Nursing Assistant Prometric Exam Mock Test 2026 Exam Model

Question 1: A nursing assistant is caring for a resident with a history of falls. What is the most important safety measure to implement?
A) Keep the resident restrained in a chair
B) Ensure the call light is within reach and the environment is clutter-free
C) Encourage the resident to remain in bed at all times
D) Apply all four side rails to the bed at all times

Question 2: When performing perineal care on a female resident, the nursing assistant should use which direction of wiping?
A) Back to front
B) Front to back
C) In a circular motion
D) Side to side

Question 3: A resident with a nasogastric tube in place is being assisted with oral care. What is the most important consideration?
A) Avoid oral care until the tube is removed
B) Be careful not to dislodge the tube and inspect the nostril for irritation
C) Only use mouthwash for oral care
D) Remove the tube before providing oral care

Question 4: A nursing assistant notices a small fire in a wastebasket in a resident’s room. The first action should be to:
A) Attempt to extinguish the fire with water
B) Open the windows to let smoke out
C) Remove residents from the immediate danger area
D) Call the fire department directly

Question 5: Which of the following is an example of a subjective observation?
A) The resident’s blood pressure is 140/90
B) The resident has a reddened area on the sacrum
C) The resident states, “I feel dizzy and nauseous”
D) The resident ate 50% of their breakfast

Question 6: A resident is on a fluid restriction of 1500 mL per day. How should the nursing assistant track intake accurately?
A) Measure and record all liquids consumed, including those with meals and medications
B) Only measure the water the resident drinks between meals
C) Estimate the amount based on the size of the cup
D) Fluid restriction tracking is the nurse’s responsibility only

Question 7: When transferring a resident who has weakness on one side from the bed to a wheelchair, where should the wheelchair be positioned?
A) Directly in front of the bed
B) On the resident’s weak side
C) On the resident’s strong side
D) At the foot of the bed

Question 8: A resident with dementia becomes agitated and starts yelling. What is the most appropriate response by the nursing assistant?
A) Yell back to get the resident’s attention
B) Use a calm, gentle voice and try to redirect the resident to a different activity
C) Leave the resident alone until they calm down
D) Tell the resident they are being inappropriate and must stop

Question 9: The nursing assistant is applying an anti-embolism stocking (TED hose). What is the correct technique?
A) Apply the stocking while the resident is standing up
B) Roll the stocking down from the top before applying
C) Ensure the stocking is free of wrinkles and the toes are open for inspection
D) Massage the legs after applying the stocking

Question 10: Standard precautions require the use of personal protective equipment (PPE) when:
A) Only when blood is visible
B) Contact with blood, bodily fluids, or non-intact skin is likely
C) Only when caring for a resident with a diagnosed infection
D) Only when performing invasive procedures

Question 11: A resident has an indwelling urinary catheter. How should the drainage bag be positioned?
A) Placed on the resident’s lap when sitting
B) Kept below the level of the bladder at all times
C) Hung on the head of the bed rail
D) Placed on the over-bed table

Question 12: Which of the following is the most effective method for a nursing assistant to prevent the spread of infection?
A) Wearing sterile gloves for all tasks
B) Performing thorough hand hygiene
C) Keeping residents’ doors closed
D) Disinfecting the air

Question 13: A resident who is receiving oxygen via a nasal cannula wants to go to the day room. The nursing assistant should:
A) Remove the oxygen temporarily
B) Use a portable oxygen tank and ensure the tubing is not a trip hazard
C) Increase the flow rate for the trip
D) Tell the resident they cannot leave their room

Question 14: A nursing assistant is documenting in a resident’s chart. Which of the following is the best practice?
A) Use pencil for easy correction
B) Use white-out to cover mistakes
C) Write in blue or black ink, date, sign, and use the correct time
D) Leave blank spaces for the nurse to fill in later

Question 15: When a resident dies, postmortem care includes:
A) Leaving the room exactly as it is
B) Placing dentures in a labeled container
C) Lying the body flat with no pillow
D) Removing all identification bands

Question 16: A resident is experiencing a seizure. The nursing assistant should:
A) Restrain the resident to prevent injury
B) Place a padded tongue blade in the resident’s mouth
C) Move furniture away and protect the resident’s head
D) Pour cold water on the resident’s face to stop the seizure

Question 17: Which of the following is an example of a restraint alternative?
A) Tying a vest restraint to the bed frame
B) Offering a restless resident a walkie-talkie or a folding wheelchair to push
C) Placing all four siderails up to prevent climbing out of bed
D) Using a sheet tucked tightly across the resident’s lap

Question 18: A resident reports pain in their right hip. The nursing assistant’s best immediate course of action is to:
A) Tell the resident it’s just arthritis
B) Reposition the resident forcefully
C) Report the complaint to the nurse immediately
D) Apply a heating pad on high

Question 19: When washing a resident’s hands before a meal, the nursing assistant should:
A) Wash their own hands, then the resident’s hands
B) Only use hand sanitizer, as it is faster
C) Wash the resident’s hands first, then their own
D) Assume the resident’s hands are clean if they look clean

Question 20: A contracture is best described as:
A) A sudden, involuntary muscle contraction
B) A permanent tightening of muscle, tendon, or ligament causing deformity
C) A type of decubitus ulcer
D) A fluid-filled sac under the skin

Question 21: A resident who has aphasia after a stroke will have difficulty with:
A) Swallowing
B) Breathing
C) Communicating
D) Walking

Question 22: The nursing assistant enters a resident’s room and finds them sitting on the floor, conscious but confused. The resident says they slipped. What should the NA do first?
A) Help the resident stand up immediately
B) Call for the nurse and stay with the resident
C) Leave the resident to find a gait belt
D) Scold the resident for not asking for help

Question 23: Which of the following foods would be most difficult to swallow for a resident with dysphagia?
A) Pudding
B) Scrambled eggs
C) Dry crackers
D) Thickened soup

Question 24: A resident is on I&O (Intake and Output). Which of the following should be recorded as output?
A) Gelatin dessert eaten
B) Intravenous fluid
C) Urine collected in a hat
D) Soup consumed

Question 25: The goal of rehabilitation is to:
A) Cure a person’s disease
B) Help a person reach their highest possible level of function
C) Keep a person in bed to rest
D) Prevent all future illnesses

Question 26: When serving a meal tray to a resident who is visually impaired, how should the nursing assistant describe the food layout?
A) By using a clock face as a reference
B) By simply naming the foods on the tray
C) By placing all food items in a straight line
D) By feeding the resident without describing the tray

Question 27: A nursing assistant notices a resident’s vital signs are outside the normal range. The first action is to:
A) Re-check the vital signs in 4 hours
B) Tell the resident not to worry
C) Report the findings to the nurse immediately
D) Document the findings and wait for the nurse to check the chart

Question 28: When performing ROM (Range of Motion) exercises, a resident complains of severe pain during the movement. The nursing assistant should:
A) Continue the movement, but go slower
B) Push past the point of pain to increase flexibility
C) Stop the movement at that point and report the pain to the nurse
D) Apply an ice pack and continue the exercises

Question 29: A resident refuses their prescribed bath. What is the nursing assistant’s best response?
A) “The doctor says you have to have a bath today.”
B) “Okay, I’ll just mark it as refused. I don’t have time for this.”
C) “Can you tell me why you don’t want a bath? Maybe we can try a different approach.”
D) Proceed with the bath anyway because it is in the care plan.

Question 30: The appropriate water temperature for a complete bed bath is:
A) 100°F (37.7°C)
B) 110°F to 115°F (43.3°C to 46.1°C)
C) 125°F (51.6°C)
D) 95°F (35°C)

Question 31: When applying a cold compress, the nursing assistant should:
A) Apply it directly to the skin for 60 minutes
B) Cover the pack with a cloth or towel and check the skin frequently
C) Use safety pins to secure the pack tightly
D) Massage the area with the cold pack

Question 32: Which of the following is a modifiable risk factor for hypertension?
A) Age
B) Family history
C) High sodium diet
D) Race

Question 33: A resident with a Foley catheter has an output of less than 30 mL of dark, concentrated urine in an hour. The nursing assistant should:
A) Encourage the resident to drink more fluids and re-check in two hours
B) Report this to the nurse immediately
C) Empty the bag and document the output normally
D) Irrigate the catheter

Question 34: The safe use of a mechanical lift requires:
A) One nursing assistant to operate it
B) A minimum of two staff members
C) The resident’s family’s permission
D) Using it only for bathing

Question 35: A resident is on droplet precautions. The nursing assistant entering the room must wear:
A) An N95 respirator
B) A surgical mask
C) Only gloves
D) Shoe covers only

Question 36: What is the first sign of a Stage 1 pressure injury on a resident with darkly pigmented skin?
A) A shiny, fluid-filled blister
B) Non-blanchable erythema (redness)
C) An area that is a different color, temperature, or firmer than surrounding skin
D) A deep crater with visible muscle

Question 37: When feeding a dependent resident, the nursing assistant should:
A) Feed the resident while they are in a supine position
B) Mix all food together to make eating faster
C) Offer small bites, describe the food, and allow time for chewing
D) Use a large spoon to finish the meal quickly

Question 38: A resident is exhibiting early signs of dehydration. Which of the following is a nursing assistant’s primary intervention?
A) Administer IV fluids
B) Provide frequent oral hygiene
C) Encourage and offer fluids frequently
D) Restrict dietary intake

Question 39: Expressive aphasia means the resident has difficulty:
A) Understanding what is said to them
B) Forming words or expressing thoughts
C) Seeing words on a page
D) Hearing high-pitched sounds

Question 40: When applying a transfer belt, the nursing assistant should ensure it is:
A) Placed over bare skin for a secure fit
B) Snug enough that only flat fingers can fit underneath
C) Loose and comfortable
D) Positioned over the resident’s rib cage

Question 41: A resident with diabetes is complaining of feeling shaky and sweaty. What is the nursing assistant’s immediate action?
A) Give them a glass of orange juice or a sugar-containing snack if they can swallow
B) Administer their prescribed insulin
C) Call the doctor directly
D) Have them lie down and wait 30 minutes

Question 42: Which of the following descriptions best represents proper body mechanics when lifting an object?
A) Keep feet together, bend at the waist, and lift
B) Use a wide base of support, bend your knees, and keep the object close to your body
C) Keep the object away from your body to protect your uniform
D) Twist at the waist to move the object to the side

Question 43: A resident suddenly clutches their throat and cannot cough, speak, or breathe. The nursing assistant should:
A) Perform a finger sweep to clear the airway
B) Call for help and begin abdominal thrusts (Heimlich maneuver)
C) Go to the nurse’s station to get the nurse
D) Start CPR immediately

Question 44: The primary purpose of restorative care is to:
A) Replace the work of a physical therapist
B) Speed up the death process
C) Maintain the resident’s current level of function and prevent decline
D) Complete all ADLs for the resident to ensure they are done correctly

Question 45: A resident’s legal record must be:
A) Accessible to all staff members and volunteers
B) Shared with the resident’s family regardless of consent
C) Kept confidential and only shared with those directly involved in the resident’s care
D) Left on the over-bed table for easy access

Question 46: A nursing assistant is asked to perform a task that is outside their scope of practice. The NA should:
A) Perform the task if the nurse says it’s okay this one time
B) Politely refuse, state the task is not in their scope of practice, and notify the nurse
C) Ask another nursing assistant to do it
D) Look the task up on the internet before attempting it

Question 47: When transferring a resident from a bed to a stretcher, the most important safety measure is to:
A) Lock the wheels on both the bed and the stretcher
B) Keep the bed in its highest position
C) Have the resident move themselves quickly
D) Position the stretcher at a 90-degree angle to the bed

Question 48: A resident who is NPO is not allowed to have:
A) A shower
B) Pain medication
C) Anything by mouth, including food and fluids
D) Visitors

Question 49: A clean-catch urine specimen is collected to:
A) Measure the volume of the first void of the day
B) Obtain a sterile specimen free from external contaminants
C) Test for the presence of glucose only
D) Collect urine over a 24-hour period

Question 50: A resident with COPD (Chronic Obstructive Pulmonary Disease) might find it most comfortable to breathe in which position?
A) Lying flat on their back
B) Prone
C) Sitting upright, leaning slightly forward (orthopneic position)
D) Trendelenburg

Question 51: Which of the following vital sign changes should be reported immediately?
A) A slight increase in blood pressure after a walk
B) A resident’s resting pulse going from 80 to 110 beats per minute
C) A slight increase in respiratory rate after the resident laughed
D) A temperature of 98.8°F (37.1°C)

Question 52: When a resident is dying, the sense that is generally thought to remain intact the longest is:
A) Vision
B) Smell
C) Hearing
D) Touch

Question 53: A nursing assistant shaves a male resident. To prevent nicks and cuts, the NA should:
A) Use an electric razor in a circular motion
B) Hold the skin taut and shave in the direction of hair growth with a safety razor
C) Shave against the hair growth for a closer shave
D) Use only hot water and a blade

Question 54: The most important reason for reporting a change in a resident’s condition immediately is:
A) To avoid being blamed for the change
B) Because early detection can prevent a more serious medical situation
C) To fill out the 24-hour report log
D) So the next shift can monitor the problem

Question 55: What is the primary purpose of the OBRA (Omnibus Budget Reconciliation Act) regulations?
A) To set Medicare reimbursement rates
B) To establish standards for nursing assistant training and competency evaluation
C) To design hospital construction guidelines
D) To regulate the sale of over-the-counter medications

Question 56: When a resident is experiencing a sad event, the best active listening technique is to:
A) Change the subject to something cheerful
B) Tell them to cheer up, it’s not that bad
C) Use brief eye contact, nod, and say, “That sounds very difficult”
D) Leave them alone to sort it out themselves

Question 57: A resident has finished a meal. Before documenting the intake, what should the nursing assistant do?
A) Ask the resident’s roommate how much they ate
B) Look at the tray to determine and record the approximate percentage of food eaten
C) Always document 100% intake unless the tray is completely empty
D) Discard the tray immediately without observing

Question 58: When removing a gown after providing care to a resident on contact precautions, the nursing assistant should:
A) Remove the gown from the neck down, rolling it so the contaminated side is inside
B) Pull the gown off over the head
C) Untie the waist first, then the neck, and pull the gown off by the contaminated front
D) Throw the gown on the floor for housekeeping

Question 59: A nursing assistant suspects a resident is being abused by a family member. The NA’s legal duty is to:
A) Confront the family member directly
B) Ignore it if the resident doesn’t complain
C) Report the suspicion immediately to the charge nurse
D) Call the police first

Question 60: A resident has an elastic bandage (ACE bandage) applied to their ankle. Which observation requires an immediate report to the nurse?
A) The bandage is clean and dry
B) The toes are pale and the resident reports numbness
C) The resident can wiggle their toes
D) The bandage is snug but comfortable

Question 61: Which of the following is a core principle of person-centered care?
A) The care plan is standardized for everyone with the same diagnosis
B) The resident’s preferences, routines, and strengths guide the care plan
C) The nursing assistant decides the daily schedule for efficiency
D) Clinical needs always override personal preferences

Question 62: When performing a back massage for a resident, the nursing assistant should:
A) Massage directly over the spine and reddened areas
B) Use lotion to reduce friction and use long, firm strokes
C) Massage the legs at the same time
D) Keep the room brightly lit

Question 63: A resident is wearing a hearing aid. How can the nursing assistant best facilitate communication?
A) Shout loudly from across the room
B) Speak clearly in a normal tone of voice while facing the resident
C) Exaggerate lip and mouth movements
D) Speak only into the ear with the hearing aid

Question 64: The nursing assistant’s role in pain management is to:
A) Assess the type and source of the pain
B) Administer pain medication
C) Observe, document, and report the resident’s pain complaints and non-verbal signs
D) Tell the resident that pain is a normal part of aging

Question 65: Which of the following provides the most complete nutrition?
A) A clear liquid diet
B) A full liquid diet
C) A mechanical soft diet
D) A regular, well-balanced diet

Question 66: When a resident is placed in the lateral position, pillows should be used to:
A) Elevate the head of the bed to 90 degrees
B) Support the top leg in front of the bottom leg and protect bony prominences
C) Keep the arms elevated above the head
D) Keep the resident from rolling off the bed

Question 67: A resident with a swallowing disorder is most at risk for:
A) Diarrhea
B) Aspiration pneumonia
C) A stroke
D) Kidney stones

Question 68: The primary purpose of a bowel and bladder training program is to:
A) Restrict the resident’s fluid intake to prevent accidents
B) Develop a predictable pattern of elimination and restore independence
C) Permanently insert a catheter
D) Punish the resident for incontinence episodes

Question 69: A resident has a cast on their right arm. The nursing assistant observes that the fingers on the right hand are swollen and blue. What should the NA do?
A) Apply ice to the fingers
B) Elevate the arm and report the finding to the nurse immediately
C) Perform range-of-motion exercises on the fingers
D) Tell the resident to ignore it, as this is normal

Question 70: Which of the following is an example of neglect?
A) Yelling at a resident for being slow
B) Stealing a resident’s money
C) Failing to provide a dependent resident with their prescribed meals and fluids
D) Hitting a resident who is combative

Question 71: A nursing assistant finds a resident lying on the floor next to their bed. After the nurse comes and assesses the resident, what is the NA’s next responsibility?
A) Begin CPR immediately
B) Go on break as scheduled
C) Assist the nurse as directed and help complete an incident report
D) Refuse to document the situation

Question 72: How should a nursing assistant handle a resident’s personal belongings when admitting them to a facility?
A) Throw away any old or worn-out items
B) Store them in a locked cabinet without informing the resident
C) Label them with the resident’s name and allow the resident to help decide placement
D) Send all valuables home with the family immediately

Question 73: A resident is observed masturbating in their private room. The nursing assistant should:
A) Scold the resident for inappropriate behavior
B) Report it to the charge nurse as an incident
C) Provide privacy by quietly leaving the room and pulling the door closed
D) Stand and watch to ensure the resident is safe

Question 74: The purpose of friction-reducing devices (like slide sheets) during repositioning is to:
A) Eliminate the need for a second caregiver
B) Reduce the force required to move the resident, protecting their skin from shear injury
C) Restrain the resident’s movements in bed
D) Increase the friction to keep the resident in place

Question 75: A resident has an order for intake and output. Which fluid item is typically counted as half its volume?
A) Milk
B) Ice chips
C) Water
D) Nutritional shake

Question 76: The nursing assistant is providing oral care for an unconscious resident. To prevent aspiration, the NA should:
A) Position the resident flat on their back
B) Use a large amount of water to rinse thoroughly
C) Turn the resident’s head to the side and use suction if available
D) Never provide oral care to an unconscious person

Question 77: Which approach is best when communicating with a resident who is newly diagnosed with confusion?
A) Avoid talking to the resident to prevent agitating them
B) Use reality orientation frequently and firmly correct their mistakes
C) Speak calmly, use simple, clear statements, and validate their feelings
D) Use baby talk to soothe the resident

Question 78: When removing a urinary catheter, the nursing assistant should:
A) Cut the catheter tubing with scissors
B) Deflate the balloon completely before gently pulling the catheter out
C) Pull the catheter out quickly while the balloon is inflated
D) Push the catheter further in before removing

Question 79: A resident has just finished physical therapy and is sweating heavily. The best action for the nursing assistant is to:
A) Take the resident outside to cool off
B) Help the resident change into dry clothes and offer fluids
C) Cover the resident with heavy blankets
D) Decrease the room temperature to freezing

Question 80: Spontaneous discharge of a resident is also known as:
A) Leaving for a home visit
B) A medical discharge to a hospital
C) Leaving against medical advice (AMA)
D) A planned transfer to another unit

Question 81: The nursing assistant is measuring a resident’s height. The most accurate method is to:
A) Have the resident stand barefoot with their back to the measuring scale
B) Ask the resident’s family how tall they are
C) Measure the resident while they are wearing their shoes
D) Estimate based on their height from a previous admission

Question 82: Which of the following is a correct procedure for nail care?
A) Soak the nails, clean under them, and trim them straight across
B) Cut the toenails deeply into the corners to prevent ingrown nails
C) Never soak a diabetic resident’s feet
D) Use the same clippers on all residents without disinfecting

Question 83: A continuous IV is infusing in a resident’s left arm. When removing the resident’s gown for a bath, the nursing assistant should:
A) Pull the IV out momentarily to slip off the gown
B) Remove the gown from the right arm first, then the left arm with the IV
C) Tear the gown to avoid moving the tubing
D) Turn the pump off for 10 minutes

Question 84: Which of the following is a correct safety measure for oxygen use?
A) Keep smoking materials away from the oxygen source
B) Allow the use of petroleum jelly (Vaseline) to lubricate the nose
C) Store oxygen tanks flat on the floor
D) Adjust the flow rate if the resident is feeling short of breath

Question 85: A resident on bed rest needs to have a bowel movement. The nursing assistant should:
A) Provide a bedpan, placing it correctly by having the resident roll or lift their hips
B) Tell the resident they must wait until they can get up
C) Forcefully push the bedpan under the resident
D) Insert a rectal tube

Question 86: A terminal resident states they are seeing people in the room who have already died. The nursing assistant’s best response is:
A) Tell the resident that what they are seeing is not real
B) Ignore the resident’s statements and leave
C) Acknowledge the resident’s statement and ask them to tell you more about the visitor
D) Administer a sedative immediately

Question 87: Which of the following is an example of a violation of a resident’s right to privacy?
A) Closing the door and curtain before providing peri-care
B) Discussing the resident’s medical condition in the elevator with a coworker
C) Knocking before entering the resident’s room
D) Covering the resident with a bath blanket during a bed bath

Question 88: A resident is on thickened liquids. Which of the following items should be thickened?
A) Milk and coffee
B) Ice cream
C) Jell-O
D) Bread

Question 89: The nursing assistant notes a resident’s radial pulse is 56 beats per minute. This is documented as:
A) Tachycardia
B) Bradycardia
C) Tachypnea
D) Bradyphagia

Question 90: A resident has continuous passive motion (CPM) therapy ordered. The nursing assistant’s primary responsibility is to:
A) Adjust the machine’s speed and flexion settings
B) Ensure the resident’s limb is positioned correctly in the machine and report any pain
C) Turn the machine on only during the night
D) Remove the machine for all nursing care

Question 91: How often should a dependent resident be repositioned to prevent pressure injuries?
A) Every 4 hours
B) At least every 2 hours
C) Once a shift
D) Only when they ask

Question 92: A resident with a right-sided paralysis from a stroke should be dressed:
A) Starting with the right (affected) side
B) Starting with the left (unaffected) side
C) Only by the nurse
D) In loose clothing that hangs off the body

Question 93: If a nursing assistant makes a mistake in a written entry on a resident’s chart, the correct procedure is to:
A) Scribble it out completely
B) Tear out the page
C) Draw a single line through the error, write “mistaken entry” or “error,” and initial it
D) Cover it with correction fluid

Question 94: The nursing assistant observes a red, swollen area on a resident’s elbow that the resident says is painful. This finding is:
A) Normal for elderly residents
B) A sign of a pressure injury development and must be reported
C) A result of the resident sleeping too much
D) An allergic reaction to the sheets

Question 95: When collecting a stool specimen, the nursing assistant should:
A) Take it from the toilet bowl filled with urine
B) Use a tongue depressor to collect a small amount from the bedpan or specimen collection device
C) Use bare hands to ensure a clean catch
D) Fill the entire specimen container to the brim

Question 96: A resident is on a low-sodium diet. The nursing assistant should remove which item from the tray?
A) An apple
B) A baked potato
C) A ham sandwich
D) A tossed salad with oil and vinegar

Question 97: Which of the following is a normal age-related change in the cardiovascular system?
A) The heart pumps more efficiently
B) Blood vessels become less elastic
C) The resting heart rate doubles
D) Blood pressure decreases significantly

Question 98: A resident suddenly becomes restless and begins pulling at their oxygen tubing. The safest intervention is to:
A) Restrain the resident’s hands
B) Check the resident’s pulse oximetry and respiratory status, and notify the nurse immediately
C) Increase the oxygen flow rate
D) Remove the oxygen since they are fighting it

Question 99: A resident has an order for elastic compression stockings. When should the nursing assistant apply them?
A) Before the resident gets out of bed in the morning
B) After the resident has been standing for an hour
C) Only at bedtime
D) During meal times

Question 100: The most important reason for accurately documenting a resident’s food and fluid intake is:
A) To calculate the resident’s bill for the kitchen
B) It provides crucial information about the resident’s nutritional and hydration status
C) To create work for the nursing assistant
D) To make sure the resident finishes everything on the tray