[HNAide] Hawaii Nurse Aide Certification Exam
Preparation
**Question 1.** Which of the following best describes the primary role of a nurse aide in a
long‑term care facility?
A) Prescribing medication
B) Performing surgical procedures
C) Assisting residents with activities of daily living (ADLs)
D) Developing resident care plans
Answer: C
Explanation: Nurse aides are responsible for providing direct personal care, such as bathing,
dressing, and feeding, but they do not prescribe medication, perform surgery, or develop care
plans.
**Question 2.** When a resident asks a nurse aide to keep a conversation private, which law
protects that information?
A) The Civil Rights Act
B) The Health Insurance Portability and Accountability Act (HIPAA)
C) The Fair Labor Standards Act
D) The Occupational Safety and Health Act
Answer: B
Explanation: HIPAA safeguards the confidentiality of personal health information and requires
health‑care workers, including nurse aides, to protect resident privacy.
**Question 3.** A resident with a hearing impairment is having trouble understanding
instructions. Which communication technique is most effective?
A) Speak louder than normal
B) Use written notes only
, [HNAide] Hawaii Nurse Aide Certification Exam
Preparation
C) Face the resident, speak clearly, and use gestures
D) Ask the resident to read the medication label
Answer: C
Explanation: Facing the resident, speaking clearly, and using gestures help convey information
without relying on volume, which may distort speech.
**Question 4.** In the chain of command, to whom does a nurse aide typically report a change
in a resident’s condition?
A) The hospital administrator
B) The registered nurse (RN) on duty
C) The resident’s family member
D) The housekeeping supervisor
Answer: B
Explanation: The RN is responsible for assessing changes in condition and directing further care;
the aide reports observations to the RN.
**Question 5.** Which of the following is an example of professional conduct for a nurse aide?
A) Arriving late to a shift and leaving early
B) Wearing inappropriate clothing while on duty
C) Maintaining punctuality and appropriate grooming
D) Discussing resident information with coworkers in the break room
Answer: C
Explanation: Professional conduct includes punctuality, proper grooming, and maintaining a
professional appearance.
, [HNAide] Hawaii Nurse Aide Certification Exam
Preparation
**Question 6.** What is the first step in standard precautions to prevent infection
transmission?
A) Wearing a gown before entering the room
B) Performing hand hygiene
C) Disinfecting the equipment after use
D) Using sterile gloves for all tasks
Answer: B
Explanation: Hand hygiene is the most important measure in standard precautions to reduce
the spread of pathogens.
**Question 7.** Which PPE is required when providing oral care to a resident with an active
oral infection?
A) Surgical mask only
B) Gloves and eye protection
C) Gown and face shield
D) No PPE is needed
Answer: B
Explanation: Gloves protect the hands from contamination, and eye protection prevents
splashes from reaching the eyes.
**Question 8.** A fire alarm sounds in the facility. Which acronym represents the correct
response sequence?
A) PASS – Pull, Aim, Squeeze, Sweep
B) RACE – Rescue, Alarm, Contain, Extinguish/Evacuate
, [HNAide] Hawaii Nurse Aide Certification Exam
Preparation
C) ABC – Airway, Breathing, Circulation
D) STOP – Shut, Turn off, Observe, Protect
Answer: B
Explanation: RACE is the standard fire response protocol: Rescue, Alarm, Contain,
Extinguish/Evacuate.
**Question 9.** During a choking emergency, the nurse aide should first perform which
maneuver?
A) Back blows only
B) Heimlich maneuver (abdominal thrusts) if the resident is conscious
C) Chest compressions
D) Call emergency services and wait
Answer: B
Explanation: For a conscious adult or adolescent, the Heimlich maneuver is the first‑line
response to relieve airway obstruction.
**Question 10.** To prevent falls, a nurse aide should ensure which of the following?
A) Keep the resident’s bed in the highest position at all times
B) Leave wheels on the wheelchair while transferring
C) Keep the floor free of clutter and ensure bed brakes are locked
D) Encourage the resident to walk barefoot
Answer: C
Explanation: A clutter‑free environment and locked brakes reduce the risk of slipping or
uncontrolled movement.
Preparation
**Question 1.** Which of the following best describes the primary role of a nurse aide in a
long‑term care facility?
A) Prescribing medication
B) Performing surgical procedures
C) Assisting residents with activities of daily living (ADLs)
D) Developing resident care plans
Answer: C
Explanation: Nurse aides are responsible for providing direct personal care, such as bathing,
dressing, and feeding, but they do not prescribe medication, perform surgery, or develop care
plans.
**Question 2.** When a resident asks a nurse aide to keep a conversation private, which law
protects that information?
A) The Civil Rights Act
B) The Health Insurance Portability and Accountability Act (HIPAA)
C) The Fair Labor Standards Act
D) The Occupational Safety and Health Act
Answer: B
Explanation: HIPAA safeguards the confidentiality of personal health information and requires
health‑care workers, including nurse aides, to protect resident privacy.
**Question 3.** A resident with a hearing impairment is having trouble understanding
instructions. Which communication technique is most effective?
A) Speak louder than normal
B) Use written notes only
, [HNAide] Hawaii Nurse Aide Certification Exam
Preparation
C) Face the resident, speak clearly, and use gestures
D) Ask the resident to read the medication label
Answer: C
Explanation: Facing the resident, speaking clearly, and using gestures help convey information
without relying on volume, which may distort speech.
**Question 4.** In the chain of command, to whom does a nurse aide typically report a change
in a resident’s condition?
A) The hospital administrator
B) The registered nurse (RN) on duty
C) The resident’s family member
D) The housekeeping supervisor
Answer: B
Explanation: The RN is responsible for assessing changes in condition and directing further care;
the aide reports observations to the RN.
**Question 5.** Which of the following is an example of professional conduct for a nurse aide?
A) Arriving late to a shift and leaving early
B) Wearing inappropriate clothing while on duty
C) Maintaining punctuality and appropriate grooming
D) Discussing resident information with coworkers in the break room
Answer: C
Explanation: Professional conduct includes punctuality, proper grooming, and maintaining a
professional appearance.
, [HNAide] Hawaii Nurse Aide Certification Exam
Preparation
**Question 6.** What is the first step in standard precautions to prevent infection
transmission?
A) Wearing a gown before entering the room
B) Performing hand hygiene
C) Disinfecting the equipment after use
D) Using sterile gloves for all tasks
Answer: B
Explanation: Hand hygiene is the most important measure in standard precautions to reduce
the spread of pathogens.
**Question 7.** Which PPE is required when providing oral care to a resident with an active
oral infection?
A) Surgical mask only
B) Gloves and eye protection
C) Gown and face shield
D) No PPE is needed
Answer: B
Explanation: Gloves protect the hands from contamination, and eye protection prevents
splashes from reaching the eyes.
**Question 8.** A fire alarm sounds in the facility. Which acronym represents the correct
response sequence?
A) PASS – Pull, Aim, Squeeze, Sweep
B) RACE – Rescue, Alarm, Contain, Extinguish/Evacuate
, [HNAide] Hawaii Nurse Aide Certification Exam
Preparation
C) ABC – Airway, Breathing, Circulation
D) STOP – Shut, Turn off, Observe, Protect
Answer: B
Explanation: RACE is the standard fire response protocol: Rescue, Alarm, Contain,
Extinguish/Evacuate.
**Question 9.** During a choking emergency, the nurse aide should first perform which
maneuver?
A) Back blows only
B) Heimlich maneuver (abdominal thrusts) if the resident is conscious
C) Chest compressions
D) Call emergency services and wait
Answer: B
Explanation: For a conscious adult or adolescent, the Heimlich maneuver is the first‑line
response to relieve airway obstruction.
**Question 10.** To prevent falls, a nurse aide should ensure which of the following?
A) Keep the resident’s bed in the highest position at all times
B) Leave wheels on the wheelchair while transferring
C) Keep the floor free of clutter and ensure bed brakes are locked
D) Encourage the resident to walk barefoot
Answer: C
Explanation: A clutter‑free environment and locked brakes reduce the risk of slipping or
uncontrolled movement.
