First 50 of 200 questions. Each one lists the choices, the correct answer, and an explanation. The checker at the top of this page saves progress in this browser when it is available.
Continue in the practice tool above to load more questions, 50 at a time.
Question 1Role of the Nurse Aide and Resident Rights
Which statement about a resident's right to refuse treatment is correct?
- The resident loses this right after signing the admission papers.
- The resident must have a family member approve the refusal.
- The resident may refuse, and the aide reports the refusal to the nurse. Correct answer.
- The resident may refuse only treatments the physician has not ordered.
Explanation
Residents retain the right to accept or refuse any treatment or care, and this right is not given up at admission. When a resident refuses, the aide respects the decision and informs the licensed nurse so the refusal can be documented and followed up.
Question 2Role of the Nurse Aide and Resident Rights
A nurse aide discusses a resident's diagnosis with a coworker in a public elevator. This violates the resident's right to
- privacy and confidentiality Correct answer.
- choose a personal physician
- manage their own finances
- receive visitors of their choosing
Explanation
Resident health information is confidential and may be shared only with those who need it to provide care. Talking about a resident where others can overhear breaches that confidentiality, even when the listener is a coworker.
Question 3Role of the Nurse Aide and Resident Rights
Which task is within a nurse aide's scope of practice?
- Inserting a urinary catheter
- Administering a PRN pain medication
- Measuring and recording intake and output Correct answer.
- Adjusting the rate of an IV infusion
Explanation
Nurse aides perform delegated basic nursing care such as measuring and recording intake and output. Invasive procedures and medication administration require a licensed nurse, and the aide must decline tasks outside that scope and report them.
Question 4Role of the Nurse Aide and Resident Rights
A nurse aide suspects that a coworker has been rough with a resident. What should the aide do first?
- Talk the suspicion over with other aides on the unit.
- Confront the coworker and demand an explanation.
- Report the suspicion to the charge nurse immediately. Correct answer.
- Wait to see whether it happens again before saying anything.
Explanation
Every employee who suspects abuse or mistreatment must report it promptly through the chain of command, starting with the nurse in charge. Delaying, investigating alone, or discussing it with peers risks further harm to the resident.
Question 5Role of the Nurse Aide and Resident Rights
A living will records the resident's
- preferred daily activity routine
- wishes about life-sustaining treatment Correct answer.
- instructions about who inherits property
- choice of family member to make decisions
Explanation
A living will is an advance directive that states what life-sustaining treatments a person does or does not want if they cannot speak for themselves. Aide staff do not interpret it but should know it exists and report any questions to the nurse.
Question 6Role of the Nurse Aide and Resident Rights
Physical restraints may be used only when
- the aide believes the resident is at risk of falling
- the unit is short-staffed during the night shift
- the family requests them at the time of admission
- a physician orders them for a specific, documented reason Correct answer.
Explanation
Restraints are limited to situations where a physician orders them for a specific clinical reason after less restrictive measures have failed. The order must be time-limited and documented, and the aide monitors and releases the resident according to facility policy.
Question 7Role of the Nurse Aide and Resident Rights
Which statement about a resident's personal belongings is correct?
- They must be handled with care and never borrowed. Correct answer.
- They may be removed when they clutter the room.
- They may be shared with other residents when storage is short.
- The aide should lock them away without the resident's permission.
Explanation
Residents keep the right to their own property, and staff must treat belongings with care and respect. Borrowing, removing, or taking control of items without permission infringes on those rights.
Question 8Role of the Nurse Aide and Resident Rights
A resident wants to file a complaint about care in the facility. The aide should tell the resident that
- they may file a grievance without fear of retaliation Correct answer.
- only written complaints from family members are accepted
- complaints must be approved by the director of nursing first
- filing a grievance may lead to discharge
Explanation
Residents have the right to voice grievances and to be free from retaliation or interference when they do. The aide supports this right by providing information and, when needed, helping the resident reach the appropriate person.
Question 9Role of the Nurse Aide and Resident Rights
Before giving morning care, the nurse aide should
- leave the door open so staff can see what is happening
- knock, announce themselves, and close the curtain or door Correct answer.
- enter quietly so the resident is not disturbed
- ask another aide to stand in the room during care
Explanation
Residents have a right to personal privacy during care. Knocking, identifying yourself, and closing the door or curtain protects that privacy while still allowing needed observation.
Question 10Role of the Nurse Aide and Resident Rights
A nurse aide shows respect for a resident by
- using the resident's first name to build rapport
- using the name and title the resident prefers Correct answer.
- choosing what the resident will wear each day
- discussing the resident's care in the hallway
Explanation
Dignity includes honoring how a resident wishes to be addressed and supporting personal choice. Making decisions for the resident or discussing their care publicly undermines that respect.
Question 11Role of the Nurse Aide and Resident Rights
A nurse aide's work assignments should come from
- the activity director
- the resident's family
- other nurse aides on the shift
- the licensed nurse Correct answer.
Explanation
The nurse aide is an unlicensed assistive worker who receives delegation from the licensed nurse, who is accountable for the assignment. Aides do not take clinical direction from families, activity staff, or peers.
Question 12Role of the Nurse Aide and Resident Rights
A caller asks the facility whether a certain person is a resident there. The aide should
- say the resident is not allowed visitors
- give the caller the resident's diagnosis
- take the caller's number and refer the call to the nurse Correct answer.
- confirm the resident's room number
Explanation
Even the fact that someone lives in the facility is confidential information that aides do not confirm. The safe response is to take a message and pass the call to the nurse or the designated staff member.
Question 13Role of the Nurse Aide and Resident Rights
A resident council is best described as a group that
- plans the facility budget for the year
- reviews staff performance and sets pay rates
- writes physician orders when residents ask
- lets residents discuss concerns and suggest changes Correct answer.
Explanation
A resident council is a resident-run group that gives residents a voice in facility life and a way to raise concerns. Staff support the council but do not control it or use it for administrative functions.
Question 14Role of the Nurse Aide and Resident Rights
Which statement about a resident's care plan is correct?
- It may be shown only to the administrator.
- It is written by the aide and approved by the family.
- The resident has the right to help plan their own care. Correct answer.
- It cannot be changed once it is signed.
Explanation
Residents have the right to participate in planning their own care and to be informed of changes. The plan is developed by the interdisciplinary team, including the resident, and is reviewed and revised as needs change.
Question 15Role of the Nurse Aide and Resident Rights
An aide who is very busy leaves a resident lying in wet bedding for several hours. This is best described as
- battery
- informed consent
- a boundary violation
- neglect Correct answer.
Explanation
Neglect is the failure to provide the care and services a resident needs, which can be intentional or the result of inattention. Leaving a resident in wet bedding for hours fails the basic need for hygiene and skin protection and must be reported.
Question 16Role of the Nurse Aide and Resident Rights
Which situation is an example of financial abuse?
- An aide uses a resident's bank card to buy personal items. Correct answer.
- An aide helps a resident write a check exactly as the resident directs.
- A resident gives a grandchild a gift for a birthday.
- A resident's daughter pays the monthly facility bill.
Explanation
Financial abuse is the misuse of a resident's money or property for someone else's benefit. Using a resident's bank card for personal purchases is theft, even if the aide intends to repay it.
Question 17Role of the Nurse Aide and Resident Rights
An aide begins a procedure after the resident has clearly said no. This action is best described as
- acceptable because the nurse ordered the procedure
- battery Correct answer.
- part of the aide's routine duties
- a minor incident that needs no report
Explanation
Touching or treating a person without consent is battery, even when the caregiver means well and even when the task was assigned. The aide must stop, respect the refusal, and report it to the nurse.
Question 18Role of the Nurse Aide and Resident Rights
When the state substantiates that a nurse aide has abused a resident, the finding is
- handled only by the facility administrator
- entered in the state nurse aide registry Correct answer.
- erased if the aide apologizes to the resident
- kept private and removed after one year
Explanation
Substantiated findings of abuse, neglect, or misappropriation of property are reported to the state nurse aide registry. The registry record follows the aide between employers and limits future employment in long-term care.
Question 19Role of the Nurse Aide and Resident Rights
Which action supports a resident's right to communicate?
- Screening all incoming mail before it is delivered
- Helping the resident place a phone call in private Correct answer.
- Limiting visits to one hour per week
- Requiring the resident to ask permission before using the phone
Explanation
Residents have the right to private communication by mail, telephone, and visitors. Staff support this right by providing help and privacy, not by restricting access.
Question 20Role of the Nurse Aide and Resident Rights
A resident tells the aide, "I feel dizzy and lightheaded." The aide should
- give the resident the prescribed medication for dizziness
- write the complaint in the record and wait for rounds
- stay with the resident and report the complaint to the nurse Correct answer.
- tell the resident to rest and check back at the end of the shift
Explanation
A new complaint of dizziness may signal a serious change, so the aide stays with the resident for safety and reports promptly to the nurse. Aides observe and report; they do not assess, treat, or decide to wait.
Question 21Role of the Nurse Aide and Resident Rights
A resident's medical record may be released to someone outside the facility
- so the aide can discuss the case with family at home
- whenever a relative asks for the information
- when another resident wants to compare treatments
- only when the resident has authorized the release in writing Correct answer.
Explanation
Protected health information is released only with the resident's written authorization or as otherwise allowed by law. Aides never share record information casually and refer requests to the nurse or medical records staff.
Question 22Role of the Nurse Aide and Resident Rights
A resident's religious practice conflicts with the facility's meal schedule. The aide should
- report the concern so the care team can accommodate the practice Correct answer.
- tell the resident to practice only on weekends
- ask the family to handle the matter privately
- explain that the schedule cannot be changed
Explanation
Residents have the right to practice their religion and to have reasonable preferences accommodated in their care. The aide passes the concern to the nurse or care team so a workable plan can be made.
Question 23Role of the Nurse Aide and Resident Rights
Which statement about reporting suspected abuse is correct?
- Every facility employee must report suspected abuse. Correct answer.
- Only the person who saw the abuse may report it.
- Reports may be filed only after the facility's investigation ends.
- Aides must report abuse but not neglect.
Explanation
All facility employees are mandated to report suspected abuse, neglect, and misappropriation of property promptly. Suspicion is enough to report; the aide does not need proof, and the investigation happens after the report.
Question 24Role of the Nurse Aide and Resident Rights
Giving a resident a medication to quiet behavior when there is no medical need for it is
- a standard comfort measure
- an acceptable bedtime routine
- within the aide's scope when a nurse orders it
- a chemical restraint and must be reported Correct answer.
Explanation
Using drugs to control behavior for staff convenience, without a clinical reason, is a chemical restraint and a violation of the resident's rights. The aide reports the situation and never participates in such use of medication.
Question 25Role of the Nurse Aide and Resident Rights
A resident offers the aide an expensive watch as a gift. The aide should
- keep it in the aide's locker for safekeeping
- politely refuse and report the offer to the nurse Correct answer.
- accept it as a sign of the resident's gratitude
- trade it for something the resident needs
Explanation
Accepting valuable gifts blurs professional boundaries and can be viewed as financial exploitation. The aide declines politely, explains the policy, and tells the nurse so the situation can be monitored.
Question 26Role of the Nurse Aide and Resident Rights
Which task is within a nurse aide's role and may be done without asking the nurse first?
- Inserting a urinary catheter
- Giving a resident a prescribed pill by mouth
- Changing a sterile dressing on a wound
- Helping a resident take a bath Correct answer.
Explanation
Nurse aides are trained and permitted to provide basic personal care such as bathing, grooming, dressing, and toileting assistance. Medications, sterile procedures, and invasive tasks like catheter insertion require a licensed nurse. An aide who is unsure whether a task is within their training should ask the nurse before acting.
Question 27Role of the Nurse Aide and Resident Rights
A resident who is alert and oriented asks to look at their own medical record. The facility should
- Allow the resident to read the record per facility policy Correct answer.
- Tell the resident that only family members may read the record
- Refuse, because the record belongs only to the doctor
- Ask the resident to pay a fee before information is shared
Explanation
Residents have the right to see information in their own medical record, with access arranged according to facility policy and state law. The record is not the exclusive property of the physician, and family members do not have greater rights to it than the resident does.
Question 28Role of the Nurse Aide and Resident Rights
A resident who can dress independently takes a long time to put on clothing. The aide should
- Ask the nurse to arrange a different caregiver for the resident
- Dress the resident quickly so the schedule is not delayed
- Allow extra time and help only if the resident asks Correct answer.
- Tell the resident that self-care is not allowed for safety reasons
Explanation
Promoting independence is a core part of the aide's role and supports the resident's right to make choices about their own care. Self-care should be encouraged, with time allowed and help offered rather than imposed. Taking over a task the resident can do removes dignity and function.
Question 29Role of the Nurse Aide and Resident Rights
The charge nurse hands the aide a syringe and asks the aide to give a resident's insulin injection. The aide should
- Give the injection because the nurse is ultimately responsible
- Give the injection after double-checking the dose with another aide
- Wait until the end of the shift and then give the injection
- Tell the nurse that giving injections is outside the aide's role Correct answer.
Explanation
An aide may only perform tasks they have been trained and authorized to do; injections are a nursing responsibility in nursing home settings. Accepting the assignment would put the resident at risk and exceed the aide's legal scope. The aide should decline politely and clarify the concern with the nurse.
Question 30Role of the Nurse Aide and Resident Rights
A resident asks the aide to keep $20 in the aide's purse for safekeeping. The aide should
- Put the money in the aide's purse and write a note about it
- Keep the money in the bedside drawer with the resident's other items
- Give the money to another resident to hold for safekeeping
- Tell the resident to use the facility's safe for the money Correct answer.
Explanation
An aide should never take personal possession of a resident's money or valuables, because doing so creates a risk of loss and of an abuse allegation. Facilities provide a designated, documented place such as a safe for safeguarding funds. The aide should explain this option to the resident.
Question 31Role of the Nurse Aide and Resident Rights
While assisting a resident, the resident asks the aide, "What is this pill for?" The aide should
- Answer with the aide's best guess about the pill's purpose
- Tell the resident that aides are not allowed to talk to residents
- Look up the pill in the chart and explain it in detail
- Tell the resident the nurse will explain the medication Correct answer.
Explanation
Explaining medications is a nursing responsibility, and residents have the right to accurate information about their treatment. The aide should report the question so the nurse can answer it. Guessing or giving a detailed interpretation of the chart could misinform the resident.
Question 32Role of the Nurse Aide and Resident Rights
A resident with mild dementia says they want to walk to the store down the street and heads toward the door. The aide should
- Physically stop the resident from going out the door
- Notify the nurse and follow facility policy for leaving Correct answer.
- Tell the resident that residents may not leave the building alone
- Lock the outside door so the resident cannot get out
Explanation
Residents retain rights, and the facility must respond to a desire to leave according to its policy, which usually involves notifying the nurse and assessing the situation. Physically blocking or locking a resident in can amount to a restraint or false imprisonment. The aide must report promptly rather than decide alone.
Question 33Promotion of Safety and Infection Control
In which situation must the nursing assistant wash with soap and water rather than use an alcohol-based hand rub?
- After caring for a resident with C. difficile Correct answer.
- After removing soiled gloves at the end of care
- After touching a resident's intact skin
- Before carrying a meal tray into the room
Explanation
Alcohol-based hand rub does not reliably kill spore-forming organisms such as C. difficile. Soap and water with friction physically removes the spores and is required when caring for a resident with C. difficile diarrhea.
Question 34Promotion of Safety and Infection Control
When putting on personal protective equipment, which item is applied last?
- Clean gloves Correct answer.
- Gown
- Mask
- Goggles
Explanation
PPE is applied from cleanest to dirtiest: gown first, then mask or respirator, then goggles or face shield, with gloves last. Gloves go on last so they cover the gown cuffs and are the first item removed.
Question 35Promotion of Safety and Infection Control
Standard precautions are used for which residents?
- Only residents who have a diagnosed infection or rash
- Only residents placed in isolation rooms
- All residents, regardless of their diagnosis Correct answer.
- Only when blood or body fluids are visible
Explanation
Standard precautions are based on the principle that all blood, body fluids, secretions, and non-intact skin may carry infection. They are used with every resident every time care is given, whether or not an infection has been diagnosed.
Question 36Promotion of Safety and Infection Control
In the RACE fire response, what does the letter R stand for?
- Restrain wandering residents in their rooms
- Run to the nearest exit with the residents
- Rescue anyone in immediate danger Correct answer.
- Report the fire to the charge nurse first
Explanation
In RACE, R stands for rescue: moving anyone in immediate danger of the fire out of harm's way before anything else. Alarm, confine, and extinguish or evacuate follow in that order.
Question 37Promotion of Safety and Infection Control
Which action best reduces the fall risk of a confused resident who is able to get out of bed?
- Leaving both side rails down at all times
- Answering the call light promptly Correct answer.
- Keeping the bed in the high position so the resident can see the room
- Applying a waist restraint whenever the resident is left alone
Explanation
Most falls occur when a resident tries to get up alone to meet a need such as toileting or thirst. Answering the call light promptly removes the reason to climb out of bed unassisted.
Question 38Promotion of Safety and Infection Control
After giving an injection, what should the nursing assistant do with the used needle?
- Break the needle off the syringe and discard it in the trash
- Drop the needle directly into the sharps container Correct answer.
- Set the needle on the bedside table until the end of the shift
- Recap the needle with one hand before carrying it away
Explanation
Recapping causes most needlestick injuries, so used needles are dropped straight into a puncture-resistant sharps container at the point of use. The container is never overfilled and is replaced when about three-quarters full.
Question 39Promotion of Safety and Infection Control
A resident is receiving oxygen by nasal cannula. Which action is safe?
- Using wool blankets and synthetic clothing to keep the resident warm
- Securing the cylinder upright in a stand or holder Correct answer.
- Storing the cylinder lying flat on the floor beside the bed
- Applying petroleum jelly to the resident's lips to prevent dryness
Explanation
Oxygen supports combustion, so the cylinder must be secured upright to keep it from falling and rupturing, and ignition sources are kept away. Petroleum-based products and fabrics that build static are avoided near oxygen.
Question 40Promotion of Safety and Infection Control
Which PPE is required for every contact with a resident on contact precautions and with surfaces in that resident's room?
- Gown and gloves for contact with the resident Correct answer.
- No PPE as long as the resident's hands are clean
- A fitted N95 respirator before entering the room
- A surgical mask only when the resident is coughing
Explanation
Contact precautions require a gown and gloves for every contact with the resident and with items in the resident's environment, because the organism spreads by direct and indirect contact. Dedicated equipment is used whenever possible.
Question 41Promotion of Safety and Infection Control
When removing PPE after leaving a resident's room, which item is removed last?
- Gown
- Goggles
- Gloves
- Mask Correct answer.
Explanation
The goal is to avoid self-contamination: gloves come off first, then goggles or face shield, then the gown, and the mask is removed last by its ties or straps after leaving the room.
Question 42Promotion of Safety and Infection Control
When using an alcohol-based hand rub, the nursing assistant should:
- Use it only after washing with soap and water
- Rub the product over all hand surfaces until dry Correct answer.
- Apply the product and wipe it off immediately with a paper towel
- Apply it only to the palms, since fingertips stay clean
Explanation
Alcohol-based hand rub must cover all surfaces of the hands, including fingertips, thumbs, and between the fingers, and be rubbed in until dry. Wiping it off before it dries stops the product from working.
Question 43Promotion of Safety and Infection Control
A resident is admitted with suspected active pulmonary tuberculosis. Which precaution is appropriate?
- Contact precautions with a gown and gloves for all care
- Airborne precautions with an N95 respirator Correct answer.
- Droplet precautions with a surgical mask within 3 feet
- Standard precautions only, since TB is not contagious
Explanation
Tuberculosis spreads by airborne droplet nuclei that remain suspended in the air, so an N95 or higher respirator is worn and the resident is placed in a negative-pressure room. A surgical mask does not filter these small particles.
Question 44Promotion of Safety and Infection Control
A resident with influenza is on droplet precautions and must go to radiology. What should the nursing assistant do?
- Place a surgical mask on the resident for transport Correct answer.
- Have the resident wear an N95 respirator during transport
- Remove all PPE before leaving the room and walk beside the stretcher
- Ask housekeeping to disinfect the hallway before the resident leaves
Explanation
Droplet precautions require a surgical mask on the resident during transport so respiratory secretions are contained. Staff wear a surgical mask within about 3 feet of the resident, and the room door may stay open.
Question 45Promotion of Safety and Infection Control
A blood pressure cuff is dedicated to a resident on contact precautions. When the resident is discharged, what should be done with the cuff?
- Discard the cuff in the regular trash with the linens
- Place the cuff in the hallway for the next resident to use
- Rinse the cuff in the sink and hang it to dry
- Clean and disinfect the cuff before reuse Correct answer.
Explanation
Any reusable item that touches a resident is cleaned and then disinfected before it is used for another person, including items from a contact-precaution room. Cleaning comes first because organic material interferes with disinfection.
Question 46Promotion of Safety and Infection Control
To lift a heavy object from the floor, the nursing assistant should:
- Twist the trunk while lifting to turn quickly
- Bend at the waist and keep the legs straight
- Hold the object away from the body for better balance
- Bend the knees and hold the object close Correct answer.
Explanation
Bending the knees and holding the load close uses the strong leg muscles and keeps the center of gravity near the body, which reduces strain on the back. Twisting and reaching away from the body increase the risk of injury.
Question 47Promotion of Safety and Infection Control
A resident has an order for a wrist restraint. How often should the nursing assistant check the restraint site?
- Every 2 hours
- Once per shift
- Only when the resident complains
- Every 15 minutes Correct answer.
Explanation
Circulation, skin condition, and fit are checked at least every 15 minutes, and the restraint is released and the resident repositioned on a regular schedule. Restraints require a current order and are used only after less restrictive measures have failed.
Question 48Promotion of Safety and Infection Control
A resident begins to have a generalized seizure. What should the nursing assistant do?
- Hold the resident's arms and legs still until it stops
- Leave the resident alone in the room while you go for help
- Protect the head and turn the resident to the side Correct answer.
- Place a spoon between the teeth to protect the tongue
Explanation
During a seizure the priority is protecting the resident from injury: ease the person to the floor if standing, protect the head, and turn to the side to keep the airway clear. Nothing is placed in the mouth and the resident is never restrained.
Question 49Promotion of Safety and Infection Control
The nursing assistant receives a needlestick injury while handling trash. What is the first action?
- Apply a tight bandage and finish the shift
- Squeeze the wound hard to make it bleed freely
- Report to the supervisor before washing the site
- Wash the site with soap and water Correct answer.
Explanation
The site is washed with soap and water right away, then the injury is reported and the facility's exposure control plan is followed, which may include evaluation and post-exposure prophylaxis. Squeezing the wound or using caustic agents can damage tissue.
Question 50Promotion of Safety and Infection Control
Which action is correct when cleaning a small blood spill on the floor?
- Pour water on the spill and mop it into the hallway drain
- Wait for housekeeping because nursing assistants cannot clean blood
- Put on gloves, absorb the spill, then disinfect the area Correct answer.
- Wipe it up with bare paper towels and throw them in the trash
Explanation
Blood spills are cleaned while wearing gloves, absorbed, and then the area is disinfected with an EPA-registered disinfectant such as a freshly mixed bleach solution. Contaminated materials go into a biohazard bag.