LNA Week 14 Comprehensive State Board Exam Prep 2026/2027
UPDATE
1. When a resident is on ‘NPO’ status, the Licensed Nursing Assistant should:
A. Remove the water pitcher and glass from the room
B. Provide fluids only through a straw
C. Offer small frequent snacks instead of large meals
D. Monitor the resident for signs of hyperglycemia
Answer: A
Rationale: NPO stands for ‘nothing by mouth.’ To prevent accidental ingestion, all water
and food sources should be removed from the resident’s reach.
2. What is the first sign of a developing pressure ulcer?
A. Bleeding and drainage
B. Coolness to the touch
C. Deep purple bruising
D. Non-blanchable redness
Answer: D
Rationale: A Stage 1 pressure ulcer is characterized by skin that is intact but displays a
reddened area that does not turn white (blanch) when pressed.
,3. When performing perineal care on a female resident, the LNA must wash:
A. From back to front
B. In a circular motion
C. Only if the resident is incontinent
D. From front to back
Answer: D
Rationale: Wiping from front to back (cleanest to dirtiest) prevents the spread of bacteria
from the anal area to the urinary meatus, reducing UTI risk.
4. A resident has a weak left side following a stroke. When dressing the
resident, the LNA should:
A. Dress the right side first
B. Dress the left side first
C. Let the resident decide which side
D. Always use a hospital gown
Answer: B
Rationale: When dressing a resident with one-sided weakness, you should ‘Put On the
Weak’ (POW) side first to minimize strain and facilitate ease of movement.
5. Which of the following is considered a normal respiratory rate for an adult at
rest?
A. 8 to 10 breaths per minute
B. 12 to 20 breaths per minute
C. 22 to 30 breaths per minute
D. 32 to 40 breaths per minute
Answer: B
Rationale: The standard normal range for an adult respiratory rate is 12 to 20 breaths per
minute.
, 6. An LNA is caring for a resident with C-diff. Which hand hygiene method is
mandatory?
A. Washing with soap and water
B. Rinsing with cold water only
C. Alcohol-based hand rub
D. Using a sterile saline solution
Answer: A
Rationale: C-diff spores are resistant to alcohol-based sanitizers. Friction from soap and
running water is necessary to physically remove the spores.
7. What is the primary purpose of ‘Standard Precautions’?
A. To prevent the spread of infection from all body fluids
B. To use only when a resident is known to be infected
C. To protect only the healthcare worker
D. To reduce the cost of medical supplies
Answer: A
Rationale: Standard Precautions assume every person is potentially infected and apply to
blood, all body fluids, non-intact skin, and mucous membranes.
8. While transferring a resident, the resident begins to fall. The LNA should:
A. Try to catch the resident to prevent the fall
B. Hold the resident upright by their arms
C. Widen their stance and ease the resident to the floor
D. Quickly run to get help from another staff member
Answer: C
Rationale: Attempting to stop a fall can injure both the LNA and the resident. The safest
method is to support the resident and guide them slowly to the floor.
UPDATE
1. When a resident is on ‘NPO’ status, the Licensed Nursing Assistant should:
A. Remove the water pitcher and glass from the room
B. Provide fluids only through a straw
C. Offer small frequent snacks instead of large meals
D. Monitor the resident for signs of hyperglycemia
Answer: A
Rationale: NPO stands for ‘nothing by mouth.’ To prevent accidental ingestion, all water
and food sources should be removed from the resident’s reach.
2. What is the first sign of a developing pressure ulcer?
A. Bleeding and drainage
B. Coolness to the touch
C. Deep purple bruising
D. Non-blanchable redness
Answer: D
Rationale: A Stage 1 pressure ulcer is characterized by skin that is intact but displays a
reddened area that does not turn white (blanch) when pressed.
,3. When performing perineal care on a female resident, the LNA must wash:
A. From back to front
B. In a circular motion
C. Only if the resident is incontinent
D. From front to back
Answer: D
Rationale: Wiping from front to back (cleanest to dirtiest) prevents the spread of bacteria
from the anal area to the urinary meatus, reducing UTI risk.
4. A resident has a weak left side following a stroke. When dressing the
resident, the LNA should:
A. Dress the right side first
B. Dress the left side first
C. Let the resident decide which side
D. Always use a hospital gown
Answer: B
Rationale: When dressing a resident with one-sided weakness, you should ‘Put On the
Weak’ (POW) side first to minimize strain and facilitate ease of movement.
5. Which of the following is considered a normal respiratory rate for an adult at
rest?
A. 8 to 10 breaths per minute
B. 12 to 20 breaths per minute
C. 22 to 30 breaths per minute
D. 32 to 40 breaths per minute
Answer: B
Rationale: The standard normal range for an adult respiratory rate is 12 to 20 breaths per
minute.
, 6. An LNA is caring for a resident with C-diff. Which hand hygiene method is
mandatory?
A. Washing with soap and water
B. Rinsing with cold water only
C. Alcohol-based hand rub
D. Using a sterile saline solution
Answer: A
Rationale: C-diff spores are resistant to alcohol-based sanitizers. Friction from soap and
running water is necessary to physically remove the spores.
7. What is the primary purpose of ‘Standard Precautions’?
A. To prevent the spread of infection from all body fluids
B. To use only when a resident is known to be infected
C. To protect only the healthcare worker
D. To reduce the cost of medical supplies
Answer: A
Rationale: Standard Precautions assume every person is potentially infected and apply to
blood, all body fluids, non-intact skin, and mucous membranes.
8. While transferring a resident, the resident begins to fall. The LNA should:
A. Try to catch the resident to prevent the fall
B. Hold the resident upright by their arms
C. Widen their stance and ease the resident to the floor
D. Quickly run to get help from another staff member
Answer: C
Rationale: Attempting to stop a fall can injure both the LNA and the resident. The safest
method is to support the resident and guide them slowly to the floor.
