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PA Nurse Aide Competency Examination ACTUAL EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR-JUST RELEASED
SHORT POINT-FORM COVERAGE
• Hand hygiene = most important infection control
• Always identify resident before care
• Never leave resident unsafe (side rails, call light)
• Report changes immediately
• Document accurately, never guess
• Knock before entering (privacy)
• Use PPE correctly
• Prevent falls and injuries
• Encourage independence
• Respect resident choices
• Use proper body mechanics
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• Observe and report abnormal signs
• Maintain dignity at all times
50 SCENARIO-BASED MCQs (WITH ANSWERS + RATIONALES)
1.
A nurse aide enters a resident’s room and notices gloves were worn but not removed after contact with
bodily fluids. What is the correct next action to prevent infection spread?
A. Continue care without removing gloves
B. Remove gloves and wash hands immediately
C. Wipe gloves with sanitizer and continue
D. Leave the room and report later
Answer: B
Rationale: Gloves must be removed after contamination, followed by proper hand hygiene to prevent
cross-contamination.
2.
While assisting a resident to stand, the resident suddenly becomes weak and begins to fall. What should
the nurse aide do first?
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A. Try to lift the resident back up immediately
B. Ease the resident to the floor safely
C. Leave to call for help
D. Pull the resident upward forcefully
Answer: B
Rationale: Prevent injury by guiding the resident safely to the floor rather than attempting unsafe lifting.
3.
A resident refuses to take a bath despite encouragement. What is the most appropriate response by the
nurse aide?
A. Force the resident to bathe
B. Report and document refusal
C. Ignore the resident
D. Tell the resident they must comply
Answer: B
Rationale: Residents have the right to refuse care; refusal must be respected and reported.
4.
During feeding, a resident begins coughing repeatedly while swallowing food. What is the best
immediate action?
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A. Continue feeding slowly
B. Stop feeding and assess the situation
C. Give water quickly
D. Ignore and continue
Answer: B
Rationale: Coughing indicates possible aspiration risk; feeding must stop immediately.
5.
A nurse aide forgets to lock the wheelchair before transferring a resident. What risk does this create?
A. No significant risk
B. Increased infection risk
C. Fall or injury risk
D. Medication error
Answer: C
Rationale: Unlocked wheelchairs can move, leading to falls and injury.
6.
A resident with dementia becomes agitated and starts yelling. What is the best approach?
A. Argue to correct them
B. Use calm voice and redirect attention
PA Nurse Aide Competency Examination ACTUAL EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR-JUST RELEASED
SHORT POINT-FORM COVERAGE
• Hand hygiene = most important infection control
• Always identify resident before care
• Never leave resident unsafe (side rails, call light)
• Report changes immediately
• Document accurately, never guess
• Knock before entering (privacy)
• Use PPE correctly
• Prevent falls and injuries
• Encourage independence
• Respect resident choices
• Use proper body mechanics
, Page 2 of 89
• Observe and report abnormal signs
• Maintain dignity at all times
50 SCENARIO-BASED MCQs (WITH ANSWERS + RATIONALES)
1.
A nurse aide enters a resident’s room and notices gloves were worn but not removed after contact with
bodily fluids. What is the correct next action to prevent infection spread?
A. Continue care without removing gloves
B. Remove gloves and wash hands immediately
C. Wipe gloves with sanitizer and continue
D. Leave the room and report later
Answer: B
Rationale: Gloves must be removed after contamination, followed by proper hand hygiene to prevent
cross-contamination.
2.
While assisting a resident to stand, the resident suddenly becomes weak and begins to fall. What should
the nurse aide do first?
, Page 3 of 89
A. Try to lift the resident back up immediately
B. Ease the resident to the floor safely
C. Leave to call for help
D. Pull the resident upward forcefully
Answer: B
Rationale: Prevent injury by guiding the resident safely to the floor rather than attempting unsafe lifting.
3.
A resident refuses to take a bath despite encouragement. What is the most appropriate response by the
nurse aide?
A. Force the resident to bathe
B. Report and document refusal
C. Ignore the resident
D. Tell the resident they must comply
Answer: B
Rationale: Residents have the right to refuse care; refusal must be respected and reported.
4.
During feeding, a resident begins coughing repeatedly while swallowing food. What is the best
immediate action?
, Page 4 of 89
A. Continue feeding slowly
B. Stop feeding and assess the situation
C. Give water quickly
D. Ignore and continue
Answer: B
Rationale: Coughing indicates possible aspiration risk; feeding must stop immediately.
5.
A nurse aide forgets to lock the wheelchair before transferring a resident. What risk does this create?
A. No significant risk
B. Increased infection risk
C. Fall or injury risk
D. Medication error
Answer: C
Rationale: Unlocked wheelchairs can move, leading to falls and injury.
6.
A resident with dementia becomes agitated and starts yelling. What is the best approach?
A. Argue to correct them
B. Use calm voice and redirect attention
