Missouri Nurse Aide Examiner Exam
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A | Instant Download Pdf
1. A resident is at risk for pressure ulcers. Which action is most
important?
A. Massage bony prominences
B. Reposition every 2 hours
C. Keep head of bed elevated at all times
D. Limit fluid intake
Answer: B. Reposition every 2 hours
Rationale: Frequent repositioning relieves pressure on bony areas
and prevents skin breakdown and pressure ulcer formation.
2. Which is the best way to measure a resident’s intake of liquids?
A. Estimate by eye
B. Record only fluids with meals
C. Measure in milliliters or ounces using a graduated container
D. Ask the resident how much they drank
, Answer: C. Measure in milliliters or ounces using a graduated
container
Rationale: Accurate intake and output measurement requires
standardized measuring tools.
3. A nurse aide observes a fire in a resident’s room. What is the first
action?
A. Pull the fire alarm
B. Remove the resident from danger
C. Close all windows
D. Call the supervisor
Answer: B. Remove the resident from danger
Rationale: Resident safety is the first priority in the RACE fire
response protocol.
4. When providing perineal care to a female resident, the aide should
wipe:
A. Back to front
B. Front to back
C. In a circular motion
D. Side to side
Answer: B. Front to back
Rationale: Wiping front to back prevents contamination from the
rectal area to the urinary tract.
,5. Which sign may indicate dehydration?
A. Moist skin
B. Increased urine output
C. Dry mucous membranes
D. Weight gain
Answer: C. Dry mucous membranes
Rationale: Dehydration commonly causes dry mouth, poor skin
turgor, and decreased urine output.
6. The safest way to transfer a resident from bed to wheelchair is to:
A. Lift under the arms
B. Use a gait belt
C. Pull the arms
D. Hold hands only
Answer: B. Use a gait belt
Rationale: A gait belt provides safe support and reduces risk of injury
to both resident and aide.
7. A resident refuses a bath. The nurse aide should:
A. Force the bath
B. Report refusal and document it
C. Try again later or ask for reason
D. Ignore the refusal
Answer: C. Try again later or ask for reason
, Rationale: Residents have the right to refuse care; the aide should
respect and encourage later compliance.
8. Standard precautions are used:
A. Only for infected patients
B. Only in hospitals
C. For all residents at all times
D. Only during procedures
Answer: C. For all residents at all times
Rationale: Standard precautions prevent infection by treating all
bodily fluids as potentially infectious.
9. The normal adult pulse rate is:
A. 20–40 bpm
B. 60–100 bpm
C. 110–140 bpm
D. 150–180 bpm
Answer: B. 60–100 bpm
Rationale: A normal resting adult pulse typically ranges from 60 to
100 beats per minute.
10. When turning a resident in bed, the nurse aide should:
A. Pull the resident by the arm
B. Keep the body aligned
C. Twist the torso
D. Raise the bed rails first
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A | Instant Download Pdf
1. A resident is at risk for pressure ulcers. Which action is most
important?
A. Massage bony prominences
B. Reposition every 2 hours
C. Keep head of bed elevated at all times
D. Limit fluid intake
Answer: B. Reposition every 2 hours
Rationale: Frequent repositioning relieves pressure on bony areas
and prevents skin breakdown and pressure ulcer formation.
2. Which is the best way to measure a resident’s intake of liquids?
A. Estimate by eye
B. Record only fluids with meals
C. Measure in milliliters or ounces using a graduated container
D. Ask the resident how much they drank
, Answer: C. Measure in milliliters or ounces using a graduated
container
Rationale: Accurate intake and output measurement requires
standardized measuring tools.
3. A nurse aide observes a fire in a resident’s room. What is the first
action?
A. Pull the fire alarm
B. Remove the resident from danger
C. Close all windows
D. Call the supervisor
Answer: B. Remove the resident from danger
Rationale: Resident safety is the first priority in the RACE fire
response protocol.
4. When providing perineal care to a female resident, the aide should
wipe:
A. Back to front
B. Front to back
C. In a circular motion
D. Side to side
Answer: B. Front to back
Rationale: Wiping front to back prevents contamination from the
rectal area to the urinary tract.
,5. Which sign may indicate dehydration?
A. Moist skin
B. Increased urine output
C. Dry mucous membranes
D. Weight gain
Answer: C. Dry mucous membranes
Rationale: Dehydration commonly causes dry mouth, poor skin
turgor, and decreased urine output.
6. The safest way to transfer a resident from bed to wheelchair is to:
A. Lift under the arms
B. Use a gait belt
C. Pull the arms
D. Hold hands only
Answer: B. Use a gait belt
Rationale: A gait belt provides safe support and reduces risk of injury
to both resident and aide.
7. A resident refuses a bath. The nurse aide should:
A. Force the bath
B. Report refusal and document it
C. Try again later or ask for reason
D. Ignore the refusal
Answer: C. Try again later or ask for reason
, Rationale: Residents have the right to refuse care; the aide should
respect and encourage later compliance.
8. Standard precautions are used:
A. Only for infected patients
B. Only in hospitals
C. For all residents at all times
D. Only during procedures
Answer: C. For all residents at all times
Rationale: Standard precautions prevent infection by treating all
bodily fluids as potentially infectious.
9. The normal adult pulse rate is:
A. 20–40 bpm
B. 60–100 bpm
C. 110–140 bpm
D. 150–180 bpm
Answer: B. 60–100 bpm
Rationale: A normal resting adult pulse typically ranges from 60 to
100 beats per minute.
10. When turning a resident in bed, the nurse aide should:
A. Pull the resident by the arm
B. Keep the body aligned
C. Twist the torso
D. Raise the bed rails first
