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Hartman's Nursing Assistant Care Exam 2026-2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
1. A nursing assistant is caring for a resident with a history of falls.
Which environmental modification is the highest priority to enhance
safety?
A. Keep the television volume low
B. Ensure the call light is within reach
C. Provide magazines for distraction
D. Open window blinds for natural light
Answer: B. Ensuring the call light is within reach directly empowers the
resident to summon assistance, which is a primary fall prevention
strategy by eliminating the need for unassisted ambulation.
2. When performing perineal care on an uncircumcised male resident,
what is the correct action regarding the foreskin?
A. Leave the foreskin in place to avoid discomfort
B. Retract the foreskin, clean the area, and replace it to its natural
position
C. Retract the foreskin and leave it retracted to prevent infection
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D. Apply petroleum jelly and leave the foreskin untouched
Answer: B. The foreskin must be retracted to clean smegma and
bacteria from the glans penis; failing to replace it can cause
paraphimosis, a painful and dangerous condition that restricts blood
flow.
3. A resident with left-sided weakness from a stroke is to be dressed.
Which arm should be dressed first?
A. Right arm
B. Left arm
C. Both arms simultaneously
D. It does not matter which arm
Answer: B. The affected or weaker side (left arm) should be dressed
first because it requires more manipulation and is less flexible, reducing
the range of motion required from the resident during the procedure.
4. The nursing assistant observes that a resident's urine is cloudy and
has a strong odor. What is the most appropriate initial action?
A. Ignore it, as this is normal with aging
B. Provide the resident with cranberry juice
C. Report the observations to the nurse immediately
D. Catheterize the resident to obtain a sterile sample
Answer: C. Cloudy, foul-smelling urine is a cardinal sign of a potential
urinary tract infection. Nursing assistants do not diagnose or prescribe;
they must report objective data to the licensed nurse for assessment.
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5. A resident who is a veteran is terminally ill and begins to speak about
"enemies" in the room and wanting to "go home." What is the best
therapeutic response?
A. "You are safe here; there are no enemies in the room."
B. "You are not making any sense; you are in the nursing home."
C. "Tell me more about what you are seeing and where home is."
D. "I will check with the nurse to see if you can have anti-anxiety
medication."
Answer: C. Using validation therapy, the nursing assistant
acknowledges the resident's reality orientation rather than challenging
it. This response opens communication and explores the underlying
emotional need or unmet need for safety.
6. According to the chain of infection, which link is broken by the
nursing assistant performing proper hand hygiene?
A. Portal of exit
B. Reservoir
C. Mode of transmission
D. Susceptible host
Answer: C. Hand hygiene eliminates transient microorganisms before
they can be transferred to another person, thus interrupting the mode
of transmission, which is the mechanism by which the infectious agent
travels.
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7. A resident is on a 1500 mL fluid restriction per day. How does the
nursing assistant best manage this restriction?
A. Provide all 1500 mL on the breakfast tray
B. Offer frequent oral care and divide fluids over 24 hours
C. Limit fluids to only those given with medications
D. Remove the water pitcher from the room entirely
Answer: B. Dividing the allowed fluids over 24 hours prevents the
resident from consuming the allotment too early. Frequent oral care
alleviates dry mouth without adding liquid volume.
8. When a resident is placed in the lateral position, which area is at
greatest risk for pressure injuries?
A. Sacrum
B. Heels
C. Trochanter (hip)
D. Occiput (back of head)
Answer: C. In the lateral position, the greater trochanter of the femur
bears the body's weight against the mattress, creating a bony
prominence highly susceptible to ischemic pressure damage.
9. A resident with diabetes has a minor cut on the foot. Why is this
considered a serious finding?
A. Diabetics have thinner skin that tears easily
Hartman's Nursing Assistant Care Exam 2026-2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
1. A nursing assistant is caring for a resident with a history of falls.
Which environmental modification is the highest priority to enhance
safety?
A. Keep the television volume low
B. Ensure the call light is within reach
C. Provide magazines for distraction
D. Open window blinds for natural light
Answer: B. Ensuring the call light is within reach directly empowers the
resident to summon assistance, which is a primary fall prevention
strategy by eliminating the need for unassisted ambulation.
2. When performing perineal care on an uncircumcised male resident,
what is the correct action regarding the foreskin?
A. Leave the foreskin in place to avoid discomfort
B. Retract the foreskin, clean the area, and replace it to its natural
position
C. Retract the foreskin and leave it retracted to prevent infection
,2|Page
D. Apply petroleum jelly and leave the foreskin untouched
Answer: B. The foreskin must be retracted to clean smegma and
bacteria from the glans penis; failing to replace it can cause
paraphimosis, a painful and dangerous condition that restricts blood
flow.
3. A resident with left-sided weakness from a stroke is to be dressed.
Which arm should be dressed first?
A. Right arm
B. Left arm
C. Both arms simultaneously
D. It does not matter which arm
Answer: B. The affected or weaker side (left arm) should be dressed
first because it requires more manipulation and is less flexible, reducing
the range of motion required from the resident during the procedure.
4. The nursing assistant observes that a resident's urine is cloudy and
has a strong odor. What is the most appropriate initial action?
A. Ignore it, as this is normal with aging
B. Provide the resident with cranberry juice
C. Report the observations to the nurse immediately
D. Catheterize the resident to obtain a sterile sample
Answer: C. Cloudy, foul-smelling urine is a cardinal sign of a potential
urinary tract infection. Nursing assistants do not diagnose or prescribe;
they must report objective data to the licensed nurse for assessment.
,3|Page
5. A resident who is a veteran is terminally ill and begins to speak about
"enemies" in the room and wanting to "go home." What is the best
therapeutic response?
A. "You are safe here; there are no enemies in the room."
B. "You are not making any sense; you are in the nursing home."
C. "Tell me more about what you are seeing and where home is."
D. "I will check with the nurse to see if you can have anti-anxiety
medication."
Answer: C. Using validation therapy, the nursing assistant
acknowledges the resident's reality orientation rather than challenging
it. This response opens communication and explores the underlying
emotional need or unmet need for safety.
6. According to the chain of infection, which link is broken by the
nursing assistant performing proper hand hygiene?
A. Portal of exit
B. Reservoir
C. Mode of transmission
D. Susceptible host
Answer: C. Hand hygiene eliminates transient microorganisms before
they can be transferred to another person, thus interrupting the mode
of transmission, which is the mechanism by which the infectious agent
travels.
, 4|Page
7. A resident is on a 1500 mL fluid restriction per day. How does the
nursing assistant best manage this restriction?
A. Provide all 1500 mL on the breakfast tray
B. Offer frequent oral care and divide fluids over 24 hours
C. Limit fluids to only those given with medications
D. Remove the water pitcher from the room entirely
Answer: B. Dividing the allowed fluids over 24 hours prevents the
resident from consuming the allotment too early. Frequent oral care
alleviates dry mouth without adding liquid volume.
8. When a resident is placed in the lateral position, which area is at
greatest risk for pressure injuries?
A. Sacrum
B. Heels
C. Trochanter (hip)
D. Occiput (back of head)
Answer: C. In the lateral position, the greater trochanter of the femur
bears the body's weight against the mattress, creating a bony
prominence highly susceptible to ischemic pressure damage.
9. A resident with diabetes has a minor cut on the foot. Why is this
considered a serious finding?
A. Diabetics have thinner skin that tears easily
