2026 NNAAP ACTUAL EXAM LATEST VERSION
2026-2027 101 ACTUAL QUESTION AND
CORRECT ANWERS WITH RATIONALES.
QUESTION
A nurse aide is caring for a client who has had a stroke. What would be the BEST
way for the nurse aide to promote client independence in bathing?
A. Limit the client to washing her hands
B. Leave the client alone and assume the client will do as much as she can
C. Encourage the client to do as much as possible and assist as needed
D. Give the client a complete bath only when the client requests it
Correct Answer: C
Expert Rationale
The BEST way to promote client independence in bathing for a client who has had
a stroke is to encourage the client to do as much as possible and assist as needed
(Option C). This approach respects the client's autonomy, preserves dignity, and
promotes rehabilitation by allowing the client to participate in self-care to the
fullest extent of their abilities. The nurse aide should provide appropriate
assistance only when the client cannot perform a task safely or effectively. Limiting
the client to washing her hands (Option A) is unnecessarily restrictive and does
not promote independence. Leaving the client alone (Option B) is unsafe and does
not provide appropriate support. Giving a complete bath only when requested
(Option D) does not address the client's need for assistance and may neglect
necessary hygiene.
DIF: Cognitive Level: Apply (Application)
TOP: Activities of Daily Living - Bathing
MSC: NCLEX: Health Promotion and Maintenance
,SAFETY DEVICES FOR TRANSFERS
QUESTION
A safety device used to assist a DEPENDENT client from a bed to a chair is called a:
A. Posey vest
B. Hand roll
C. Transfer/gait belt
D. Foot board
Correct Answer: C
Expert Rationale
A transfer/gait belt (Option C) is a safety device used to assist a dependent client
from a bed to a chair. The transfer belt is a sturdy belt that is securely fastened
around the client's waist, providing the caregiver with a safe handhold to support
the client during transfers. It reduces the risk of falls and injury to both the client
and the caregiver by improving stability and control during the transfer. A Posey
vest (Option A) is a type of restraint, not a transfer device. A hand roll (Option B) is
used to maintain hand position and prevent contractures. A foot board (Option D)
is used to maintain foot position and prevent foot drop.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Safety and Mobility - Transfer Devices
MSC: NCLEX: Safe and Effective Care Environment
ISOLATION PRECAUTIONS
QUESTION
If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide
MUST:
A. Take the gown off before leaving the client's room
B. Take the gown off in the dirty utility room
C. Wear the same gown to care for all other assigned clients
D. Leave the gown untied
,Correct Answer: A
Expert Rationale
When wearing a gown for isolation precautions, the nurse aide MUST take the
gown off before leaving the client's room (Option A). This practice prevents the
transmission of microorganisms to other areas of the facility and to other clients.
The gown should be removed carefully, rolling it inside out to contain any
contaminants, and disposed of in the appropriate receptacle. Taking the gown off
in the dirty utility room (Option B) would require the nurse aide to leave the
client's room while still wearing the contaminated gown, which is inappropriate.
Wearing the same gown to care for other clients (Option C) would spread
infection. Leaving the gown untied (Option D) would not provide adequate
protection.
DIF: Cognitive Level: Apply (Application)
TOP: Infection Control - Isolation Precautions
MSC: NCLEX: Safe and Effective Care Environment
OCCUPIED BED MAKING
QUESTION
When making an occupied bed, the nurse aide SHOULD:
A. Lower both side rails before changing the sheets
B. Raise the side rail on the unattended side
C. Put the dirty sheets on the floor
D. Help the client to sit in a chair while the bed is being made
Correct Answer: B
Expert Rationale
When making an occupied bed, the nurse aide should raise the side rail on the
unattended side (Option B) to ensure client safety and prevent falls while the
nurse aide works on the opposite side of the bed. Lowering both side rails (Option
, A) would leave the client unprotected and at risk for falls. Putting dirty sheets on
the floor (Option C) is unsanitary and violates infection control practices. Helping
the client to sit in a chair (Option D) is appropriate for an unoccupied bed, not an
occupied bed, and would require additional time and effort that may not be safe
for the client.
DIF: Cognitive Level: Apply (Application)
TOP: Client Care - Occupied Bed Making
MSC: NCLEX: Safe and Effective Care Environment
CONFIDENTIALITY AND PROFESSIONALISM
QUESTION
The nurse aide is in the employee dining room. A group of nurse aides are eating
lunch together and begin discussing how rude a certain client was acting. The
nurse aide SHOULD:
A. Return to the unit and tell the client what was said
B. Join in the conversation
C. Suggest that this is not the place to discuss the client
D. Be quiet and not say anything to the other nurse aides
Correct Answer: C
Expert Rationale
The nurse aide should suggest that this is not the place to discuss the client
(Option C). Discussing client information in public areas such as the employee
dining room violates client confidentiality and privacy rights under HIPAA
regulations. The nurse aide has a professional and ethical obligation to protect
client privacy and should remind colleagues that client information should only be
discussed in appropriate, private settings for professional purposes. Returning to
the unit to tell the client (Option A) would be inappropriate and could cause
distress. Joining in the conversation (Option B) would be participating in a
violation of confidentiality. Being quiet and not saying anything (Option D) allows
the violation to continue without intervention.
2026-2027 101 ACTUAL QUESTION AND
CORRECT ANWERS WITH RATIONALES.
QUESTION
A nurse aide is caring for a client who has had a stroke. What would be the BEST
way for the nurse aide to promote client independence in bathing?
A. Limit the client to washing her hands
B. Leave the client alone and assume the client will do as much as she can
C. Encourage the client to do as much as possible and assist as needed
D. Give the client a complete bath only when the client requests it
Correct Answer: C
Expert Rationale
The BEST way to promote client independence in bathing for a client who has had
a stroke is to encourage the client to do as much as possible and assist as needed
(Option C). This approach respects the client's autonomy, preserves dignity, and
promotes rehabilitation by allowing the client to participate in self-care to the
fullest extent of their abilities. The nurse aide should provide appropriate
assistance only when the client cannot perform a task safely or effectively. Limiting
the client to washing her hands (Option A) is unnecessarily restrictive and does
not promote independence. Leaving the client alone (Option B) is unsafe and does
not provide appropriate support. Giving a complete bath only when requested
(Option D) does not address the client's need for assistance and may neglect
necessary hygiene.
DIF: Cognitive Level: Apply (Application)
TOP: Activities of Daily Living - Bathing
MSC: NCLEX: Health Promotion and Maintenance
,SAFETY DEVICES FOR TRANSFERS
QUESTION
A safety device used to assist a DEPENDENT client from a bed to a chair is called a:
A. Posey vest
B. Hand roll
C. Transfer/gait belt
D. Foot board
Correct Answer: C
Expert Rationale
A transfer/gait belt (Option C) is a safety device used to assist a dependent client
from a bed to a chair. The transfer belt is a sturdy belt that is securely fastened
around the client's waist, providing the caregiver with a safe handhold to support
the client during transfers. It reduces the risk of falls and injury to both the client
and the caregiver by improving stability and control during the transfer. A Posey
vest (Option A) is a type of restraint, not a transfer device. A hand roll (Option B) is
used to maintain hand position and prevent contractures. A foot board (Option D)
is used to maintain foot position and prevent foot drop.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Safety and Mobility - Transfer Devices
MSC: NCLEX: Safe and Effective Care Environment
ISOLATION PRECAUTIONS
QUESTION
If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide
MUST:
A. Take the gown off before leaving the client's room
B. Take the gown off in the dirty utility room
C. Wear the same gown to care for all other assigned clients
D. Leave the gown untied
,Correct Answer: A
Expert Rationale
When wearing a gown for isolation precautions, the nurse aide MUST take the
gown off before leaving the client's room (Option A). This practice prevents the
transmission of microorganisms to other areas of the facility and to other clients.
The gown should be removed carefully, rolling it inside out to contain any
contaminants, and disposed of in the appropriate receptacle. Taking the gown off
in the dirty utility room (Option B) would require the nurse aide to leave the
client's room while still wearing the contaminated gown, which is inappropriate.
Wearing the same gown to care for other clients (Option C) would spread
infection. Leaving the gown untied (Option D) would not provide adequate
protection.
DIF: Cognitive Level: Apply (Application)
TOP: Infection Control - Isolation Precautions
MSC: NCLEX: Safe and Effective Care Environment
OCCUPIED BED MAKING
QUESTION
When making an occupied bed, the nurse aide SHOULD:
A. Lower both side rails before changing the sheets
B. Raise the side rail on the unattended side
C. Put the dirty sheets on the floor
D. Help the client to sit in a chair while the bed is being made
Correct Answer: B
Expert Rationale
When making an occupied bed, the nurse aide should raise the side rail on the
unattended side (Option B) to ensure client safety and prevent falls while the
nurse aide works on the opposite side of the bed. Lowering both side rails (Option
, A) would leave the client unprotected and at risk for falls. Putting dirty sheets on
the floor (Option C) is unsanitary and violates infection control practices. Helping
the client to sit in a chair (Option D) is appropriate for an unoccupied bed, not an
occupied bed, and would require additional time and effort that may not be safe
for the client.
DIF: Cognitive Level: Apply (Application)
TOP: Client Care - Occupied Bed Making
MSC: NCLEX: Safe and Effective Care Environment
CONFIDENTIALITY AND PROFESSIONALISM
QUESTION
The nurse aide is in the employee dining room. A group of nurse aides are eating
lunch together and begin discussing how rude a certain client was acting. The
nurse aide SHOULD:
A. Return to the unit and tell the client what was said
B. Join in the conversation
C. Suggest that this is not the place to discuss the client
D. Be quiet and not say anything to the other nurse aides
Correct Answer: C
Expert Rationale
The nurse aide should suggest that this is not the place to discuss the client
(Option C). Discussing client information in public areas such as the employee
dining room violates client confidentiality and privacy rights under HIPAA
regulations. The nurse aide has a professional and ethical obligation to protect
client privacy and should remind colleagues that client information should only be
discussed in appropriate, private settings for professional purposes. Returning to
the unit to tell the client (Option A) would be inappropriate and could cause
distress. Joining in the conversation (Option B) would be participating in a
violation of confidentiality. Being quiet and not saying anything (Option D) allows
the violation to continue without intervention.
