NACE Nursing Assistant Certification Exam 2026/2027 |
Practice Questions And Answers 2026/2027 | Complete
Questions And Answers (Verified Answers) | Exam Prep |
Comprehensive Exam Guide 2026&2027
1. A nursing assistant is preparing to help a client who has weakness on the right side
transfer from the bed to a wheelchair. Which action is most appropriate?
A. Position the wheelchair on the client's right side
B. Lock the wheelchair and position it on the client's stronger side
C. Ask the client to stand before positioning the wheelchair
D. Pull the client toward the wheelchair using both arms
Answer: B
Locking the wheelchair and placing it on the client's stronger side promotes stability and
allows the client to use the stronger extremity during the transfer.
2. A client tells the nursing assistant, "I am embarrassed because I need help bathing."
What is the most therapeutic response?
A. "You should not feel embarrassed because everyone needs help sometimes."
B. "Your family probably understands how difficult this is."
C. "I can see that this situation is uncomfortable for you. I will respect your privacy."
D. "You will eventually get used to needing assistance."
Answer: C
Acknowledging the client's feelings while preserving dignity demonstrates therapeutic
communication and respect for individual needs.
3. Before assisting a client with oral care, which action should the nursing assistant
perform first?
A. Explain the procedure and provide privacy
B. Apply toothpaste to the toothbrush
C. Place the client in a supine position
D. Begin brushing the client's teeth
Answer: A
Explaining the procedure and providing privacy promotes informed participation, comfort,
and dignity before care begins.
4. A client who is normally alert suddenly becomes confused and attempts to climb out of
bed. What should the nursing assistant do first?
A. Leave the room to notify the family
,B. Apply restraints immediately
C. Tell the client to remain quiet
D. Stay with the client and protect against injury while reporting the change
Answer: D
Sudden confusion can indicate an acute change in condition. Immediate safety is the priority
while the change is promptly reported to the nurse.
5. Which finding most strongly suggests that a client may be experiencing dehydration?
A. Moist mucous membranes
B. Dark, concentrated urine
C. Increased urine output
D. Warm, flushed skin
Answer: B
Dark, concentrated urine is a common indicator of inadequate fluid intake or fluid loss and
should be reported when clinically significant.
6. A nursing assistant enters a client's room and finds the client lying on the floor. What is
the priority action?
A. Move the client back to bed
B. Ask the client whether they can walk
C. Stay with the client and call for assistance
D. Complete the incident report immediately
Answer: C
A client found on the floor should not be moved unnecessarily because an injury may have
occurred. The assistant should remain with the client and obtain appropriate help.
7. Which intervention is most effective for preventing pressure injuries in a bedbound
client?
A. Repositioning the client regularly and protecting pressure points
B. Massaging reddened areas vigorously
C. Keeping the head of the bed elevated continuously
D. Restricting the client's fluid intake
Answer: A
Regular repositioning reduces prolonged pressure, while appropriate skin care and pressure
redistribution protect vulnerable areas.
8. A client refuses assistance with eating. Which response by the nursing assistant is most
appropriate?
,A. "You must eat because your meal has already been ordered."
B. "If you do not eat, I will report you."
C. "Your family will be disappointed if you refuse."
D. "Can you tell me why you do not want assistance?"
Answer: D
Exploring the reason for refusal respects the client's autonomy and may identify a problem
that can be addressed.
9. Which position generally facilitates easier breathing for a client experiencing shortness
of breath?
A. High-Fowler's position
B. Flat supine position
C. Trendelenburg position
D. Prone position
Answer: A
High-Fowler's positioning promotes lung expansion and can reduce the work of breathing.
10. A client with dysphagia is receiving a meal. Which action is safest?
A. Encourage the client to eat rapidly
B. Place the client upright during the meal
C. Offer large amounts of fluid with every bite
D. Have the client lie down immediately after eating
Answer: B
An upright position supports safer swallowing and helps reduce the risk of aspiration.
11. A nursing assistant notices that a client's urine has become unusually cloudy and foul-
smelling. What should the assistant do?
A. Add extra water to the client's meal
B. Assume the finding is normal
C. Report the change to the nurse
D. Administer an antibiotic
Answer: C
A new change in urine characteristics may indicate a health problem and should be reported
rather than independently diagnosed or treated.
12. Which action demonstrates appropriate infection-control practice?
A. Wearing the same gloves between clients
B. Washing hands only when visibly dirty
, C. Reusing disposable equipment when it appears clean
D. Performing hand hygiene before and after client contact
Answer: D
Hand hygiene before and after client contact is one of the most important measures for
preventing transmission of infection.
13. A nursing assistant is caring for a client with suspected tuberculosis. Which precaution
is particularly important?
A. Airborne precautions according to facility policy
B. Contact precautions only
C. Protective isolation only
D. No special precautions
Answer: A
Tuberculosis can be transmitted through airborne particles, so appropriate airborne
precautions are required according to facility policy.
14. Which observation should be reported immediately?
A. Client requests a different television channel
B. Client has new difficulty speaking
C. Client prefers tea instead of coffee
D. Client asks for an additional blanket
Answer: B
New difficulty speaking may indicate an acute neurological emergency such as a stroke and
requires immediate reporting.
15. When communicating with a client who has hearing impairment, which approach is
best?
A. Shout from the doorway
B. Speak rapidly so the client can concentrate
C. Face the client and speak clearly at a normal pace
D. Speak only to the client's family
Answer: C
Facing the client allows use of visual cues, while clear speech at an appropriate pace improves
communication.
16. A client with diabetes becomes pale, sweaty, shaky, and confused. What should the
nursing assistant do?
A. Report the symptoms promptly and remain with the client
Practice Questions And Answers 2026/2027 | Complete
Questions And Answers (Verified Answers) | Exam Prep |
Comprehensive Exam Guide 2026&2027
1. A nursing assistant is preparing to help a client who has weakness on the right side
transfer from the bed to a wheelchair. Which action is most appropriate?
A. Position the wheelchair on the client's right side
B. Lock the wheelchair and position it on the client's stronger side
C. Ask the client to stand before positioning the wheelchair
D. Pull the client toward the wheelchair using both arms
Answer: B
Locking the wheelchair and placing it on the client's stronger side promotes stability and
allows the client to use the stronger extremity during the transfer.
2. A client tells the nursing assistant, "I am embarrassed because I need help bathing."
What is the most therapeutic response?
A. "You should not feel embarrassed because everyone needs help sometimes."
B. "Your family probably understands how difficult this is."
C. "I can see that this situation is uncomfortable for you. I will respect your privacy."
D. "You will eventually get used to needing assistance."
Answer: C
Acknowledging the client's feelings while preserving dignity demonstrates therapeutic
communication and respect for individual needs.
3. Before assisting a client with oral care, which action should the nursing assistant
perform first?
A. Explain the procedure and provide privacy
B. Apply toothpaste to the toothbrush
C. Place the client in a supine position
D. Begin brushing the client's teeth
Answer: A
Explaining the procedure and providing privacy promotes informed participation, comfort,
and dignity before care begins.
4. A client who is normally alert suddenly becomes confused and attempts to climb out of
bed. What should the nursing assistant do first?
A. Leave the room to notify the family
,B. Apply restraints immediately
C. Tell the client to remain quiet
D. Stay with the client and protect against injury while reporting the change
Answer: D
Sudden confusion can indicate an acute change in condition. Immediate safety is the priority
while the change is promptly reported to the nurse.
5. Which finding most strongly suggests that a client may be experiencing dehydration?
A. Moist mucous membranes
B. Dark, concentrated urine
C. Increased urine output
D. Warm, flushed skin
Answer: B
Dark, concentrated urine is a common indicator of inadequate fluid intake or fluid loss and
should be reported when clinically significant.
6. A nursing assistant enters a client's room and finds the client lying on the floor. What is
the priority action?
A. Move the client back to bed
B. Ask the client whether they can walk
C. Stay with the client and call for assistance
D. Complete the incident report immediately
Answer: C
A client found on the floor should not be moved unnecessarily because an injury may have
occurred. The assistant should remain with the client and obtain appropriate help.
7. Which intervention is most effective for preventing pressure injuries in a bedbound
client?
A. Repositioning the client regularly and protecting pressure points
B. Massaging reddened areas vigorously
C. Keeping the head of the bed elevated continuously
D. Restricting the client's fluid intake
Answer: A
Regular repositioning reduces prolonged pressure, while appropriate skin care and pressure
redistribution protect vulnerable areas.
8. A client refuses assistance with eating. Which response by the nursing assistant is most
appropriate?
,A. "You must eat because your meal has already been ordered."
B. "If you do not eat, I will report you."
C. "Your family will be disappointed if you refuse."
D. "Can you tell me why you do not want assistance?"
Answer: D
Exploring the reason for refusal respects the client's autonomy and may identify a problem
that can be addressed.
9. Which position generally facilitates easier breathing for a client experiencing shortness
of breath?
A. High-Fowler's position
B. Flat supine position
C. Trendelenburg position
D. Prone position
Answer: A
High-Fowler's positioning promotes lung expansion and can reduce the work of breathing.
10. A client with dysphagia is receiving a meal. Which action is safest?
A. Encourage the client to eat rapidly
B. Place the client upright during the meal
C. Offer large amounts of fluid with every bite
D. Have the client lie down immediately after eating
Answer: B
An upright position supports safer swallowing and helps reduce the risk of aspiration.
11. A nursing assistant notices that a client's urine has become unusually cloudy and foul-
smelling. What should the assistant do?
A. Add extra water to the client's meal
B. Assume the finding is normal
C. Report the change to the nurse
D. Administer an antibiotic
Answer: C
A new change in urine characteristics may indicate a health problem and should be reported
rather than independently diagnosed or treated.
12. Which action demonstrates appropriate infection-control practice?
A. Wearing the same gloves between clients
B. Washing hands only when visibly dirty
, C. Reusing disposable equipment when it appears clean
D. Performing hand hygiene before and after client contact
Answer: D
Hand hygiene before and after client contact is one of the most important measures for
preventing transmission of infection.
13. A nursing assistant is caring for a client with suspected tuberculosis. Which precaution
is particularly important?
A. Airborne precautions according to facility policy
B. Contact precautions only
C. Protective isolation only
D. No special precautions
Answer: A
Tuberculosis can be transmitted through airborne particles, so appropriate airborne
precautions are required according to facility policy.
14. Which observation should be reported immediately?
A. Client requests a different television channel
B. Client has new difficulty speaking
C. Client prefers tea instead of coffee
D. Client asks for an additional blanket
Answer: B
New difficulty speaking may indicate an acute neurological emergency such as a stroke and
requires immediate reporting.
15. When communicating with a client who has hearing impairment, which approach is
best?
A. Shout from the doorway
B. Speak rapidly so the client can concentrate
C. Face the client and speak clearly at a normal pace
D. Speak only to the client's family
Answer: C
Facing the client allows use of visual cues, while clear speech at an appropriate pace improves
communication.
16. A client with diabetes becomes pale, sweaty, shaky, and confused. What should the
nursing assistant do?
A. Report the symptoms promptly and remain with the client
