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Nurse Aide Written Exam TMU - Texas

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Psychosocial needs include

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Nurse Aide Written Exam TMU - Texas Practice Questions

Review these Nurse Aide Written Exam TMU - Texas nursing practice questions with answer choices and explanations.

Question 1

Psychosocial needs include

  1. food and water
  2. protection and shelter
  3. love and affection
  4. sleep and rest
View answer and explanation

Correct answer:

  1. love and affection

Explanation: Psychosocial needs relate to emotional and social well-being, including love and belonging.

Question 2

The abbreviation DNR stands for

  1. do not ride
  2. do not resuscitate
  3. director of nursing for restorative care
  4. do not reinforce
View answer and explanation

Correct answer:

  1. do not resuscitate

Explanation: DNR means no CPR or life-saving measures if breathing or heartbeat stops.

Question 3

You have helped Mrs. Smith get into bed for an afternoon rest. You make sure

  1. she is ready to sleep
  2. her bed is lowered and side rails are up
  3. her bed is raised and side rails are up
  4. she is able to reach her call light
View answer and explanation

Correct answer:

  1. she is able to reach her call light

Explanation: Ensuring access to the call light promotes safety and independence.

Question 4

A sign of infection that should be reported to the nurse is

  1. abdominal pain and constipation
  2. chills and sweat
  3. burning feet and toes
  4. elevated temperature and blood pressure
View answer and explanation

Correct answer:

  1. chills and sweat

Explanation: Chills and sweating often indicate fever and infection.

Question 5

The purpose of perineal care is to promote

  1. hygiene
  2. elimination
  3. safety
  4. well being
View answer and explanation

Correct answer:

  1. hygiene

Explanation: Perineal care primarily maintains cleanliness and prevents infection.

Question 6

The appropriate method to transport dentures to the sink for cleaning is to

  1. roll them up in paper towels
  2. wear gloves and hold the dentures tightly
  3. wrap them up in a washcloth
  4. put them into a container
View answer and explanation

Correct answer:

  1. put them into a container

Explanation: A container prevents dropping or losing dentures.

Question 7

A good way to keep residents from pillaging other resident rooms is to

  1. remove them each time
  2. provide a rummaging drawer
  3. scold them
  4. allow supervised shopping
View answer and explanation

Correct answer:

  1. provide a rummaging drawer

Explanation: Redirecting behavior with safe alternatives is best practice.

Question 8

The cause of Alzheimer's disease is

  1. viral meningitis
  2. bacterial meningitis
  3. viral encephalitis
  4. not known
View answer and explanation

Correct answer:

  1. not known

Explanation: The exact cause is unknown; multiple factors contribute.

Question 9

In long term care the legal advocate for residents is the

  1. charge nurse
  2. physician
  3. mandatory reporter
  4. ombudsman
View answer and explanation

Correct answer:

  1. ombudsman

Explanation: Ombudsmen protect residents' rights and investigate complaints.

Question 10

If the resident is unconscious, oral care should be given

  1. at least twice a day
  2. once a day
  3. only as necessary
  4. every two hours
View answer and explanation

Correct answer:

  1. every two hours

Explanation: Frequent oral care prevents infection and dryness.

Question 11

A nursing assistant is assigned care of a 250 lb resident who cannot assist. The NA should first

  1. use a walker
  2. review the care plan
  3. get a strong aide
  4. use a turning sheet
View answer and explanation

Correct answer:

  1. review the care plan

Explanation: The care plan outlines safe transfer methods.

Question 12

Angry outbursts are often the result of unmet

  1. physical needs
  2. emotional needs
  3. social needs
  4. spiritual needs
View answer and explanation

Correct answer:

  1. emotional needs

Explanation: Emotional distress often causes anger in residents.

Question 13

One respiration equals

  1. one inhalation
  2. two breaths
  3. one inhalation and one exhalation
  4. two inhalations and one exhalation
View answer and explanation

Correct answer:

  1. one inhalation and one exhalation

Explanation: One full breath cycle includes inhale + exhale.

Question 14

If flatus is not expelled, the resident will likely complain of

  1. abdominal cramping
  2. diarrhea
  3. fecal incontinence
  4. constipation
View answer and explanation

Correct answer:

  1. abdominal cramping

Explanation: Gas buildup causes discomfort and cramping.

Question 15

Overcoming grief after loss of a spouse is usually a

  1. major stress
  2. minor stress
  3. loss of independence
  4. release of anger
View answer and explanation

Correct answer:

  1. major stress

Explanation: Loss of a spouse is a major life stressor.

Question 16

A gastrostomy tube is placed in the

  1. large intestine
  2. esophagus
  3. stomach
  4. small intestine
View answer and explanation

Correct answer:

  1. stomach

Explanation: A G-tube delivers nutrition directly into the stomach.

Question 17

To reposition a heavy resident safely, you should

  1. use your back
  2. work alone
  3. ask for help
  4. lift with arms
View answer and explanation

Correct answer:

  1. ask for help

Explanation: Assistance prevents injury.

Question 18

When communicating with a resident with a hearing aid, you should

  1. increase volume fully
  2. shout
  3. stand to the side
  4. face the resident
View answer and explanation

Correct answer:

  1. face the resident

Explanation: Visual cues help understanding.

Question 19

The term aphasia means

  1. able to speak
  2. inability to speak
  3. unable to eat
  4. able to perform ADLs
View answer and explanation

Correct answer:

  1. inability to speak

Explanation: Aphasia affects language ability.

Question 20

Repetitive handwashing due to anxiety is

  1. bipolar disorder
  2. obsessive compulsive disorder
  3. panic disorder
  4. paranoid disorder
View answer and explanation

Correct answer:

  1. obsessive compulsive disorder

Explanation: OCD involves compulsive behaviors to reduce anxiety.

Question 21

The two gases involved in respiration are

  1. ethylene and carbon dioxide
  2. alcohol and carbon dioxide
  3. oxygen and carbon dioxide
  4. nitrogen and carbon dioxide
View answer and explanation

Correct answer:

  1. oxygen and carbon dioxide

Explanation: Respiration involves oxygen intake and carbon dioxide removal.

Question 22

If the call light is not answered in a reasonable time, it can be considered

  1. abuse
  2. amoral
  3. unethical
  4. neglect
View answer and explanation

Correct answer:

  1. neglect

Explanation: Failure to provide timely care is considered neglect.

Question 23

A copy of the Resident Bill of Rights is given upon

  1. visitation
  2. discharge
  3. admission
  4. transfer
View answer and explanation

Correct answer:

  1. admission

Explanation: Residents must receive their rights at admission.

Question 24

Sitting a resident up too fast can cause

  1. hiccups
  2. burping
  3. dizziness
  4. watery eyes
View answer and explanation

Correct answer:

  1. dizziness

Explanation: Rapid position changes can cause orthostatic hypotension.

Question 25

A resident with a UTI should

  1. avoid fluids
  2. increase fluids
  3. use briefs for observation
  4. get a catheter
View answer and explanation

Correct answer:

  1. increase fluids

Explanation: Fluids help flush bacteria from the urinary tract.

Question 26

When dressing a resident with right-side paralysis, dress the

  1. left side first
  2. right side first
  3. right arm then left leg
  4. left arm then right leg
View answer and explanation

Correct answer:

  1. right side first

Explanation: Dress the weak side first.

Question 27

Pills found at the bedside should be

  1. reported to the nurse
  2. thrown away
  3. given to the resident
  4. reminded to take
View answer and explanation

Correct answer:

  1. reported to the nurse

Explanation: Medication issues must be reported.

Question 28

Cussing at a resident in a coma is

  1. neglect
  2. verbal abuse
  3. not abuse
  4. mental abuse
View answer and explanation

Correct answer:

  1. verbal abuse

Explanation: Verbal abuse is unacceptable regardless of awareness.

Question 29

On a balance scale, the pointer should be

  1. in the middle
  2. at the top
  3. at the bottom
  4. on zero
View answer and explanation

Correct answer:

  1. in the middle

Explanation: Centered pointer indicates correct weight.

Question 30

The last sense to be lost in dying is

  1. sight
  2. taste
  3. hearing
  4. smell
View answer and explanation

Correct answer:

  1. hearing

Explanation: Hearing is believed to remain last.

Question 31

Wearing gloves reduces

  1. spread of infection
  2. lacerations
  3. non-pathogens
  4. bacteria count
View answer and explanation

Correct answer:

  1. spread of infection

Explanation: Gloves act as a barrier to infection.

Question 32

A non-weight-bearing resident should be transferred with

  1. another aide
  2. towel carry
  3. gait belt
  4. mechanical lift
View answer and explanation

Correct answer:

  1. mechanical lift

Explanation: Mechanical lifts ensure safety.

Question 33

Feeding tube care includes

  1. bed flat
  2. elevate head
  3. leave tube open
  4. remove tube
View answer and explanation

Correct answer:

  1. elevate head

Explanation: Elevation prevents aspiration.

Question 34

Aspiration is

  1. loss of appetite
  2. breathing food into lungs
  3. reflux
  4. swelling
View answer and explanation

Correct answer:

  1. breathing food into lungs

Explanation: Aspiration occurs when food enters lungs.

Question 35

A symptom of dehydration is

  1. constipation
  2. high blood sugar
  3. nosebleeds
  4. weight gain
View answer and explanation

Correct answer:

  1. constipation

Explanation: Lack of fluids leads to hard stools.

Question 36

If a hazardous substance is spilled

  1. use PPE and clean
  2. cover and report
  3. use kit and trash
  4. clean and trash
View answer and explanation

Correct answer:

  1. use PPE and clean

Explanation: PPE protects from exposure.

Question 37

Falls in elderly are common due to

  1. fast reflexes
  2. good judgment
  3. good lighting
  4. poor balance
View answer and explanation

Correct answer:

  1. poor balance

Explanation: Balance declines with age.

Question 38

Natural defense against disease includes

  1. white blood cells
  2. Oliver
  3. brain cells
  4. red blood cells
View answer and explanation

Correct answer:

  1. white blood cells

Explanation: WBCs fight infection.

Question 39

Prevent bone and muscle loss by

  1. decreasing intake
  2. elevating feet
  3. bed rest
  4. physical activity
View answer and explanation

Correct answer:

  1. physical activity

Explanation: Exercise strengthens bones and muscles.

Question 40

Cheyne-Stokes respirations are

  1. regular breathing
  2. rattling mucus
  3. irregular fast/slow pattern
  4. snoring pattern
View answer and explanation

Correct answer:

  1. irregular fast/slow pattern

Explanation: Alternating breathing pattern with apnea.

Question 41

While bathing a resident, you observe a rash. You should

  1. apply ointment
  2. report to the nurse immediately
  3. document it
  4. wait until shift report
View answer and explanation

Correct answer:

  1. report to the nurse immediately

Explanation: Any change in condition must be reported immediately.

Question 42

Increased blood pressure, irregular pulse, and poor color indicate a problem with the

  1. circulatory system
  2. respiratory system
  3. sensory system
  4. integumentary system
View answer and explanation

Correct answer:

  1. circulatory system

Explanation: These are functions of the cardiovascular system.

Question 43

During a seizure, you should

  1. leave to get help
  2. put something in mouth
  3. ask roommate to watch
  4. keep resident safe and call nurse
View answer and explanation

Correct answer:

  1. keep resident safe and call nurse

Explanation: Safety and staying with the resident are priorities.

Question 44

The CDC is responsible for

  1. workplace safety
  2. environmental protection
  3. disease control
  4. homeland security
View answer and explanation

Correct answer:

  1. disease control

Explanation: CDC focuses on disease prevention and control.

Question 45

Fingernail care is easier if you

  1. apply lotion
  2. soak in warm water
  3. let resident cut nails
  4. let nails grow
View answer and explanation

Correct answer:

  1. soak in warm water

Explanation: Soaking softens nails.

Question 46

In late-stage Alzheimer’s, the resident may

  1. do ADLs
  2. recognize family
  3. be unable to help self
  4. walk independently
View answer and explanation

Correct answer:

  1. be unable to help self

Explanation: Late-stage patients are fully dependent.

Question 47

ADL stands for

  1. alarm door light
  2. activities of daily living
  3. additional daily light
  4. advanced decay line
View answer and explanation

Correct answer:

  1. activities of daily living

Explanation: ADLs are basic self-care tasks.

Question 48

A nursing assistant claiming to be a nurse commits

  1. fraud
  2. libel
  3. slander
  4. negligence
View answer and explanation

Correct answer:

  1. fraud

Explanation: Misrepresentation is fraud.

Question 49

Proper body mechanics include

  1. feet together
  2. back bent
  3. lift with back
  4. bend knees and lift with legs
View answer and explanation

Correct answer:

  1. bend knees and lift with legs

Explanation: Protects the spine and prevents injury.

Question 50

Proper linen handling includes

  1. wear gloves if soiled
  2. shake linens
  3. put on floor
  4. hold close
View answer and explanation

Correct answer:

  1. wear gloves if soiled

Explanation: Gloves prevent contamination.

Question 51

Oral temperature of 100°F should be

  1. reported later
  2. reported immediately
  3. ignored
  4. rechecked later
View answer and explanation

Correct answer:

  1. reported immediately

Explanation: Abnormal vitals must be reported promptly.

Question 52

Most important for a job interview is

  1. be late
  2. wear jeans
  3. be on time
  4. bring note cards
View answer and explanation

Correct answer:

  1. be on time

Explanation: Punctuality shows professionalism.

Question 53

Rectal temp 101.4°F equals oral

  1. 100.4
  2. 101.4
  3. 102.4
  4. 99.4
View answer and explanation

Correct answer:

  1. 100.4

Explanation: Rectal is ~1°F higher than oral.

Question 54

A broken leg is a

  1. acute condition
  2. endemic condition
  3. chronic condition
  4. metastatic condition
View answer and explanation

Correct answer:

  1. acute condition

Explanation: Acute = sudden and short-term.

Question 55

If unable to address spiritual needs

  1. tell charge nurse
  2. ask visitors
  3. ask coworkers
  4. ignore
View answer and explanation

Correct answer:

  1. tell charge nurse

Explanation: Follow chain of command.

Question 56

Most basic need is

  1. security
  2. physical
  3. social
  4. self-esteem
View answer and explanation

Correct answer:

  1. physical

Explanation: Physiological needs come first.

Question 57

LTC residents are prone to infection because

  1. well nourished
  2. strong immunity
  3. thick skin
  4. chronic illness
View answer and explanation

Correct answer:

  1. chronic illness

Explanation: Chronic illness weakens defenses.

Question 58

Pet therapy is

  1. non-therapeutic
  2. very therapeutic
  3. not welcomed
  4. unsanitary
View answer and explanation

Correct answer:

  1. very therapeutic

Explanation: Improves mood and interaction.

Question 59

Two consenting adults in sexual activity should be

  1. stopped
  2. teased
  3. shamed
  4. given privacy
View answer and explanation

Correct answer:

  1. given privacy

Explanation: Respect resident rights and dignity.

Question 60

Food transported to residents should be

  1. hot
  2. cold
  3. covered
  4. uncovered
View answer and explanation

Correct answer:

  1. covered

Explanation: Prevents contamination.

Question 61

The height of an unoccupied bed should be

  1. highest level
  2. lowest level
  3. high Fowler's
  4. Trendelenburg
View answer and explanation

Correct answer:

  1. lowest level

Explanation: A low bed position prevents falls and promotes safety.

Question 62

A visually impaired resident eating should be

  1. left alone
  2. assisted by another resident
  3. checked to locate food
  4. told once
View answer and explanation

Correct answer:

  1. checked to locate food

Explanation: Ensure the resident can locate food to promote independence and safety.

Question 63

When approached by state surveyors, you should

  1. avoid them
  2. refer them
  3. answer honestly
  4. ignore
View answer and explanation

Correct answer:

  1. answer honestly

Explanation: Always answer truthfully and professionally.

Question 64

HIPAA covers

  1. activities
  2. phone calls
  3. respectful care
  4. health information
View answer and explanation

Correct answer:

  1. health information

Explanation: HIPAA protects privacy of health information.

Question 65

During a grand mal seizure

  1. movements voluntary
  2. entire body involved
  3. trouble sleeping
  4. no loss of consciousness
View answer and explanation

Correct answer:

  1. entire body involved

Explanation: Tonic-clonic seizures involve the whole body and loss of consciousness.

Question 66

Sudden withdrawal in a resident should be

  1. ignored
  2. avoided
  3. reported to family
  4. reported to nurse
View answer and explanation

Correct answer:

  1. reported to nurse

Explanation: Behavior changes must be reported.

Question 67

Emotional needs of elderly are

  1. different
  2. same as everyone
  3. same for genders
  4. different from young
View answer and explanation

Correct answer:

  1. same as everyone

Explanation: Basic emotional needs are universal.

Question 68

A slow eater should

  1. be fed
  2. tray removed
  3. given time
  4. rushed
View answer and explanation

Correct answer:

  1. given time

Explanation: Encourage independence and proper nutrition.

Question 69

During transfer, it is important to

  1. raise bed
  2. lock brakes
  3. place chair far
  4. stand anywhere
View answer and explanation

Correct answer:

  1. lock brakes

Explanation: Locking brakes prevents movement and injury.

Question 70

With a visually impaired resident, first

  1. avoid talking
  2. avoid eye contact
  3. identify yourself
  4. ask about glasses
View answer and explanation

Correct answer:

  1. identify yourself

Explanation: Identifying yourself promotes safety and trust.

Question 71

When admitting a resident, you should

  1. isolate
  2. decide for them
  3. introduce yourself
  4. do everything
View answer and explanation

Correct answer:

  1. introduce yourself

Explanation: Promotes comfort and respect.

Question 72

Muscle separating body cavities is

  1. pectoralis
  2. intercostal
  3. biceps
  4. diaphragm
View answer and explanation

Correct answer:

  1. diaphragm

Explanation: The diaphragm separates thoracic and abdominal cavities.

Question 73

Edema means

  1. blue skin
  2. rash
  3. dry skin
  4. swelling
View answer and explanation

Correct answer:

  1. swelling

Explanation: Edema is fluid accumulation causing swelling.

Question 74

Objective reporting example

  1. combative
  2. crying with pain
  3. nickel sized discoloration
  4. small discoloration
View answer and explanation

Correct answer:

  1. nickel sized discoloration

Explanation: Objective data is measurable and factual.

Question 75

A feeding tube requires

  1. flat bed
  2. elevated head
  3. tube open
  4. remove tube
View answer and explanation

Correct answer:

  1. elevated head

Explanation: Elevation prevents aspiration.