ILLINOIS NURSE AIDE COMPETENCY EXAM – PRACTICE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
*CORE DOMAINS*
Basic Nursing Skills
Personal Care Skills
Mental Health and Social Service Needs
Basic Restorative Services
Resident Rights
Safety and Infection Control
Communication and Documentation
Legal and Ethical Responsibilities
, *INTRODUCTION*
The purpose of this examination is to evaluate the clinical knowledge and professional
competence of individuals seeking certification as a Nurse Aide. This assessment covers
essential nursing skills, safety protocols, and the holistic care requirements of residents
in healthcare settings. The exam utilizes a multiple-choice and scenario-based structure
to measure both foundational theory and the ability to apply professional judgment in
real-world situations. Success requires a thorough understanding of resident rights,
infection control, and restorative care. Emphasis is placed on critical thinking, ethical
decision-making, and the application of safety standards to ensure the highest quality of
resident care and legal compliance.
SECTION ONE: QUESTIONS 1–100
1. A resident has a Do Not Resuscitate (DNR) order. The nurse aide enters the room
and finds the resident is not breathing and has no pulse. What should the nurse
aide do?
A. Begin cardiopulmonary resuscitation (CPR) immediately.
B. Call the family to ask for permission to perform CPR.
🟢 C. Report the situation to the nurse immediately.
🔴 RATIONALE: When a resident has a DNR order, the nurse aide must follow
, facility policy, which typically involves notifying the nurse immediately to verify the
status and declare the time of death.
2. Which of the following is the best way to prevent the spread of infection?
🟢 A. Performing hand hygiene before and after resident contact.
B. Using gloves for every task performed in the facility.
C. Keeping the resident's door closed at all times.
D. Using antibiotics for every resident with a cough.
🔴 RATIONALE: Hand hygiene is the single most effective way to prevent the
transmission of microorganisms and healthcare-associated infections.
3. When assisting a resident who has a weak left side with dressing, which arm
should be put in the sleeve first?
A. The right arm.
🟢 B. The left arm.
C. Both arms at the same time.
D. Whichever arm is easier to reach.
🔴 RATIONALE: To maintain safety and ease of movement, you should always
dress the weak (affected) side first and undress the strong (unaffected) side first.
4. A resident’s family member asks you about the resident’s medical diagnosis. What
should you do?
A. Answer the question if you are sure about the diagnosis.
B. Tell the family member to look at the resident's chart.
, 🟢 C. Refer the family member to the nurse.
D. Answer the question to be helpful.
🔴 RATIONALE: Confidentiality must be maintained at all times; nurse aides do not
have the authority to disclose medical information and must direct inquiries to
licensed nursing staff.
5. How many milliliters (mL) are in one ounce?
A. 15 mL
B. 20 mL
🟢 C. 30 mL
D. 60 mL
🔴 RATIONALE: Standard medical measurement conversion dictates that 1 ounce
is equivalent to approximately 30 mL.
6. Which position is best for a resident who is eating in bed?
A. Supine.
B. Prone.
🟢 C. High Fowler's.
D. Sims'.
🔴 RATIONALE: The High Fowler's position (sitting up at a 60–90 degree angle)
reduces the risk of aspiration and promotes better digestion.
7. When should a nurse aide report a change in a resident's condition?
A. At the end of the shift.
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
*CORE DOMAINS*
Basic Nursing Skills
Personal Care Skills
Mental Health and Social Service Needs
Basic Restorative Services
Resident Rights
Safety and Infection Control
Communication and Documentation
Legal and Ethical Responsibilities
, *INTRODUCTION*
The purpose of this examination is to evaluate the clinical knowledge and professional
competence of individuals seeking certification as a Nurse Aide. This assessment covers
essential nursing skills, safety protocols, and the holistic care requirements of residents
in healthcare settings. The exam utilizes a multiple-choice and scenario-based structure
to measure both foundational theory and the ability to apply professional judgment in
real-world situations. Success requires a thorough understanding of resident rights,
infection control, and restorative care. Emphasis is placed on critical thinking, ethical
decision-making, and the application of safety standards to ensure the highest quality of
resident care and legal compliance.
SECTION ONE: QUESTIONS 1–100
1. A resident has a Do Not Resuscitate (DNR) order. The nurse aide enters the room
and finds the resident is not breathing and has no pulse. What should the nurse
aide do?
A. Begin cardiopulmonary resuscitation (CPR) immediately.
B. Call the family to ask for permission to perform CPR.
🟢 C. Report the situation to the nurse immediately.
🔴 RATIONALE: When a resident has a DNR order, the nurse aide must follow
, facility policy, which typically involves notifying the nurse immediately to verify the
status and declare the time of death.
2. Which of the following is the best way to prevent the spread of infection?
🟢 A. Performing hand hygiene before and after resident contact.
B. Using gloves for every task performed in the facility.
C. Keeping the resident's door closed at all times.
D. Using antibiotics for every resident with a cough.
🔴 RATIONALE: Hand hygiene is the single most effective way to prevent the
transmission of microorganisms and healthcare-associated infections.
3. When assisting a resident who has a weak left side with dressing, which arm
should be put in the sleeve first?
A. The right arm.
🟢 B. The left arm.
C. Both arms at the same time.
D. Whichever arm is easier to reach.
🔴 RATIONALE: To maintain safety and ease of movement, you should always
dress the weak (affected) side first and undress the strong (unaffected) side first.
4. A resident’s family member asks you about the resident’s medical diagnosis. What
should you do?
A. Answer the question if you are sure about the diagnosis.
B. Tell the family member to look at the resident's chart.
, 🟢 C. Refer the family member to the nurse.
D. Answer the question to be helpful.
🔴 RATIONALE: Confidentiality must be maintained at all times; nurse aides do not
have the authority to disclose medical information and must direct inquiries to
licensed nursing staff.
5. How many milliliters (mL) are in one ounce?
A. 15 mL
B. 20 mL
🟢 C. 30 mL
D. 60 mL
🔴 RATIONALE: Standard medical measurement conversion dictates that 1 ounce
is equivalent to approximately 30 mL.
6. Which position is best for a resident who is eating in bed?
A. Supine.
B. Prone.
🟢 C. High Fowler's.
D. Sims'.
🔴 RATIONALE: The High Fowler's position (sitting up at a 60–90 degree angle)
reduces the risk of aspiration and promotes better digestion.
7. When should a nurse aide report a change in a resident's condition?
A. At the end of the shift.
