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NNAAP Nurse Aide Practice Written Exam 2 — 30 MCQs
(Answers + Brief Rationales)
1. When performing hand hygiene, the preferred method when hands are visibly soiled is:
A. Plain soap and water
B. Alcohol-based hand rub
C. Sterile water
D. Antibacterial spray
Answer: A. Plain soap and water
Rationale: Soap and water remove visible dirt/organic material; alcohol rubs are for
unsoiled hands.
2. The best way to identify a patient prior to care is to:
A. Ask the patient if they know their name only
B. Check the wristband and ask two identifiers (name and DOB)
C. Use the room number and ask the nurse
D. Rely on the patient’s voice only
Answer: B. Check the wristband and ask two identifiers (name and DOB)
Rationale: Two identifiers reduce misidentification risk.
3. A patient begins to faint during a transfer. You should first:
A. Increase the pace of the transfer
B. Release the transfer belt and lower the patient to the floor safely
C. Call out to the patient to stay awake
D. Continue moving to the chair quickly
Answer: B. Release the transfer belt and lower the patient to the floor safely
Rationale: Protect patient from injury — support and lower them safely.
4. A restraint may be used when:
A. It prevents a patient from leaving the room without a doctor’s order and as least
restrictive alternative, with consent and documentation
B. Staff are short-handed and it is convenient
C. The patient is confused and refuses to eat
D. The family requests it for convenience
Answer: A. It prevents a patient from leaving the room with proper order and
documentation
Rationale: Restraints require order, least-restrictive approach, monitoring, and
documentation.
5. Proper body mechanics when lifting include:
A. Bending at the waist and using back muscles
B. Keeping feet close together for balance
C. Using leg muscles, keeping back straight, and avoiding twisting
D. Lifting quickly to reduce strain
Answer: C. Using leg muscles, keeping back straight, and avoiding twisting
Rationale: Protects caregiver’s back and prevents injury.
6. Which of the following indicates cyanosis?
A. Pale, warm skin
B. Bluish color of lips or nail beds
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C. Jaundice of sclera
D. Red flushed cheeks
Answer: B. Bluish color of lips or nail beds
Rationale: Cyanosis = bluish discoloration from low oxygenation.
7. The correct sequence for putting on PPE (personal protective equipment) is:
A. Gloves → gown → mask → goggles
B. Gown → mask → goggles/face shield → gloves
C. Mask → gloves → gown → goggles
D. Goggles → gloves → mask → gown
Answer: B. Gown → mask → goggles/face shield → gloves
Rationale: Prevents contamination of clothing/skin during donning.
8. A resident with dementia wanders at night. The best initial approach is to:
A. Use a bed alarm and assess reasons for wandering (hunger, toileting, pain)
B. Physically restrain the resident at night
C. Lock the door so the resident cannot leave
D. Ignore it because it’s expected behavior
Answer: A. Use bed alarm and assess reasons for wandering
Rationale: Address underlying causes and use least restrictive interventions.
9. When charting, the nurse aide should:
A. Chart before performing the task to save time
B. Use subjective language (e.g., “seems fine”)
C. Record facts immediately after providing care and use objective terms
D. Alter the chart if a nurse asks to make the record look better
Answer: C. Record facts immediately after care and use objective terms
Rationale: Accurate, timely, objective documentation is required.
10. A diabetic patient is sweaty, pale, and weak — you suspect hypoglycemia. The nurse
aide should:
A. Give orange juice or simple sugar if the patient is alert and can swallow
B. Wait an hour and recheck
C. Give insulin to correct the sugars
D. Ignore and continue routine care
Answer: A. Give orange juice or simple sugar if alert and can swallow
Rationale: Quick sugar is indicated for conscious hypoglycemia; DO NOT give if patient
cannot swallow.
11. Which action demonstrates respect for patient privacy?
A. Pulling privacy curtains when providing personal care
B. Discussing patient info in hallway with friends present
C. Leaving chart open at nurse station in view of visitors
D. Allowing family to hear confidential conversations
Answer: A. Pulling privacy curtains when providing personal care
Rationale: Maintains dignity and confidentiality.
12. A pressure ulcer is most likely to form over which area?
A. Tip of the nose
B. Heels, sacrum, hips, and elbows
C. Palms of the hands
D. Fingernails
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NNAAP Nurse Aide Practice Written Exam 2 — 30 MCQs
(Answers + Brief Rationales)
1. When performing hand hygiene, the preferred method when hands are visibly soiled is:
A. Plain soap and water
B. Alcohol-based hand rub
C. Sterile water
D. Antibacterial spray
Answer: A. Plain soap and water
Rationale: Soap and water remove visible dirt/organic material; alcohol rubs are for
unsoiled hands.
2. The best way to identify a patient prior to care is to:
A. Ask the patient if they know their name only
B. Check the wristband and ask two identifiers (name and DOB)
C. Use the room number and ask the nurse
D. Rely on the patient’s voice only
Answer: B. Check the wristband and ask two identifiers (name and DOB)
Rationale: Two identifiers reduce misidentification risk.
3. A patient begins to faint during a transfer. You should first:
A. Increase the pace of the transfer
B. Release the transfer belt and lower the patient to the floor safely
C. Call out to the patient to stay awake
D. Continue moving to the chair quickly
Answer: B. Release the transfer belt and lower the patient to the floor safely
Rationale: Protect patient from injury — support and lower them safely.
4. A restraint may be used when:
A. It prevents a patient from leaving the room without a doctor’s order and as least
restrictive alternative, with consent and documentation
B. Staff are short-handed and it is convenient
C. The patient is confused and refuses to eat
D. The family requests it for convenience
Answer: A. It prevents a patient from leaving the room with proper order and
documentation
Rationale: Restraints require order, least-restrictive approach, monitoring, and
documentation.
5. Proper body mechanics when lifting include:
A. Bending at the waist and using back muscles
B. Keeping feet close together for balance
C. Using leg muscles, keeping back straight, and avoiding twisting
D. Lifting quickly to reduce strain
Answer: C. Using leg muscles, keeping back straight, and avoiding twisting
Rationale: Protects caregiver’s back and prevents injury.
6. Which of the following indicates cyanosis?
A. Pale, warm skin
B. Bluish color of lips or nail beds
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C. Jaundice of sclera
D. Red flushed cheeks
Answer: B. Bluish color of lips or nail beds
Rationale: Cyanosis = bluish discoloration from low oxygenation.
7. The correct sequence for putting on PPE (personal protective equipment) is:
A. Gloves → gown → mask → goggles
B. Gown → mask → goggles/face shield → gloves
C. Mask → gloves → gown → goggles
D. Goggles → gloves → mask → gown
Answer: B. Gown → mask → goggles/face shield → gloves
Rationale: Prevents contamination of clothing/skin during donning.
8. A resident with dementia wanders at night. The best initial approach is to:
A. Use a bed alarm and assess reasons for wandering (hunger, toileting, pain)
B. Physically restrain the resident at night
C. Lock the door so the resident cannot leave
D. Ignore it because it’s expected behavior
Answer: A. Use bed alarm and assess reasons for wandering
Rationale: Address underlying causes and use least restrictive interventions.
9. When charting, the nurse aide should:
A. Chart before performing the task to save time
B. Use subjective language (e.g., “seems fine”)
C. Record facts immediately after providing care and use objective terms
D. Alter the chart if a nurse asks to make the record look better
Answer: C. Record facts immediately after care and use objective terms
Rationale: Accurate, timely, objective documentation is required.
10. A diabetic patient is sweaty, pale, and weak — you suspect hypoglycemia. The nurse
aide should:
A. Give orange juice or simple sugar if the patient is alert and can swallow
B. Wait an hour and recheck
C. Give insulin to correct the sugars
D. Ignore and continue routine care
Answer: A. Give orange juice or simple sugar if alert and can swallow
Rationale: Quick sugar is indicated for conscious hypoglycemia; DO NOT give if patient
cannot swallow.
11. Which action demonstrates respect for patient privacy?
A. Pulling privacy curtains when providing personal care
B. Discussing patient info in hallway with friends present
C. Leaving chart open at nurse station in view of visitors
D. Allowing family to hear confidential conversations
Answer: A. Pulling privacy curtains when providing personal care
Rationale: Maintains dignity and confidentiality.
12. A pressure ulcer is most likely to form over which area?
A. Tip of the nose
B. Heels, sacrum, hips, and elbows
C. Palms of the hands
D. Fingernails
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