause incontinence-associated dermatitis and pressure injuries.

Question 3

The main reason for keeping a urinary drainage bag below bladder level is to:

  1. allow the nurse aide to see urine amount
  2. prevent urine from leaking on linens
  3. keep urine from flowing back into the bladder
  4. make emptying easier
View answer and explanation

Correct answer:

  1. keep urine from flowing back into the bladder

Explanation: Keeping the bag below bladder level prevents urine reflux, which can cause urinary tract infections (UTIs).

Question 4

The nurse aide can promote a client’s rights by:

  1. telling the client dinner is ready
  2. taking the client to scheduled therapy
  3. choosing the client's clothing
  4. asking which activity the client would like to attend
View answer and explanation

Correct answer:

  1. asking which activity the client would like to attend

Explanation: Clients have the right to make choices about their care and daily activities.

Question 5

An example of courtesy is:

  1. wearing a facility uniform
  2. taking credit for another aide's work
  3. helping others willingly when asked
  4. completing another aide’s documentation
View answer and explanation

Correct answer:

  1. helping others willingly when asked

Explanation: Courtesy involves kindness, cooperation, and professionalism.

Question 6

When communicating a change in a client's condition, the aide should:

  1. give facts and be specific
  2. give an opinion about the cause
  3. use only medical terminology
  4. explain what another aide observed
View answer and explanation

Correct answer:

  1. give facts and be specific

Explanation: Reports should be objective and factual, not assumptions or opinions.

Question 7

When dressing a client, the aide should:

  1. dress the client in a wheelchair
  2. give a gown daily
  3. dress the strong side first
  4. give the client a choice of clothing
View answer and explanation

Correct answer:

  1. give the client a choice of clothing

Explanation: Encouraging choice supports client dignity and independence.

Question 8

After using a disposable razor, it should be disposed of in a:

  1. client waste basket
  2. soiled linen cart
  3. puncture-proof container
  4. utility room trash
View answer and explanation

Correct answer:

  1. puncture-proof container

Explanation: Razors are sharps and must go in puncture-proof sharps containers.

Question 9

A client with aphasia throws an object at the aide. The aide should:

  1. leave immediately
  2. ask if the client needs assistance
  3. take the object away
  4. throw it back
View answer and explanation

Correct answer:

  1. ask if the client needs assistance

Explanation: Clients with aphasia may struggle to communicate, so behavior may be a sign of frustration.

Question 10

When making an occupied bed, the aide should:

  1. keep rails lowered
  2. avoid talking to the client
  3. pull sheets tight over feet
  4. make sheets smooth and tight under the client
View answer and explanation

Correct answer:

  1. make sheets smooth and tight under the client

Explanation: Wrinkles can cause skin irritation and pressure injuries.

Question 11

To increase fluid intake, the aide should:

  1. insist the client drink
  2. ask family to give fluids
  3. offer fluids frequently
  4. limit fluids
View answer and explanation

Correct answer:

  1. offer fluids frequently

Explanation: Offering small amounts often encourages hydration.

Question 12

A common sign of approaching death is:

  1. high blood pressure
  2. decreased urinary output
  3. clenched jaw
  4. increased thirst
View answer and explanation

Correct answer:

  1. decreased urinary output

Explanation: Body systems slow down near death, including kidney function, causing less urine.

Question 13

When performing catheter care, clean:

  1. toward the client
  2. away from the client
  3. in circles
  4. back and forth
View answer and explanation

Correct answer:

  1. away from the client

Explanation: Cleaning away from the body prevents bacteria entering the urethra.

Question 14

A client wants to shower in the morning instead of evening. The aide should:

  1. say the schedule cannot change
  2. discuss it with the nurse
  3. ignore the request
  4. ask family to persuade the client
View answer and explanation

Correct answer:

  1. discuss it with the nurse

Explanation: Client preferences should be communicated to the care team.

Question 15

If a bed alarm sounds while providing care elsewhere, the aide should:

  1. finish current task
  2. check the alarm immediately
  3. call for help later
  4. check later
View answer and explanation

Correct answer:

  1. check the alarm immediately

Explanation: Bed alarms usually indicate fall risk, which requires immediate response.

Question 16

During discharge preparation, the aide should:

  1. call the family
  2. write discharge summary
  3. assist with packing belongings
  4. notify the doctor
View answer and explanation

Correct answer:

  1. assist with packing belongings

Explanation: Packing belongings is within the nurse aide’s role.

Question 17

A symptom of hypoglycemia is:

  1. sweating or headache
  2. abdominal pain
  3. fruity breath
  4. vomiting
View answer and explanation

Correct answer:

  1. sweating or headache

Explanation: Low blood sugar causes sweating, shakiness, headache, confusion.

Question 18

When communicating with a client's family, the aide should:

  1. report medical status
  2. promise recovery
  3. be helpful and courteous
  4. explain medications
View answer and explanation

Correct answer:

  1. be helpful and courteous

Explanation: Medical updates must come from licensed staff.

Question 19

A gait belt is used to:

  1. assist with ambulation
  2. hold up clothing
  3. support a binder
  4. hold dressings
View answer and explanation

Correct answer:

  1. assist with ambulation

Explanation: Gait belts help caregivers support and stabilize clients while walking.

Question 20

A gait belt is used to:

  1. hold clothing in place
  2. support abdominal dressings
  3. hold up pants
  4. assist with ambulation
View answer and explanation

Correct answer:

  1. assist with ambulation

Explanation: A gait belt helps the nurse aide support and stabilize a client while walking or transferring, reducing fall risk.

Question 21

A client with a feeding tube complains of hunger and discomfort. The aide should:

  1. give ice chips
  2. lower the head of the bed
  3. skip the next feeding
  4. report the symptoms to the nurse
View answer and explanation

Correct answer:

  1. report the symptoms to the nurse

Explanation: Tube feedings are managed by the nurse. Any discomfort or hunger must be reported immediately.

Question 22

When washing a client’s hair, the aide should:

  1. wash hair only in a shower
  2. shampoo hair at the sink
  3. finish as quickly as possible
  4. follow the care plan
View answer and explanation

Correct answer:

  1. follow the care plan

Explanation: The care plan determines how and when hygiene tasks are performed.

Question 23

Gloves should be worn when:

  1. combing hair
  2. ambulating a client
  3. assisting with oral care
  4. transporting clean linen
View answer and explanation

Correct answer:

  1. assisting with oral care

Explanation: Gloves protect against contact with saliva and body fluids.

Question 24

In case of fire, the first step is to:

  1. remove clients in immediate danger
  2. close doors
  3. notify the fire department
  4. notify the nurse
View answer and explanation

Correct answer:

  1. remove clients in immediate danger

Explanation: Fire response follows RACE: Rescue, Alarm, Contain, Extinguish.

Question 25

The best way to promote urination is to:

  1. toilet clients regularly and provide privacy
  2. limit fluids
  3. increase salt intake
  4. talk while the client toilets
View answer and explanation

Correct answer:

  1. toilet clients regularly and provide privacy

Explanation: Regular toileting and privacy help the body relax and empty the bladder.

Question 26

In restorative care, the aide should:

  1. encourage independence and self-care
  2. promise no setbacks
  3. help if it takes too long
  4. exclude family
View answer and explanation

Correct answer:

  1. encourage independence and self-care

Explanation: Restorative care focuses on maintaining independence and functional ability.

Question 27

A client with Alzheimer disease curses at the aide. The aide should:

  1. distract with another activity
  2. ask how it feels to be cursed
  3. explain why insults are wrong
  4. threaten punishment
View answer and explanation

Correct answer:

  1. distract with another activity

Explanation: Distraction and redirection help manage behaviors associated with Alzheimer's disease.

Question 28

A nonverbal client may show pain by:

  1. laughing
  2. smiling
  3. eating
  4. grimacing
View answer and explanation

Correct answer:

  1. grimacing

Explanation: Facial expressions such as grimacing often indicate discomfort or pain.

Question 29

When speaking with a client who has aphasia:

  1. ask yes/no questions
  2. limit interaction
  3. speak only to family
  4. speak loudly
View answer and explanation

Correct answer:

  1. ask yes/no questions

Explanation: Simple yes/no questions help communication for clients with Aphasia.

Question 30

A splint on the wrist is used to:

  1. keep the elbow straight
  2. hold a dressing
  3. maintain alignment
  4. signal injury
View answer and explanation

Correct answer:

  1. maintain alignment

Explanation: Splints support injured areas and keep bones and joints properly aligned.

Question 31

A reddened area on a client’s hip indicates the aide should:

  1. apply ice
  2. reposition the client
  3. ignore it
  4. apply heat
View answer and explanation

Correct answer:

  1. reposition the client

Explanation: Redness may be an early pressure injury and requires pressure relief immediately.

Question 32

When applying makeup, the aide should ask:

  1. the client
  2. roommate
  3. nurse
  4. family
View answer and explanation

Correct answer:

  1. the client

Explanation: Personal grooming preferences belong to the client.

Question 33

Mucus from the lungs is called:

  1. sputum
  2. urine
  3. stool
  4. blood
View answer and explanation

Correct answer:

  1. sputum

Explanation: Sputum is mucus coughed up from the respiratory tract.

Question 34

If the aide makes a mistake in client care, they should:

  1. apologize and say nothing
  2. keep it confidential
  3. report it to the nurse
  4. notify the family
View answer and explanation

Correct answer:

  1. report it to the nurse

Explanation: Errors must be reported so client safety can be protected.

Question 35

To prevent spread of C. difficile, the aide should:

  1. wash hands with soap and water
  2. use alcohol sanitizer
  3. avoid contact
  4. increase fluids
View answer and explanation

Correct answer:

  1. wash hands with soap and water

Explanation: **Clostridioides difficile infection spores are resistant to alcohol-based sanitizers.

Question 36

Client intake includes:

  1. urine
  2. vomitus
  3. water
  4. perspiration
View answer and explanation

Correct answer:

  1. water

Explanation: Intake refers to fluids entering the body.

Question 37

A client with Alzheimer disease calls for a dead relative. The aide should:

  1. say the relative is dead
  2. encourage discussion of feelings
  3. pretend to be the relative
  4. leave the room
View answer and explanation

Correct answer:

  1. encourage discussion of feelings

Explanation: Validation and emotional support help reduce distress.

Question 38

During perineal care, the aide should:

  1. air-dry skin
  2. remove blanket
  3. wear gloves
  4. use water only
View answer and explanation

Correct answer:

  1. wear gloves

Explanation: Perineal care involves body fluids, so gloves are required.

Question 39

A client likely to experience hypo- or hyperglycemia has:

  1. diabetes
  2. hypertension
  3. multiple sclerosis
  4. Parkinson disease
View answer and explanation

Correct answer:

  1. diabetes

Explanation: Blood glucose imbalance occurs in Diabetes mellitus.

Question 40

A nurse aide forgets to raise the side rails and the client falls. This may be considered:

  1. negligence
  2. assault
  3. battery
  4. defamation
View answer and explanation

Correct answer:

  1. negligence

Explanation: Negligence occurs when a caregiver fails to provide proper care, resulting in harm to a client.

Question 41

When caring for a client’s room, the nurse aide should:

  1. throw away newspapers and mail
  2. place assistive devices in the closet
  3. keep the bed in the highest position
  4. check that equipment is working properly
View answer and explanation

Correct answer:

  1. check that equipment is working properly

Explanation: Ensuring equipment works properly helps maintain a safe environment.

Question 42

A disease caused by microbes invading the body is called:

  1. infection
  2. reservoir
  3. source
  4. susceptible host
View answer and explanation

Correct answer:

  1. infection

Explanation: An infection occurs when microorganisms enter and multiply in the body.

Question 43

When caring for a client using an air or water mattress, the aide should:

  1. add water daily
  2. use safety pins for sheets
  3. use many incontinence pads
  4. keep sharp objects away
View answer and explanation

Correct answer:

  1. keep sharp objects away

Explanation: Air or water mattresses can puncture easily, so sharp objects must be avoided.

Question 44

A client refuses unfamiliar foods. The aide should:

  1. notify the social worker
  2. speak to the family
  3. ask about the client’s preferences
  4. encourage eating later
View answer and explanation

Correct answer:

  1. ask about the client’s preferences

Explanation: Food refusal may relate to cultural or personal preferences.

Question 45

Which observation may indicate pain?

  1. pulse 110
  2. respirations 18
  3. oxygen saturation 95%
  4. blood pressure 118/76
View answer and explanation

Correct answer:

  1. pulse 110

Explanation: Pain often causes increased heart rate.

Question 46

A common side effect of cancer treatment is:

  1. constant hunger
  2. discomfort and pain
  3. increased energy
  4. regular bowel movements
View answer and explanation

Correct answer:

  1. discomfort and pain

Explanation: Cancer treatments often cause pain, fatigue, and nausea.

Question 47

When caring for a client with Alzheimer disease, the aide should:

  1. change routines often
  2. play music instead of instructions
  3. explain mistakes
  4. give step-by-step directions
View answer and explanation

Correct answer:

  1. give step-by-step directions

Explanation: Clients with Alzheimer's disease benefit from simple instructions broken into steps.

Question 48

If a client becomes physically aggressive, the aide should:

  1. protect self and others and report it
  2. walk away without reporting
  3. argue with the client
  4. threaten punishment
View answer and explanation

Correct answer:

  1. protect self and others and report it

Explanation: Safety and reporting aggressive behavior are essential.

Question 49

When oxygen therapy is used, the aide should:

  1. use wool blankets
  2. place a no smoking sign
  3. keep matches nearby
  4. allow visitors to smoke
View answer and explanation

Correct answer:

  1. place a no smoking sign

Explanation: Oxygen supports combustion and increases fire risk.

Question 50

If a client refuses blood pressure measurement, the aide should:

  1. take it anyway
  2. report refusal to the nurse
  3. offer a reward
  4. insist it is required
View answer and explanation

Correct answer:

  1. report refusal to the nurse

Explanation: Clients have the right to refuse care, but refusals must be reported.

Question 51

Which symptom should be reported immediately?

  1. dry wrinkled skin
  2. thinning hair
  3. bluish lips
  4. respirations 16
View answer and explanation

Correct answer:

  1. bluish lips

Explanation: Bluish lips indicate Cyanosis, meaning the body may lack oxygen.

Question 52

Before giving a back rub, the aide should check:

  1. room environment
  2. positioning limitations
  3. bathing status
  4. signs of skin damage
View answer and explanation

Correct answer:

  1. signs of skin damage

Explanation: Massage should not be applied to damaged skin.

Question 53

A sign of loss of independence is:

  1. positive self-image
  2. feeling helpless
  3. happiness
  4. self-care participation
View answer and explanation

Correct answer:

  1. feeling helpless

Explanation: Feelings of helplessness may indicate emotional distress or loss of independence.

Question 54

If a client begins to fall while walking, the aide should:

  1. pull the client upright
  2. push them upright
  3. block knees
  4. ease the client to the floor
View answer and explanation

Correct answer:

  1. ease the client to the floor

Explanation: Guiding the client safely to the floor prevents serious injury.

Question 55

Which team member provides most physical care?

  1. director of nursing
  2. supervising nurse
  3. social worker
  4. nurse aide
View answer and explanation

Correct answer:

  1. nurse aide

Explanation: Nurse aides provide most hands-on daily care.

Question 56

Another name for a pressure sore is:

  1. decubitus ulcer
  2. incontinence
  3. frequency
  4. abrasion
View answer and explanation

Correct answer:

  1. decubitus ulcer

Explanation: Pressure sores are also called decubitus ulcers or pressure ulcers.

Question 57

When lifting objects, the aide should:

  1. bend at the waist
  2. bend at the knees
  3. keep feet together
  4. keep knees straight
View answer and explanation

Correct answer:

  1. bend at the knees

Explanation: Bending at the knees protects the lower back.

Question 58

To help prevent constipation, the aide should:

  1. encourage bed rest
  2. encourage fluid intake
  3. provide low fiber diet
  4. give an enema
View answer and explanation

Correct answer:

  1. encourage fluid intake

Explanation: Fluids help soften stool and promote bowel movement.

Question 59

When a dying client has no visitors, the aide should:

  1. avoid the room
  2. spend extra time with the client
  3. promise recovery
  4. call the family
View answer and explanation

Correct answer:

  1. spend extra time with the client

Explanation: Presence and comfort are important during end-of-life care.