NC Nurse Aide Written State Final
Exam Questions and Correct Answers
Rated A+(2025-2026) Edition.
Define Nurse Aide 1 - Answer -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) - Answer -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? - Answer 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? - Answer The North Carolina Board of Nursing
North Carolina Nurse Aide Registry - Answer -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? - Answer 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? - Answer -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 job responsibilities of a NA? - Answer -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 - Answer -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
Why is delegation used? - Answer -Improves efficiency and shows trust in others, while the
Nurse is still accountable
What are points to remember when it comes to delegation? - Answer -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 - Answer -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 - Answer -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
Hygiene - Answer -Tasks performed to keep bodies clean and healthy
-Ex.) bathing, brushing teeth
, Activities of Daily Living - Answer -Hygiene, grooming, dressing, eating, transferring, toileting
Interpersonal Skills - Answer -Essential skills used by a person when working with others
-Refers to provider's ability to get along with others while getting the job done
Infection Prevention - Answer -Ways to control and prevent the spread of infection
Infection - Answer -A disease or condition of the body that occurs when harmful germs get
into the body and grow in number
Localized Infection - Answer -Infection found in one part of the body and symptoms are
limited to that one part of the body
Symptoms: red, painful, hot, puffy, drainage
Systemic Infection - Answer -Infection that affects an entire body part or entire body system
Symptoms: fever, chills, confusion, feeling tired, nausea/vomiting
Ex.) Respiratory infection
What are the symptoms of a respiratory infection? - Answer -Fever and chills
-Sniffling and snorting
-Coughing and sneezing
-Hacking up globs of green or yellow, slimy mucous
This is a type of systemic infection
What are the symptoms of a bladder infection? - Answer -Fever and chills
-Pain during urination
-Bad or strong-smelling urine, with possible blood
-"My urine smells and it hurts when I use the bathroom"
What are the symptoms of a stomach infection? - Answer -Person with a stomach infection
will probably have stomach pains and may vomit
Exam Questions and Correct Answers
Rated A+(2025-2026) Edition.
Define Nurse Aide 1 - Answer -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) - Answer -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? - Answer 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? - Answer The North Carolina Board of Nursing
North Carolina Nurse Aide Registry - Answer -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? - Answer 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? - Answer -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 job responsibilities of a NA? - Answer -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 - Answer -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
Why is delegation used? - Answer -Improves efficiency and shows trust in others, while the
Nurse is still accountable
What are points to remember when it comes to delegation? - Answer -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 - Answer -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 - Answer -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
Hygiene - Answer -Tasks performed to keep bodies clean and healthy
-Ex.) bathing, brushing teeth
, Activities of Daily Living - Answer -Hygiene, grooming, dressing, eating, transferring, toileting
Interpersonal Skills - Answer -Essential skills used by a person when working with others
-Refers to provider's ability to get along with others while getting the job done
Infection Prevention - Answer -Ways to control and prevent the spread of infection
Infection - Answer -A disease or condition of the body that occurs when harmful germs get
into the body and grow in number
Localized Infection - Answer -Infection found in one part of the body and symptoms are
limited to that one part of the body
Symptoms: red, painful, hot, puffy, drainage
Systemic Infection - Answer -Infection that affects an entire body part or entire body system
Symptoms: fever, chills, confusion, feeling tired, nausea/vomiting
Ex.) Respiratory infection
What are the symptoms of a respiratory infection? - Answer -Fever and chills
-Sniffling and snorting
-Coughing and sneezing
-Hacking up globs of green or yellow, slimy mucous
This is a type of systemic infection
What are the symptoms of a bladder infection? - Answer -Fever and chills
-Pain during urination
-Bad or strong-smelling urine, with possible blood
-"My urine smells and it hurts when I use the bathroom"
What are the symptoms of a stomach infection? - Answer -Person with a stomach infection
will probably have stomach pains and may vomit
