NC NURSE AIDE WRITTEN STATE EXAM
Define Nurse Aide 1 - Answers --Valued, unlicensed member of the health care team
-Responsible for providing delegated nursing tasks within a defined range of function for
residents in a variety of settings
OBRA (Omnibus Budget Reconciliation Act) - Answers --Federal law designed to
improve quality of life of residents living in a nursing home environment (law to protect
residents)
-Also defines requirements for nurse aide training and competency evaluation, and the
nurse aide registry
Who defines the range of function (practice) for Nurse Aides in NC? - Answers -North
Carolina Board of Nursing
-Provide a list of tasks that fall within the range of function for nurse aides in NC
-Nurses can delegate tasks that fall within the range of function for NA
What is the regulatory body for NA? - Answers -The North Carolina Board of Nursing
North Carolina Nurse Aide Registry - Answers --A registry of all people who meet state
and federal training and testing requirements to perform NA 1 tasks in the state of North
Carolina
What is required to be listed on the Nurse Aide 1 Registry? - Answers -Pass the
National Nurse Aide Assessment Program
-Computer based testing
-Demonstration of 5 skills
-Completion of state-approved Nurse Aide 1 training program
How do you stay on the Nurse Aide 1 registry? - Answers --Listing are renewed through
qualified work experience completed every 24 months
-If you do not work during the 24 month listing period, required to retrain, retake and
pass the NNAAP exam
What are the NA 1 renewal responsibilities? - Answers --Renewal form completed
online
What are the job responsibilities of a NA? - Answers --Perform delegated basic nursing
skills in a competent, caring manner
-Perform delegated personal care skills in a competent, caring manner
-Use appropriate interpersonal skills
Delegation - Answers --the process of assigning part of one's responsibility to another
qualified person in a specific situation
OR
, -transferring responsibility for the performance of an activity or task while retaining
accountability for the outcome
What should you do when a resident is about to fall? - Answers --Control direction of fall
by easing resident to the floor, protecting head
-Keep resident still until nurse can check for injuries
-DO NOT try to hold the resident up bc it can hurt NA and resident
-DO NOT try to hold resident up because NA may lose balance and both land on floor
Supine and prone positions - Answers --Flat bed
Fowler's position - Answers -45-60 degrees
High Fowler's - Answers -60-90 degrees
How often should a patient be repositioned? - Answers --At least every 2 hours
Logrolling - Answers -positioning a resident on the side with problems (in neck or back,
spinal cord, or back surgery)
-Resident turned as a unit using a draw sheet and 2 people
Mechanical lifts - Answers --Used to transfer residents to/from beds, chairs,
wheelchairs, stretchers, tubs, shower chairs, and commodes
Why is delegation used? - Answers --Improves efficiency and shows trust in others,
while the Nurse is still accountable
What are points to remember when it comes to delegation? - Answers --Nurse
maintains accountability and responsibility for delivery of safe and competent care
-Decisions regarding delegation of any NA activity are made by nurse on resident-by-
resident basis
-Always ask if you do not understand a task, need more information, or if not sure about
something
-If you think you do not have the skills necessary to do the task, talk to your supervisor
Basic Nursing skills - Answers --Essential skills required of nurse aide to deliver
competent care to residents in health care settings
-Ex.) Monitoring, documenting, and reporting vital signs; management of pain as
directed by the nursing care plan; application of warm/cold; dressing changes
-Privacy is key!
Personal Care skills - Answers --Tasks that deal with a person's body, appearance and
hygiene
-Done on a daily basis with preferences of each individual --> Activities of Daily Living
-Ex.) toileting, assisting with face/hand wash, mouth care
Define Nurse Aide 1 - Answers --Valued, unlicensed member of the health care team
-Responsible for providing delegated nursing tasks within a defined range of function for
residents in a variety of settings
OBRA (Omnibus Budget Reconciliation Act) - Answers --Federal law designed to
improve quality of life of residents living in a nursing home environment (law to protect
residents)
-Also defines requirements for nurse aide training and competency evaluation, and the
nurse aide registry
Who defines the range of function (practice) for Nurse Aides in NC? - Answers -North
Carolina Board of Nursing
-Provide a list of tasks that fall within the range of function for nurse aides in NC
-Nurses can delegate tasks that fall within the range of function for NA
What is the regulatory body for NA? - Answers -The North Carolina Board of Nursing
North Carolina Nurse Aide Registry - Answers --A registry of all people who meet state
and federal training and testing requirements to perform NA 1 tasks in the state of North
Carolina
What is required to be listed on the Nurse Aide 1 Registry? - Answers -Pass the
National Nurse Aide Assessment Program
-Computer based testing
-Demonstration of 5 skills
-Completion of state-approved Nurse Aide 1 training program
How do you stay on the Nurse Aide 1 registry? - Answers --Listing are renewed through
qualified work experience completed every 24 months
-If you do not work during the 24 month listing period, required to retrain, retake and
pass the NNAAP exam
What are the NA 1 renewal responsibilities? - Answers --Renewal form completed
online
What are the job responsibilities of a NA? - Answers --Perform delegated basic nursing
skills in a competent, caring manner
-Perform delegated personal care skills in a competent, caring manner
-Use appropriate interpersonal skills
Delegation - Answers --the process of assigning part of one's responsibility to another
qualified person in a specific situation
OR
, -transferring responsibility for the performance of an activity or task while retaining
accountability for the outcome
What should you do when a resident is about to fall? - Answers --Control direction of fall
by easing resident to the floor, protecting head
-Keep resident still until nurse can check for injuries
-DO NOT try to hold the resident up bc it can hurt NA and resident
-DO NOT try to hold resident up because NA may lose balance and both land on floor
Supine and prone positions - Answers --Flat bed
Fowler's position - Answers -45-60 degrees
High Fowler's - Answers -60-90 degrees
How often should a patient be repositioned? - Answers --At least every 2 hours
Logrolling - Answers -positioning a resident on the side with problems (in neck or back,
spinal cord, or back surgery)
-Resident turned as a unit using a draw sheet and 2 people
Mechanical lifts - Answers --Used to transfer residents to/from beds, chairs,
wheelchairs, stretchers, tubs, shower chairs, and commodes
Why is delegation used? - Answers --Improves efficiency and shows trust in others,
while the Nurse is still accountable
What are points to remember when it comes to delegation? - Answers --Nurse
maintains accountability and responsibility for delivery of safe and competent care
-Decisions regarding delegation of any NA activity are made by nurse on resident-by-
resident basis
-Always ask if you do not understand a task, need more information, or if not sure about
something
-If you think you do not have the skills necessary to do the task, talk to your supervisor
Basic Nursing skills - Answers --Essential skills required of nurse aide to deliver
competent care to residents in health care settings
-Ex.) Monitoring, documenting, and reporting vital signs; management of pain as
directed by the nursing care plan; application of warm/cold; dressing changes
-Privacy is key!
Personal Care skills - Answers --Tasks that deal with a person's body, appearance and
hygiene
-Done on a daily basis with preferences of each individual --> Activities of Daily Living
-Ex.) toileting, assisting with face/hand wash, mouth care
