Over 200 questions and answers usually covered in some American states nursing assistant certification exams

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Below are objective questions and answers that could similar to those you may encounter on the Illinois State Nursing Assistant exam. These questions are based on typical content areas covered in nursing assistant certification exams.

1-10: Basic Nursing Skills

  1. What is the normal adult blood pressure range?
    • A) 90/60 mmHg to 120/80 mmHg
    • Answer: A
  2. Which of the following positions is used for a resident who has difficulty breathing?
    • A) Supine
    • B) Lateral
    • C) Fowler’s
    • Answer: C
  3. What is the normal range for an adult’s pulse rate?
    • A) 60-100 beats per minute
    • Answer: A
  4. When washing your hands, how long should you rub your hands together?
    • A) At least 20 seconds
    • Answer: A
  5. What is the first thing a nursing assistant should do when finding an unresponsive resident?
    • A) Call for help
    • Answer: A
  6. When is it appropriate to take a rectal temperature?
    • A) When other methods are not possible
    • Answer: A
  7. What is the first step in performing a partial bed bath?
    • A) Wash your hands
    • Answer: A
  8. Which of the following devices is used to help a resident walk?
    • A) Cane
    • Answer: A
  9. What is the normal range for adult respirations per minute?
    • A) 12-20 breaths per minute
    • Answer: A
  10. How often should a resident’s position be changed to prevent pressure ulcers?
    • A) Every 2 hours
    • Answer: A

11-20: Safety and Emergency Procedures

  1. Which of the following is an important safety procedure when feeding a resident?
    • A) Ensure the resident is in an upright position
    • Answer: A
  2. If a fire occurs in a healthcare facility, what is the first thing you should do?
    • A) Rescue anyone in immediate danger
    • Answer: A
  3. What is the primary reason for using side rails on a bed?
    • A) To prevent falls
    • Answer: A
  4. When transferring a resident from bed to a wheelchair, where should the wheelchair be placed?
    • A) At the head of the bed
    • B) At the foot of the bed
    • C) Parallel to the bed
    • Answer: C
  5. What should be done if a resident starts choking and is unable to speak?
    • A) Perform the Heimlich maneuver
    • Answer: A
  6. What is the most important step when assisting a resident in using a walker?
    • A) Ensure the walker is the correct height
    • Answer: A
  7. What does RACE stand for in fire safety?
    • A) Rescue, Alarm, Contain, Extinguish
    • Answer: A
  8. What should you do if a resident falls?
    • A) Stay with the resident and call for help
    • Answer: A
  9. What is the first action in controlling bleeding?
    • A) Apply direct pressure
    • Answer: A
  10. Which of the following is a sign of a stroke?
    • A) Sudden weakness on one side of the body
    • Answer: A

21-30: Infection Control

  1. Which of the following is the most effective way to prevent the spread of infection?
    • A) Handwashing
    • Answer: A
  2. What is the first step in donning personal protective equipment (PPE)?
    • A) Put on gloves
    • B) Put on a gown
    • C) Put on a mask
    • Answer: B
  3. What is the proper way to dispose of a used disposable razor?
    • A) Place it in a sharps container
    • Answer: A
  4. When should gloves be worn?
    • A) When contact with blood or body fluids is likely
    • Answer: A
  5. What is the best method to clean up a small blood spill?
    • A) Wear gloves and use a bleach solution
    • Answer: A
  6. Which of the following is considered a sterile procedure?
    • A) Catheterization
    • Answer: A
  7. How long should alcohol-based hand rub be used to disinfect hands?
    • A) Until the hands are dry
    • Answer: A
  8. Which of the following should be done after removing gloves?
    • A) Wash hands
    • Answer: A
  9. What type of isolation is required for a resident with tuberculosis?
    • A) Airborne precautions
    • Answer: A
  10. What is the correct procedure for cleaning a resident’s dentures?
    • A) Brush them over a basin lined with a towel
    • Answer: A

31-40: Personal Care Skills

  1. When performing mouth care for an unconscious resident, how should the resident be positioned?
    • A) On their side
    • Answer: A
  2. What is the recommended water temperature for a tub bath?
    • A) 105°F
    • Answer: A
  3. How should fingernails be trimmed?
    • A) Straight across and filed
    • Answer: A
  4. Which of the following is the proper method for washing the perineal area?
    • A) Front to back
    • Answer: A
  5. When should a resident’s nails be cleaned and trimmed?
    • A) As needed
    • Answer: A
  6. What is the purpose of a back rub during personal care?
    • A) To improve circulation and relax the resident
    • Answer: A
  7. How should a nursing assistant care for a resident’s hair?
    • A) Comb and style it according to the resident’s preferences
    • Answer: A
  8. What is the first step in assisting a resident with dressing?
    • A) Ask them which clothes they prefer to wear
    • Answer: A
  9. When providing foot care, what should the nursing assistant do first?
    • A) Soak the resident’s feet in warm water
    • Answer: A
  10. Which of the following is the best way to prevent a resident from becoming chilled during a bath?
    • A) Cover the resident with a bath blanket
    • Answer: A

41-50: Communication and Documentation

  1. What should you do if a resident refuses care?
    • A) Report the refusal to the nurse
    • Answer: A
  2. How should you respond if a resident becomes upset or angry?
    • A) Listen calmly and provide reassurance
    • Answer: A
  3. Which of the following is the correct way to address a resident?
    • A) Use the resident’s preferred name
    • Answer: A
  4. What is the best way to communicate with a resident who has hearing impairment?
    • A) Speak clearly and face the resident
    • Answer: A
  5. Which of the following is essential when documenting care?
    • A) Record the care immediately after providing it
    • Answer: A
  6. What is the most important action to take when communicating with a resident who does not speak English?
    • A) Use an interpreter
    • Answer: A
  7. How should an incident report be completed?
    • A) Accurately and objectively
    • Answer: A
  8. What is the purpose of using open-ended questions with residents?
    • A) To encourage more detailed responses
    • Answer: A
  9. Which of the following is appropriate when communicating with a resident with dementia?
    • A) Use short, simple statements
    • Answer: A
  10. How should a nursing assistant respond if a resident starts to cry?
    • A) Offer support and ask if they would like to talk about it
    • Answer: A

These questions and answers cover a broad range of topics likely to be included in the Illinois State Nursing Assistant Exam, helping you prepare for various scenarios and knowledge areas.

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Here are 50 more objective questions and answers to help you further prepare for the Illinois State Nursing Assistant exam. These cover various key areas related to nursing assistant responsibilities.

51-60: Residents’ Rights

  1. What does the term “resident’s rights” refer to?
    • A) The legal rights granted to residents in long-term care facilities
    • Answer: A
  2. Which of the following is a violation of a resident’s rights?
    • A) Restricting access to visitors without the resident’s consent
    • Answer: A
  3. If a resident refuses treatment, what should the nursing assistant do?
    • A) Respect the resident’s decision and report it to the nurse
    • Answer: A
  4. What is the correct action if a resident wants to see their medical records?
    • A) Notify the nurse, as the resident has the right to access their records
    • Answer: A
  5. Which of the following protects residents from abuse and neglect in long-term care facilities?
    • A) The Omnibus Budget Reconciliation Act (OBRA)
    • Answer: A
  6. What should you do if a resident complains of being mistreated?
    • A) Report the complaint immediately to the nurse
    • Answer: A
  7. What is the purpose of the Resident Bill of Rights?
    • A) To ensure residents are treated with respect and dignity
    • Answer: A
  8. Which of the following is a resident’s right under OBRA?
    • A) The right to privacy and confidentiality
    • Answer: A
  9. What should a nursing assistant do if they witness another staff member verbally abusing a resident?
    • A) Report the incident to the supervisor immediately
    • Answer: A
  10. Which of the following is considered a form of neglect?
    • A) Failing to turn a resident every 2 hours as required
    • Answer: A

61-70: Nutrition and Hydration

  1. What is the most accurate way to measure fluid intake?
    • A) Record the amount of fluids consumed in milliliters (mL)
    • Answer: A
  2. Which of the following foods is high in protein?
    • A) Chicken
    • Answer: A
  3. When should a nursing assistant provide fluids to a resident?
    • A) Throughout the day, especially during meals and snack times
    • Answer: A
  4. Which of the following is a sign of dehydration?
    • A) Dry mouth and decreased urine output
    • Answer: A
  5. What is the recommended daily fluid intake for an average adult?
    • A) 1500-2000 mL
    • Answer: A
  6. When assisting a resident with dysphagia (difficulty swallowing), which of the following is important?
    • A) Offer thickened liquids if prescribed
    • Answer: A
  7. What is the main purpose of providing a resident with a special diet, such as low-sodium or diabetic?
    • A) To manage specific health conditions
    • Answer: A
  8. What is the correct action if a resident eats only part of their meal?
    • A) Document the amount eaten and notify the nurse if needed
    • Answer: A
  9. Which of the following is the best way to prevent aspiration in a resident with a swallowing disorder?
    • A) Ensure the resident is sitting upright during and after meals
    • Answer: A
  10. Which nutrient is essential for tissue repair and growth?
    • A) Protein
    • Answer: A

71-80: Restorative Care

  1. What is the goal of restorative care?
    • A) To help residents regain and maintain their independence
    • Answer: A
  2. Which of the following is an example of active range of motion (ROM) exercises?
    • A) The resident performs the exercises without assistance
    • Answer: A
  3. When assisting a resident with ambulation, what is the best way to support them?
    • A) Stand on their weaker side and use a gait belt if needed
    • Answer: A
  4. How often should range of motion exercises be performed for a resident?
    • A) As directed by the care plan, usually daily
    • Answer: A
  5. What should a nursing assistant do if a resident refuses to participate in restorative care?
    • A) Encourage them, but respect their decision and inform the nurse
    • Answer: A
  6. Which of the following is a common complication of immobility?
    • A) Pressure ulcers
    • Answer: A
  7. What is the primary purpose of a splint or brace?
    • A) To support and align the affected limb
    • Answer: A
  8. Which of the following is the correct technique when helping a resident to stand from a seated position?
    • A) Encourage the resident to use their arms and legs to push up
    • Answer: A
  9. What should be done if a resident becomes fatigued during ambulation?
    • A) Allow them to rest and offer support
    • Answer: A
  10. Why is it important to encourage residents to perform tasks independently?
    • A) It promotes self-esteem and physical functioning
    • Answer: A

81-90: Mental Health and Social Service Needs

  1. What is the most important thing to do when caring for a resident with dementia?
    • A) Provide a calm and structured environment
    • Answer: A
  2. Which of the following can help reduce agitation in a resident with Alzheimer’s disease?
    • A) Engaging them in familiar activities
    • Answer: A
  3. How should you approach a resident with depression?
    • A) Offer support, listen, and encourage participation in activities
    • Answer: A
  4. Which of the following is a sign of anxiety in a resident?
    • A) Restlessness and difficulty concentrating
    • Answer: A
  5. What is the best response if a resident begins to express feelings of hopelessness?
    • A) Listen attentively and notify the nurse immediately
    • Answer: A
  6. How can you help a resident who feels lonely?
    • A) Encourage social interaction and participation in group activities
    • Answer: A
  7. What should a nursing assistant do if a resident shows signs of confusion?
    • A) Reorient them to time, place, and person as needed
    • Answer: A
  8. Which of the following is a way to support a resident’s mental health?
    • A) Provide opportunities for meaningful activities
    • Answer: A
  9. What is the best way to respond to a resident who is experiencing delusions?
    • A) Avoid arguing and offer reassurance
    • Answer: A
  10. What should you do if a resident with dementia becomes combative?
    • A) Stay calm, ensure safety, and try to redirect their attention
    • Answer: A
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91-100: End-of-Life Care

  1. What is the primary focus of hospice care?
    • A) Comfort and quality of life for the terminally ill
    • Answer: A
  2. What is the purpose of palliative care?
    • A) To provide relief from the symptoms and stress of serious illness
    • Answer: A
  3. Which of the following is a common sign of approaching death?
    • A) Decreased appetite and fluid intake
    • Answer: A
  4. What should be done if a resident expresses fear of dying?
    • A) Offer emotional support and listen to their concerns
    • Answer: A
  5. How should a nursing assistant provide care for a dying resident?
    • A) Focus on comfort measures and respecting their wishes
    • Answer: A
  6. What is the best way to support a resident’s family during end-of-life care?
    • A) Provide information, comfort, and allow them to be involved
    • Answer: A
  7. How can you help a resident with a terminal illness who is in pain?
    • A) Report their pain to the nurse so pain relief can be provided
    • Answer: A
  8. What is the correct way to provide post-mortem care?
    • A) Follow facility policy and respect the resident’s dignity
    • Answer: A
  9. Which of the following is an important consideration when providing end-of-life care?
    • A) Cultural and religious beliefs
    • Answer: A
  10. How can you best support a resident’s spiritual needs during end-of-life care? – A) Facilitate access to spiritual advisors and rituals
    – Answer: A

These additional questions cover more advanced topics, such as residents’ rights, mental health, restorative care, and end-of-life care, offering a well-rounded preparation for your exam.

Here are more objective questions with four answer options (A to D), focusing on various topics related to the nursing assistant exam. These questions are designed to cover different areas from those already provided.

101-110: Basic Nursing Skills

  1. What should you do if you notice a resident’s urine is cloudy and has a strong odor?
  • A) Discard the urine immediately
  • B) Report it to the nurse
  • C) Give the resident more water
  • D) Continue with regular care
  • Answer: B
  1. When providing oral care to a resident who is unconscious, what is the most important precaution?
  • A) Use mouthwash
  • B) Keep the resident in a flat position
  • C) Use minimal water to prevent choking
  • D) Use a soft-bristled toothbrush
  • Answer: C
  1. When counting a resident’s respirations, the nursing assistant should:
  • A) Tell the resident to take deep breaths
  • B) Count each breath for 15 seconds and multiply by 4
  • C) Count each rise and fall of the chest as one breath
  • D) Measure the resident’s pulse at the same time
  • Answer: C
  1. Which of the following should be done before feeding a resident who is in bed?
  • A) Lower the bed to a flat position
  • B) Check the resident’s blood pressure
  • C) Assist the resident to a sitting position
  • D) Offer the resident a glass of water
  • Answer: C
  1. Which of the following is a sign of infection in a wound?
  • A) Decreased temperature at the wound site
  • B) Clear drainage
  • C) Redness and swelling
  • D) Smooth, pink tissue growth
  • Answer: C
  1. What should you do if you notice a resident has a reddened area on their skin?
  • A) Rub the area vigorously
  • B) Massage the area gently
  • C) Apply lotion to the area
  • D) Report it to the nurse
  • Answer: D
  1. Which position is most appropriate for a resident receiving an enema?
  • A) Supine
  • B) Prone
  • C) Sims’ (left side-lying)
  • D) Fowler’s
  • Answer: C
  1. What is the best way to protect a resident’s privacy during a bed bath?
  • A) Close the curtain and doors
  • B) Bathe the resident only in the shower
  • C) Cover the resident completely with a blanket
  • D) Bathe the resident quickly to avoid exposure
  • Answer: A
  1. Which of the following is the first step in performing passive range of motion exercises?
  • A) Wash your hands
  • B) Identify which joint to exercise
  • C) Explain the procedure to the resident
  • D) Position the resident in bed
  • Answer: C
  1. What is the first step in taking a resident’s blood pressure?
  • A) Place the stethoscope on the brachial artery
  • B) Inflate the blood pressure cuff
  • C) Clean the stethoscope earpieces
  • D) Ensure the resident’s arm is at heart level
  • Answer: D

111-120: Safety and Infection Control

  1. Which of the following is the correct way to handle soiled linens?
  • A) Shake the linens to remove debris
  • B) Hold the linens close to your body
  • C) Place the linens directly on the floor
  • D) Place the linens in a designated laundry bag
  • Answer: D
  1. Which of the following should be done to prevent falls in residents?
  • A) Keep the bed in the highest position
  • B) Encourage residents to walk barefoot
  • C) Keep the call light within reach
  • D) Lock all doors and windows
  • Answer: C
  1. What should you do if a resident begins to have a seizure?
  • A) Restrain the resident
  • B) Place a spoon in the resident’s mouth
  • C) Protect the resident’s head and wait for the seizure to end
  • D) Move the resident to a sitting position
  • Answer: C
  1. Which of the following is most important to prevent the spread of Clostridium difficile (C. diff)?
  • A) Use hand sanitizer
  • B) Wash hands with soap and water
  • C) Wear a gown and gloves at all times
  • D) Isolate the resident in a private room
  • Answer: B
  1. Which of the following is the correct way to remove gloves?
  • A) Grab the cuff of one glove and pull it off without touching your skin
  • B) Pull one glove off and place it in your pocket
  • C) Touch the outside of both gloves and pull them off simultaneously
  • D) Remove both gloves and place them directly in the trash
  • Answer: A
  1. Which of the following is the correct sequence for donning personal protective equipment (PPE)?
  • A) Gloves, gown, mask, goggles
  • B) Gown, gloves, mask, goggles
  • C) Gown, mask, goggles, gloves
  • D) Mask, gown, gloves, goggles
  • Answer: C
  1. Which of the following is the correct method for removing a resident from a fire?
  • A) Push the bed or wheelchair quickly down the hallway
  • B) Carry the resident if possible
  • C) Use the “fireman’s carry” technique
  • D) Follow the facility’s evacuation plan
  • Answer: D
  1. Which of the following is the best way to protect yourself from a bloodborne pathogen exposure?
  • A) Use only water to clean up spills
  • B) Wear gloves and other protective gear
  • C) Always carry disinfectant wipes
  • D) Avoid touching residents who are bleeding
  • Answer: B
  1. How often should high-touch surfaces (e.g., bed rails, doorknobs) be cleaned in a healthcare facility?
  • A) Weekly
  • B) Monthly
  • C) Twice a day
  • D) Daily or more often if visibly soiled
  • Answer: D
  1. What should you do if you are exposed to a resident’s blood?
  • A) Ignore it if you are wearing gloves
  • B) Report the exposure immediately and follow facility protocols
  • C) Rinse the area with water and continue working
  • D) Wait until your shift is over to report it
  • Answer: B

121-130: Mental Health and Communication

  1. Which of the following is a good communication technique when speaking with a resident who is visually impaired?
  • A) Speak loudly so the resident can hear you
  • B) Speak clearly and explain what you are doing
  • C) Avoid physical contact to prevent startling the resident
  • D) Move the resident’s belongings without asking
  • Answer: B
  1. What should you do if a resident who is usually talkative suddenly becomes withdrawn and quiet?
  • A) Ignore the change in behavior
  • B) Encourage the resident to participate in activities
  • C) Ask the resident if they are feeling okay
  • D) Report the change to the nurse
  • Answer: D
  1. Which of the following is an appropriate response to a resident with Alzheimer’s disease who is upset and confused?
  • A) Use reality orientation to correct their confusion
  • B) Provide comfort and reassurance
  • C) Ignore their behavior until they calm down
  • D) Give them detailed explanations
  • Answer: B
  1. How should you respond to a resident who expresses feelings of hopelessness?
  • A) Distract the resident with other activities
  • B) Listen to their concerns and notify the nurse
  • C) Tell them to focus on the positive things in life
  • D) Suggest they talk to another resident
  • Answer: B
  1. Which of the following is a sign that a resident may be experiencing depression?
  • A) Increased socialization
  • B) Improved appetite
  • C) Withdrawal from activities
  • D) Laughing frequently
  • Answer: C
  1. When communicating with a resident who has hearing loss, what is the most effective method?
  • A) Shout to ensure they can hear you
  • B) Speak quickly to get your message across
  • C) Speak clearly and face the resident
  • D) Write down everything you say
  • Answer: C
  1. Which of the following is the most effective way to support a resident with anxiety?
  • A) Encourage them to engage in physical activity
  • B) Avoid discussing their feelings of anxiety
  • C) Provide a quiet and calm environment
  • D) Encourage the resident to talk about their fears constantly
  • Answer: C

121-130: Mental Health and Communication (Continued)

  1. How should you respond if a resident with dementia becomes agitated?
  • A) Yell at the resident to stop the behavior
  • B) Redirect the resident to a different activity
  • C) Ignore the resident’s behavior
  • D) Restrain the resident to prevent harm
  • Answer: B
  1. Which of the following should you do when communicating with a non-verbal resident?
  • A) Assume the resident cannot understand you
  • B) Use gestures and facial expressions to communicate
  • C) Speak only to the resident’s family
  • D) Only communicate using written notes
  • Answer: B
  1. What is the most appropriate action if a resident begins crying during a conversation?
  • A) Change the subject immediately
  • B) Ignore the crying and continue talking
  • C) Offer comfort and allow the resident to express their emotions
  • D) Leave the room to give the resident privacy
  • Answer: C
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131-140: Body Mechanics and Positioning

  1. Which of the following body mechanics should be used when lifting a heavy object?
  • A) Bend at the waist and keep the object away from your body
  • B) Use your legs to lift while keeping your back straight
  • C) Twist your body to lift the object quickly
  • D) Keep your knees locked and lift with your back
  • Answer: B
  1. When turning a resident in bed, what is the first step you should take?
  • A) Position the bed at waist level
  • B) Roll the resident without informing them
  • C) Pull the resident toward you using only your arms
  • D) Push the resident away from you with your feet
  • Answer: A
  1. What is the most effective way to prevent back strain when transferring a resident from bed to a wheelchair?
  • A) Use a mechanical lift
  • B) Bend at the waist
  • C) Twist your upper body as you lift
  • D) Lift the resident on your own
  • Answer: A
  1. Which of the following is a key principle of good body mechanics?
  • A) Keeping objects at arm’s length
  • B) Keeping the back straight and bending at the knees
  • C) Using the arms to lift objects
  • D) Lifting with the back rather than the legs
  • Answer: B
  1. When positioning a resident in bed, how often should their position be changed to prevent pressure sores?
  • A) Every hour
  • B) Every 2 hours
  • C) Every 4 hours
  • D) Once a shift
  • Answer: B
  1. Which position is best for a resident who has difficulty breathing?
  • A) Supine
  • B) Prone
  • C) Fowler’s
  • D) Side-lying
  • Answer: C
  1. What is the best method for transferring a resident from a bed to a wheelchair?
  • A) Have the resident stand and pivot into the wheelchair
  • B) Use a sliding board
  • C) Drag the resident into the wheelchair
  • D) Lift the resident by their arms
  • Answer: B
  1. When using a gait belt, where should the belt be positioned on the resident?
  • A) Over the resident’s shoulders
  • B) Around the resident’s chest
  • C) Around the resident’s waist
  • D) Around the resident’s hips
  • Answer: C
  1. What is the best way to assist a resident with left-sided weakness to walk?
  • A) Walk on the resident’s left side
  • B) Walk on the resident’s right side
  • C) Use a walker without supervision
  • D) Encourage the resident to walk independently
  • Answer: A
  1. When moving a resident up in bed, which of the following should you do to reduce friction?
  • A) Use a draw sheet or lift sheet
  • B) Pull the resident up by their arms
  • C) Move the resident with your hands directly on their back
  • D) Push the resident up using your feet
  • Answer: A

141-150: Caring for Residents with Special Needs

  1. Which of the following is the most appropriate way to assist a resident with a hearing aid?
  • A) Turn the hearing aid off before placing it in the resident’s ear
  • B) Insert the hearing aid without checking the battery
  • C) Speak loudly and clearly to the resident even with the hearing aid
  • D) Ensure the hearing aid is clean and the battery is working
  • Answer: D
  1. How should you respond to a resident who has aphasia (difficulty speaking)?
  • A) Complete their sentences for them
  • B) Encourage the resident to communicate at their own pace
  • C) Avoid conversations with the resident
  • D) Speak to the resident’s family instead of the resident
  • Answer: B
  1. Which of the following is the most important consideration when assisting a resident with Parkinson’s disease during meals?
  • A) Offering large portions to encourage eating
  • B) Providing assistance with utensils and cutting food as needed
  • C) Feeding the resident quickly to avoid spills
  • D) Allowing the resident to eat alone for privacy
  • Answer: B
  1. Which of the following should you do when assisting a resident with a visual impairment?
  • A) Rearrange their personal items to make more space
  • B) Describe the environment and objects around them
  • C) Leave their food tray out of reach to prevent spills
  • D) Speak to the resident’s family about their needs
  • Answer: B
  1. Which of the following is the most effective way to assist a resident who has trouble swallowing (dysphagia)?
  • A) Offer liquids through a straw
  • B) Encourage the resident to lie down after meals
  • C) Offer small bites and thickened liquids as ordered
  • D) Allow the resident to eat quickly to finish the meal
  • Answer: C
  1. What should you do if a resident with a cognitive impairment becomes combative during care?
  • A) Restrain the resident to prevent harm
  • B) Stay calm and try to redirect their attention
  • C) Yell at the resident to stop the behavior
  • D) Leave the resident alone until they calm down
  • Answer: B
  1. Which of the following is a sign of hyperglycemia (high blood sugar) in a diabetic resident?
  • A) Shakiness and sweating
  • B) Dizziness and confusion
  • C) Frequent urination and excessive thirst
  • D) Sudden onset of weakness and fainting
  • Answer: C
  1. Which of the following is the most appropriate action when caring for a resident who is on oxygen therapy?
  • A) Place the oxygen tubing under the bed for safekeeping
  • B) Ensure that there are no kinks in the tubing and the oxygen flow is correct
  • C) Adjust the oxygen flow rate as needed
  • D) Allow the resident to remove the oxygen as desired
  • Answer: B
  1. When assisting a resident with arthritis during activities of daily living, what should you consider?
  • A) Encouraging them to move quickly to prevent stiffness
  • B) Limiting their movement to avoid pain
  • C) Offering assistive devices to help with tasks
  • D) Performing all tasks for the resident to prevent discomfort
  • Answer: C
  1. How can you best assist a resident with chronic obstructive pulmonary disease (COPD) during bathing?
  • A) Encourage them to hold their breath during washing
  • B) Allow the resident to complete the bath quickly without help
  • C) Provide frequent rest periods and assist as needed
  • D) Bathe the resident while they are lying flat
  • Answer: C

These additional questions cover a range of topics, including safety, infection control, communication, body mechanics, and special care needs for residents with various conditions. They are designed to further expand your preparation for the Illinois State Nursing Assistant exam.

Here are 50 more objective questions with four answer options (A to D) to further expand your preparation for the Illinois State Nursing Assistant exam. These questions cover various additional areas and scenarios.

151-160: Activities of Daily Living (ADLs)

  1. What should a nursing assistant do if a resident refuses to eat?
  • A) Force the resident to eat
  • B) Notify the nurse and document the refusal
  • C) Offer double portions to encourage eating
  • D) Ignore the refusal and return later
  • Answer: B
  1. Which of the following is an important consideration when dressing a resident who has a weak side?
  • A) Dress the strong side first
  • B) Dress the weak side first
  • C) Let the resident dress without assistance
  • D) Begin with shoes and socks
  • Answer: B
  1. Which of the following is the best way to prevent a resident’s dentures from being lost or broken?
  • A) Store them in a dry container
  • B) Place them in a tissue on the bedside table
  • C) Keep them in a labeled denture cup with water
  • D) Store them in the resident’s pocket
  • Answer: C
  1. How often should oral care be provided to a resident who is unable to perform it independently?
  • A) Once a day
  • B) Twice a day
  • C) Every four hours
  • D) After each meal and at bedtime
  • Answer: D
  1. Which of the following is the most important consideration when providing perineal care to a resident?
  • A) Use cold water to prevent discomfort
  • B) Clean from back to front
  • C) Use gloves and clean from front to back
  • D) Avoid using soap to prevent irritation
  • Answer: C
  1. When assisting a resident with a partial bath, which area should be washed first?
  • A) The feet
  • B) The face
  • C) The perineal area
  • D) The back
  • Answer: B
  1. Which of the following is the correct procedure for nail care on a diabetic resident?
  • A) Trim the nails as needed
  • B) Soak the feet before trimming nails
  • C) File the nails and avoid trimming without a doctor’s order
  • D) Use scissors to cut the nails quickly
  • Answer: C
  1. When transferring a resident from a bed to a chair using a transfer belt, where should the nursing assistant be positioned?
  • A) Behind the resident
  • B) In front of the resident
  • C) To the side of the resident
  • D) At the head of the bed
  • Answer: B
  1. Which of the following is an effective way to prevent pressure ulcers?
  • A) Applying lotion to reddened areas
  • B) Keeping the skin clean and dry
  • C) Massaging bony areas frequently
  • D) Elevating the head of the bed at all times
  • Answer: B
  1. When providing catheter care, how should the tubing be cleaned?
  • A) Clean from the catheter insertion site outward
  • B) Clean from the end of the tubing toward the insertion site
  • C) Use only water with no soap
  • D) Avoid touching the tubing altogether
  • Answer: A

161-170: Legal and Ethical Issues

  1. Which of the following is a violation of a resident’s rights?
  • A) Explaining a procedure to the resident before performing it
  • B) Refusing to allow a resident to make personal phone calls
  • C) Allowing a resident to attend religious services of their choice
  • D) Respecting a resident’s decision to refuse treatment
  • Answer: B
  1. Which of the following should a nursing assistant do if they suspect a resident is being abused?
  • A) Ignore the situation to avoid conflict
  • B) Confront the suspected abuser directly
  • C) Report the suspicion to the nurse immediately
  • D) Wait for proof before reporting anything
  • Answer: C
  1. What is an example of neglect?
  • A) Forcing a resident to participate in activities
  • B) Failing to reposition a resident as required
  • C) Listening to a resident’s concerns
  • D) Assisting a resident with their meals
  • Answer: B
  1. Which of the following is a violation of HIPAA (Health Insurance Portability and Accountability Act)?
  • A) Sharing a resident’s medical condition with the resident’s family after obtaining consent
  • B) Discussing a resident’s medical condition with a colleague in the hallway
  • C) Transferring a resident’s medical records securely
  • D) Ensuring only authorized personnel have access to medical information
  • Answer: B
  1. A resident has the right to:
  • A) Refuse any type of treatment
  • B) Be restrained if necessary without a doctor’s order
  • C) Have medical care decisions made for them by staff
  • D) Be left alone in an emergency situation
  • Answer: A
  1. What should you do if a resident refuses to take their medication?
  • A) Force the medication on the resident
  • B) Hide the medication in the resident’s food
  • C) Report the refusal to the nurse
  • D) Dispose of the medication without reporting it
  • Answer: C
  1. Which of the following is a form of physical abuse?
  • A) Yelling at a resident
  • B) Hitting or slapping a resident
  • C) Ignoring a resident’s requests
  • D) Speaking disrespectfully to a resident
  • Answer: B
  1. A resident asks you to help them write a letter to their lawyer. What should you do?
  • A) Refuse to help as it is not part of your duties
  • B) Help the resident write the letter as requested
  • C) Write the letter for them without their input
  • D) Report the request to the resident’s family
  • Answer: B
  1. Which of the following is a correct example of maintaining resident confidentiality?
  • A) Discussing a resident’s condition with a friend outside of work
  • B) Sharing a resident’s health information with their roommate
  • C) Keeping resident health information private and secure
  • D) Posting about your workday on social media without mentioning names
  • Answer: C
  1. Which of the following is the correct way to obtain informed consent from a resident?
  • A) Perform the procedure first and explain afterward
  • B) Explain the procedure, including risks and benefits, and obtain the resident’s agreement
  • C) Have a family member consent for the resident
  • D) Inform the resident’s roommate of the procedure
  • Answer: B
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171-180: Nutrition and Hydration

  1. What is the best way to assist a resident with poor vision during mealtime?
  • A) Describe the location of the food items on the plate
  • B) Feed the resident without their input
  • C) Place all food items in one location on the plate
  • D) Only serve soft foods
  • Answer: A
  1. Which of the following is a sign of dehydration in a resident?
  • A) Excessive sweating
  • B) Dry mouth and sunken eyes
  • C) Increased urine output
  • D) Moist skin and lips
  • Answer: B
  1. How can you prevent a resident from aspirating while eating?
  • A) Have the resident eat in a reclined position
  • B) Serve large portions quickly
  • C) Ensure the resident is sitting upright and offer small bites
  • D) Encourage the resident to drink through a straw
  • Answer: C
  1. Which of the following is the most appropriate snack for a resident on a low-sodium diet?
  • A) Potato chips
  • B) Salted peanuts
  • C) Fresh fruit
  • D) Pretzels
  • Answer: C
  1. How often should a resident’s intake and output be monitored?
  • A) Once a week
  • B) Every shift or as directed by the care plan
  • C) Only when the resident is thirsty
  • D) Once a month
  • Answer: B
  1. Which of the following is an example of a food that is considered part of a clear liquid diet?
  • A) Mashed potatoes
  • B) Broth
  • C) Pudding
  • D) Ice cream
  • Answer: B
  1. Which of the following is the best action to take if a resident refuses to eat their meal?
  • A) Report the refusal to the nurse
  • B) Force the resident to eat
  • C) Offer a different meal immediately
  • D) Take the food away and don’t document it
  • Answer: A

178-187: Nutrition and Hydration (Continued)

  1. Which of the following should you do to encourage a resident with a poor appetite to eat?
  • A) Force the resident to eat
  • B) Serve large portions of food
  • C) Offer small, frequent meals and snacks
  • D) Skip meals until the resident is hungry
  • Answer: C
  1. When feeding a resident with dysphagia, what should you do?
  • A) Offer solid foods first
  • B) Provide thickened liquids as ordered
  • C) Serve food quickly to prevent choking
  • D) Avoid providing liquids during meals
  • Answer: B
  1. What should you do if a resident chokes while eating and is unable to cough?
  • A) Offer water immediately
  • B) Perform the Heimlich maneuver (abdominal thrusts)
  • C) Wait to see if the resident can clear the blockage on their own
  • D) Call the family for advice
  • Answer: B
  1. What is the best way to promote fluid intake in a resident?
  • A) Provide fluids only during meals
  • B) Offer a variety of fluids throughout the day
  • C) Limit fluid intake to prevent accidents
  • D) Avoid offering fluids unless the resident requests them
  • Answer: B
  1. Which of the following foods should be avoided for a resident on a pureed diet?
  • A) Applesauce
  • B) Mashed potatoes
  • C) Ground meat
  • D) Whole grapes
  • Answer: D
  1. How can you help a resident maintain proper nutrition when they have difficulty chewing?
  • A) Offer only solid foods
  • B) Provide soft or pureed foods as directed by the care plan
  • C) Avoid offering meals
  • D) Encourage the resident to chew slowly
  • Answer: B
  1. Which of the following is an important part of assisting a resident with a meal?
  • A) Telling the resident what they should eat first
  • B) Allowing the resident to choose the order of their food
  • C) Standing over the resident while they eat
  • D) Talking with other staff members during the meal
  • Answer: B
  1. If a resident is at risk for choking, which of the following should you do while feeding them?
  • A) Encourage them to eat quickly
  • B) Offer large bites of food
  • C) Ensure they are sitting upright and provide small bites
  • D) Leave the resident alone to eat in peace
  • Answer: C
  1. What is the recommended daily fluid intake for most residents?
  • A) 500 milliliters
  • B) 1,000 milliliters
  • C) 1,500 milliliters
  • D) 2,000 to 2,500 milliliters
  • Answer: D
  1. What is the most appropriate way to feed a resident who is unable to feed themselves?
  • A) Stand over them to provide the food quickly
  • B) Feed them at their own pace and encourage independence as much as possible
  • C) Avoid offering food until they ask
  • D) Provide only liquid meals to save time
  • Answer: B

188-197: Safety and Emergency Procedures

  1. Which of the following is the first step you should take if a fire breaks out in a resident’s room?
  • A) Evacuate the resident
  • B) Try to extinguish the fire
  • C) Call the fire department
  • D) Close the door to contain the fire
  • Answer: A
  1. What should you do if a resident falls while walking with you?
  • A) Continue to hold the resident up
  • B) Assist the resident to the ground safely and call for help
  • C) Allow the resident to fall and then assist them back up
  • D) Walk away to get help immediately
  • Answer: B
  1. What is the primary purpose of using side rails on a resident’s bed?
  • A) To keep the resident in bed
  • B) To assist with positioning and provide safety
  • C) To restrain the resident
  • D) To prevent the resident from moving
  • Answer: B
  1. What should you do if you find a resident unresponsive?
  • A) Leave the resident to get the nurse
  • B) Check for responsiveness and breathing, then call for help immediately
  • C) Begin performing CPR without checking for breathing
  • D) Attempt to wake the resident by shaking them
  • Answer: B
  1. Which of the following should be done to prevent accidents when transferring a resident to a wheelchair?
  • A) Lock the wheelchair brakes
  • B) Push the resident into the wheelchair
  • C) Leave the brakes unlocked for easier movement
  • D) Skip using a gait belt
  • Answer: A
  1. What is the correct response if a resident suddenly becomes confused and disoriented?
  • A) Restrain the resident to prevent harm
  • B) Stay calm and reassure the resident
  • C) Yell at the resident to stop their behavior
  • D) Leave the resident alone until they calm down
  • Answer: B
  1. Which of the following is an example of a physical restraint?
  • A) Bedside rails that the resident can lower independently
  • B) A chair alarm that alerts staff when a resident gets up
  • C) A vest that limits the resident’s movement
  • D) A call light within the resident’s reach
  • Answer: C
  1. When caring for a resident who is at risk for falls, which of the following should you do?
  • A) Encourage the resident to walk alone
  • B) Keep the resident’s bed in the lowest position
  • C) Raise the bed to make it easier for the resident to get up
  • D) Remove the resident’s assistive devices
  • Answer: B
  1. Which of the following is the most appropriate action if a resident has a seizure?
  • A) Hold the resident down to prevent injury
  • B) Place a spoon in the resident’s mouth to prevent biting the tongue
  • C) Protect the resident’s head and move objects away from them
  • D) Leave the resident alone until the seizure is over
  • Answer: C
  1. What is the best way to prevent infection when caring for a resident with an open wound?
  • A) Wash your hands before and after care
  • B) Use bare hands to clean the wound
  • C) Avoid touching the wound at all
  • D) Cover the wound with any available cloth
  • Answer: A

198-207: Restorative Care

  1. Which of the following is the primary goal of restorative care?
  • A) To cure the resident’s condition
  • B) To maintain the resident’s current level of function and prevent decline
  • C) To completely prevent the resident from moving
  • D) To promote total dependence on caregivers
  • Answer: B
  1. Which of the following should you do when assisting a resident with range of motion exercises?
  • A) Perform the exercises quickly to save time
  • B) Support the joints and move them slowly and gently
  • C) Only move the resident’s arms to prevent strain
  • D) Perform the exercises only once a week
  • Answer: B
  1. Which of the following is an example of passive range of motion exercises?
  • A) The resident moves their joints independently
  • B) The nursing assistant moves the resident’s joints through their range of motion
  • C) The resident performs weight-bearing exercises
  • D) The resident uses exercise equipment
  • Answer: B
  1. When should a resident be encouraged to use assistive devices?
  • A) Only when the resident asks for them
  • B) Whenever the resident shows signs of weakness or difficulty
  • C) Only when the nursing assistant is unavailable
  • D) Assistive devices should be avoided to encourage independence
  • Answer: B
  1. Which of the following is the best way to assist a resident who is learning to walk with a cane?
  • A) Hold the cane for the resident
  • B) Encourage the resident to walk without the cane for practice
  • C) Ensure the resident uses the cane on their strong side
  • D) Tell the resident to use the cane only when needed
  • Answer: C
  1. When encouraging a resident to be as independent as possible, which of the following is most important?
  • A) Performing tasks for the resident to save time
  • B) Offering help only when absolutely necessary
  • C) Allowing the resident to perform tasks at their own pace, even if it takes longer
  • D) Preventing the resident from performing any tasks to avoid frustration
  • Answer: C
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