CNA Practice Test 2021 NNAAP® Official Test

The Free 2021 CNA NNAAP® Nurse Aide Practice Written Exam is a comprehensive assessment designed for individuals aspiring to become Certified Nursing Assistants (CNAs). This particular exam, relevant to the year 2021, serves as a crucial step in validating the competencies and knowledge necessary for a career in nursing assistance.

CNA Practice Test 2021

Duration: The exam has a time limit of 2 hours, requiring candidates to manage their time effectively while answering the questions.
Format: It comprises 60 multiple-choice questions (MCQs). These questions are structured to evaluate a wide range of skills and knowledge pertinent to nursing assistance.
Passing Criteria: To successfully pass the exam, candidates must score 70% or higher. This threshold ensures that only those with a solid understanding of the necessary concepts and practices are certified.
Content Areas: The exam covers various topics essential to nursing assistance, including patient care, safety protocols, ethical considerations, and basic medical knowledge.

NNAAP® Official Test 2021

NNAAP® Nurse Aide Practice Written Exam 2021

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CNA 2021 NNAAP® Nurse Aide Practice Written Exam

CNA 2021 NNAAP® Nurse Aide Practice Written Exam
Official Test - Year 2021
Time Limit: 2 Hours
Total MCQs: 60
Passing Marks: 70% or higher

1 / 60

A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client’s total liquid intake for lunch is:

360 mL.

450 mL.

480 mL.

520 mL.

2 / 60

Once a client has been pronounced dead, the responsibility of the nurse aide is to:

make sure the body is clean.

call the family.

leave the room.

give spiritual care.

3 / 60

The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs SHOULD the nurse aide understand that a quad cane has?

4 / 60

A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client’s independence in eating?

Cut the food and feed the client

Insist that the client eat the meal without help

Assist the client in cutting the food and encourage the client to use the special eating utensils

Ask the dietary department to puree the client’s food

5 / 60

When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on FIRST?

Both sleeves

Left sleeve

Client’s choice

Right sleeve

6 / 60

The nurse aide SHOULD understand that a back massage

causes muscle spasms.

increases blood pressure.

promotes circulation.

increases the heart rate.

7 / 60

Which of the following actions by the nurse aide can BEST demonstrate active listening skills?

Changing the subject frequently

Responding when appropriate

Correcting the client’s mistakes

Directing the conversation

8 / 60

What SHOULD the nurse aide do when a client with Alzheimer’s disease seems depressed and quiet?

Talk when the client is silent

Observe the client for non-verbal cues

Change subjects until the client begins to discuss something

Tell the client not to worry

9 / 60

To find out what type of diet the client should be receiving, it would be BEST for the nurse aide to check:

with the kitchen staff.

on the client’s room bulletin board.

in the client’s care plan.

with the client’s family.

10 / 60

Which of the following equipment should the nurse aide have available when caring for a client’s beard?

Basin, mirror, nail file and towel

Towel, gloves, razor and shaving cream

Shaving cream, razor, gloves and comb

Razor, shaving cream, towels and orange stick

11 / 60

When preparing to take a meal tray into the client’s room, what is the MOST important action for the nurse aide to take?

Check that the client’s name is displayed on the tray card

Make sure the client’s favorite foods are present

Determine if enough fluids have been ordered

Keep all foods covered until eaten

12 / 60

To prevent dehydration of the client, the nurse aide SHOULD:

offer fluids frequently while the client is awake.

wake the client hourly during the night to offer fluids.

give the client frequent baths.

feed the client salty foods to increase thirst.

13 / 60

Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide SHOULD wait:

20 minutes.

25 to 35 minutes.

45 to 55 minutes.

at least 1 hour.

14 / 60

The nurse aide SHOULD place the client’s soiled bedsheets:

on the bedside table.

on the floor of the soiled utility room.

in a biohazard bag.

in the soiled linen container.

15 / 60

Mouth care for a client who is unconscious MUST be done every:

2 hours.

4 hours.

6 hours.

8 hours.

16 / 60

Before entering a client’s room, the nurse aide should FIRST:

turn lights on.

identify self.

knock on the door.

call the client by the client’s name.

17 / 60

When a nurse provides the nurse aide confidential information about a client, the nurse aide SHOULD:

share it with other clients.

keep the information private.

discuss the information with other staff members in the break room.

discuss the information with the client’s family.

18 / 60

What is the FIRST area of a client’s body that the nurse aide should wash when providing a bed bath?

Legs

Face

Arms

Chest

19 / 60

Which of the following actions SHOULD the nurse aide take to communicate with a client who has a hearing loss?

Face the client when speaking

Repeat statements twice every time

Shout so that the client can hear you

Use a high-pitched voice

20 / 60

What does the abbreviation ADL mean?

Ad Lib

As Doctor Likes

Activities of Daily Living

After Daylight

21 / 60

When a client has memory loss or confusion, the nurse aide SHOULD:

reassure the client that forgetting information is expected with age.

speak loudly to the client.

ignore the client’s statements that are not accurate.

give the client simple step-by-step instructions.

22 / 60

If a nurse aide discovers a small fire in a client’s room, the nurse aide should FIRST

sound the alarm.

contain the fire.

remove the client from any danger.

extinguish the fire.

23 / 60

The nurse aide can help prevent pressure injuries in the client by:

repositioning the client every 4 hours.

massaging reddened areas on the client’s skin.

keeping linens clean, dry, and wrinkle- free.

using perfumed soap to clean the client’s skin

24 / 60

When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide SHOULD support the client’s:

left side.

right side.

front side.

back side.

25 / 60

The nurse aide MUST wear gloves when

transferring a client.

providing mouth care.

dressing a client.

weighing a client.

26 / 60

When changing a soiled dressing, the nurse aide SHOULD wash the nurse aide’s hands:

before the procedure.

after the procedure.

before and after the procedure.

before, during, and after the procedure.

27 / 60

When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s:

back

shoulders

legs

wrists

28 / 60

What does “ambulate with assistance” mean?

Walk with the client twice a day

The client may use a wheelchair

Have the client use a cane for walking

The client can walk with the nurse aide providing help

29 / 60

The health care team member who assists the client with the performance of activities of daily living is the

social worker.

occupational therapist.

speech therapist.

case manager.

30 / 60

Which of the following methods is the correct way to remove a dirty isolation gown?

Pull the gown over the head

Let the gown drop to the floor and step out of the gown

Roll the gown dirty side in and away from the body

Pull the gown off by the sleeve and shake the gown out

31 / 60

What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke?

Give the client a complete bath only when the client requests it

Encourage the client to do as much as possible and assist as needed

Leave the client alone and assume the client will do as much as the client can

Limit the client to washing the client’s hands

32 / 60

When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD:

check on the client every 5 minutes.

make sure the client’s water pitcher is full

protect the client with a seat belt.

place the signaling device within the client’s reach

33 / 60

To BEST communicate with a client who has total hearing loss, the nurse aide should:

smile frequently and speak loudly.

smile often and talk rapidly.

avoid eye contact

write out the information.

34 / 60

When caring for a client who is dying, the nurse aide SHOULD:

only allow 1 visitor in the room at a time.

keep the room dark at all times.

pay special attention to fluid intake and mouth care.

wear gloves when providing personal care.

35 / 60

Which of the following is MOST important for the prevention of skin breakdown in the client?

Air-drying the client’s skin

Rubbing lotion on the client’s skin

Ambulating the client once a day

Repositioning the client every 2 hours

36 / 60

The nurse aide is asked by a client who is confused “what day it is?” The nurse aide SHOULD:

explain that memory loss is natural and the date is not important.

ignore the request.

point to the date on a calendar and say the date.

provide the date and then test the client later

37 / 60

The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the nurse aide to do for the client?

Arrange for the client’s spiritual advisor to visit the client

Turn on the television in the client’s room and leave the client alone

Force the client to take part in facility activities

Introduce the client to other clients and staff members

38 / 60

A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT?

Take the client to the hospital

Help the client back to the bed

Take the client into the bathroom to wash out the cut

Stay with the client and call for help

39 / 60

When providing care for a client receiving oxygen therapy, the nurse aide SHOULD:

check ears for pressure points.

tape cracks in oxygen tubing.

let the nurse know that the nurse aide cannot care for the client.

change the flow rate if the client is short of breath.

40 / 60

While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client’s child, who died several years ago. The nurse aide’s BEST response would be to:

quickly finish providing care and leave the client alone.

pretend to be the client’s child.

ignore the client because the client is confused.

ask the client about the client’s favorite memories of the client’s child.

41 / 60

Which of the following actions would be BEST for the nurse aide to take to show respect to the spiritual needs of a client?

Escorting the client to religious services

Discussing the nurse aide’s religion with the client

Assisting the client to read the client’s religious materials

Requesting that the facility’s spiritual advisor visits the client

42 / 60

A client who is confused begins to cry and scream out for the client’s parent. What should the nurse aide do NEXT?

Place the client in a geriatric chair

Restrain the client in his bed

Talk to the client in a calm voice about familiar things

Leave the client alone in his room until he calms down

43 / 60

When helping a client who is recovering from a stroke to walk, the nurse aide SHOULD assist:

on the client’s strong side. .

on the client’s weak side.

from behind the client.

with a wheelchair.

44 / 60

The client’s signaling device SHOULD be placed

on the bed.

within the client’s reach.

on the client’s right side.

over the side rail.

45 / 60

The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD:

join in the conversation.

suggest that this is not the place to discuss the client.

be quiet and not say anything to the other nurse aides

return to the unit and tell the client what was said

46 / 60

When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client:

lying down in bed.

dangling the legs from the edge of the bed.

standing at the side of the bed.

sitting in a wheelchair.

47 / 60

Frequent turning and repositioning of the client helps prevent:

cyanosis

indigestion

coronary disease.

pressure injuries.

48 / 60

When making a bed that is occupied by a client, the nurse aide SHOULD

leave the bed in the lowest position.

make the toe pleat.

leave the bottom sheet untucked.

place soiled linens on the floor.

49 / 60

The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST?

Test the temperature of the water

Help the client undress

Tell the client what the nurse aide is going to do

Close the door and windows

50 / 60

A client wakes up during the night and asks for something to eat. The nurse aide SHOULD:

check client’s diet before offering nourishment.

tell the client nothing is available at night.

explain that breakfast is coming in 3 hours.

tell the client that eating is not allowed during the night.

51 / 60

A client requests that the nurse aide call the client’s spiritual advisor. The nurse aide SHOULD:

ask the client why the client wants the nurse aide to call the client’s spiritual advisor.

tell the client that this is not part of the nurse aide’s job.

tell the client that the nurse aide will inform the nurse of the client’s request.

call the spiritual advisor for the client.

52 / 60

The nurse aide has raised the height of the client’s bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT?

Instruct the client to lie still

Quickly go to get the supplies

Lower the bed, and place the call light within reach

Ask the roommate to watch the client while the nurse aide gets the supplies

53 / 60

Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care?

“Why are you being so mean today?”

“You should not say such mean things to people.”

“I will come back when your bad mood is over.”

“You seem upset. Would you like to talk about it?”

54 / 60

Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray?

Shoe covers

A mask

Goggles

A faceshield

55 / 60

When ambulating the client, the nurse aide SHOULD:

ask the nurse for help.

be sure the client is wearing non-skid footwear.

ask a family member for assistance

walk in front of the client and show the client the way

56 / 60

When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client:

take a bath or shower before starting the urine collection.

select food items that do not contain red meat.

drink 2 L of water.

discard the first voided urine.

57 / 60

To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client’s:

bed sheet.

upper thigh.

bed frame.

hip.

58 / 60

Articles contaminated with blood or body fluids SHOULD be disposed of in the:

soiled linen basket.

biohazard container.

soiled utility room.

client’s room trash container.

59 / 60

The only purpose for using a restraint is to:

ensure the safety of the client or others.

make the nurse aide’s job easier

calm a client who is verbally abusive.

help the client be quiet.

60 / 60

When getting ready to make a bed, the nurse aide SHOULD place the clean linens on:

a chair or table beside the bed.

the roommate’s bed.

a clean surface in the bathroom

the floor beside the bed.

Your score is

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