Nursing Assistant Certification NAC AMCA Ultimate
Exam
**Question 1.** Which of the following is the correct order for measuring blood pressure with a manual
sphygmomanometer? A) Inflate cuff, locate pulse, deflate slowly, note sounds B) Locate pulse, inflate
cuff, deflate slowly, note sounds C) Inflate cuff, locate pulse, note sounds, deflate slowly D) Locate pulse,
note sounds, inflate cuff, deflate slowly
Answer: B
Explanation: First find the radial pulse, then inflate the cuff above systolic pressure, slowly deflate while
listening for Korotkoff sounds.
**Question 2.** The best position to promote lung expansion in a patient with COPD is: A) Supine B)
Prone C) Fowler’s 45° D) Trendelenburg
Answer: C
Explanation: Fowler’s position (45°) facilitates diaphragmatic movement and improves ventilation.
**Question 3.** Which term describes a wound that is red, warm, and draining purulent fluid? A)
Necrotic B) Healing C) Infected D) Granulating
Answer: C
Explanation: Signs of infection include redness, warmth, and purulent drainage.
**Question 4.** The most appropriate way to assist a resident with a denture is to: A) Place denture in
hot water B) Use a denture brush with mild soap C) Scrub with a hard toothbrush D) Store in a sealed
plastic bag without water
Answer: B
Explanation: Gentle brushing with mild soap cleans dentures without damaging them.
**Question 5.** When measuring a resident’s height using a wheelchair scale, you should: A) Measure
from floor to top of head while seated B) Use a stadiometer C) Estimate based on arm span D) Record
the wheelchair height only
, Nursing Assistant Certification NAC AMCA Ultimate
Exam
Answer: A
Explanation: Height is measured from the floor to the top of the head while the resident sits upright.
**Question 6.** The normal respiratory rate for an adult at rest is: A) 8‑12 breaths/min B) 12‑20
breaths/min C) 20‑30 breaths/min D) 30‑40 breaths/min
Answer: B
Explanation: Adults typically breathe 12‑20 times per minute at rest.
**Question 7.** A gait belt should be placed: A) Around the waist above the hips B) Around the chest C)
Around the waist below the hips D) On the thigh
Answer: A
Explanation: Placing the belt above the hips provides a secure grip and protects the lower abdomen.
**Question 8.** Which of the following diets is appropriate for a patient with dysphagia who can
swallow thin liquids but not solids? A) Clear liquid diet B) Full liquid diet C) Mechanical soft diet D) Soft
chew diet
Answer: B
Explanation: A full liquid diet provides nutrition in liquid form suitable for those who cannot handle
solids.
**Question 9.** The best method to prevent pressure ulcers on a bedridden patient is: A) Frequent
turning every 2‑4 hours B) Applying oil to the skin C) Using a firm mattress D) Keeping the patient in one
position for 8 hours
Answer: A
Explanation: Regular repositioning relieves pressure and reduces ulcer risk.
, Nursing Assistant Certification NAC AMCA Ultimate
Exam
**Question 10.** Which of the following is a sign of hypoglycemia in a diabetic resident? A) Polyuria B)
Polydipsia C) Tremor and sweating D) Weight gain
Answer: C
Explanation: Tremor, sweating, and anxiety are classic hypoglycemia symptoms.
**Question 11.** In standard precautions, hand hygiene should be performed: A) Only before patient
contact B) Only after patient contact C) Before and after patient contact, after removing gloves, and
after contact with contaminated surfaces D) Only when gloves are not available
Answer: C
Explanation: Hand hygiene is required before and after patient contact and after glove removal.
**Question 12.** Which isolation precaution is required for a patient with active tuberculosis? A)
Contact B) Droplet C) Airborne D) Protective
Answer: C
Explanation: Airborne precautions (negative pressure room, N‑95 mask) are needed for TB.
**Question 13.** The “RACE” fire safety acronym stands for: A) Rescue, Alarm, Contain, Extinguish B)
Remove, Alert, Contain, Extinguish C) Rescue, Alarm, Contain, Evacuate D) Remove, Alert, Call,
Extinguish
Answer: A
Explanation: RACE = Rescue, Alarm, Contain, Extinguish.
**Question 14.** Which of the following is a symptom of deep vein thrombosis (DVT)? A) Bilateral leg
swelling B) Painful, warm calf with swelling C) Severe headache D) Chest pain radiating to the arm
Answer: B
Explanation: Unilateral calf pain, warmth, and swelling suggest DVT.
, Nursing Assistant Certification NAC AMCA Ultimate
Exam
**Question 15.** The correct sequence for donning personal protective equipment (PPE) is: A) Gown,
mask, gloves, goggles B) Mask, goggles, gown, gloves C) Gown, gloves, mask, goggles D) Mask, gown,
gloves, goggles
Answer: B
Explanation: Mask first, then eye protection, gown, and finally gloves.
**Question 16.** A resident’s temperature of 38.5°C (101.3°F) most likely indicates: A) Hypothermia B)
Fever C) Normal variation D) Hyperthermia due to environment
Answer: B
Explanation: Temperature above 38°C is classified as fever.
**Question 17.** Which of the following is a contraindication for using a mechanical lift? A) Weight >
250 lb B) Resident has a spinal fracture C) Resident is non‑ambulatory D) Resident is cooperative
Answer: B
Explanation: Spinal fractures require manual techniques to avoid further injury.
**Question 18.** The term “proximal” refers to a location that is: A) Near the body’s midline B) Far from
the midline C) Toward the head D) Toward the feet
Answer: A
Explanation: Proximal means closer to the trunk’s central axis.
**Question 19.** Which medication class is most likely to cause orthostatic hypotension? A)
Beta‑blockers B) Anticholinergics C) Diuretics D) Opioids
Answer: C
Explanation: Diuretics reduce fluid volume, leading to orthostatic drops in blood pressure.
Exam
**Question 1.** Which of the following is the correct order for measuring blood pressure with a manual
sphygmomanometer? A) Inflate cuff, locate pulse, deflate slowly, note sounds B) Locate pulse, inflate
cuff, deflate slowly, note sounds C) Inflate cuff, locate pulse, note sounds, deflate slowly D) Locate pulse,
note sounds, inflate cuff, deflate slowly
Answer: B
Explanation: First find the radial pulse, then inflate the cuff above systolic pressure, slowly deflate while
listening for Korotkoff sounds.
**Question 2.** The best position to promote lung expansion in a patient with COPD is: A) Supine B)
Prone C) Fowler’s 45° D) Trendelenburg
Answer: C
Explanation: Fowler’s position (45°) facilitates diaphragmatic movement and improves ventilation.
**Question 3.** Which term describes a wound that is red, warm, and draining purulent fluid? A)
Necrotic B) Healing C) Infected D) Granulating
Answer: C
Explanation: Signs of infection include redness, warmth, and purulent drainage.
**Question 4.** The most appropriate way to assist a resident with a denture is to: A) Place denture in
hot water B) Use a denture brush with mild soap C) Scrub with a hard toothbrush D) Store in a sealed
plastic bag without water
Answer: B
Explanation: Gentle brushing with mild soap cleans dentures without damaging them.
**Question 5.** When measuring a resident’s height using a wheelchair scale, you should: A) Measure
from floor to top of head while seated B) Use a stadiometer C) Estimate based on arm span D) Record
the wheelchair height only
, Nursing Assistant Certification NAC AMCA Ultimate
Exam
Answer: A
Explanation: Height is measured from the floor to the top of the head while the resident sits upright.
**Question 6.** The normal respiratory rate for an adult at rest is: A) 8‑12 breaths/min B) 12‑20
breaths/min C) 20‑30 breaths/min D) 30‑40 breaths/min
Answer: B
Explanation: Adults typically breathe 12‑20 times per minute at rest.
**Question 7.** A gait belt should be placed: A) Around the waist above the hips B) Around the chest C)
Around the waist below the hips D) On the thigh
Answer: A
Explanation: Placing the belt above the hips provides a secure grip and protects the lower abdomen.
**Question 8.** Which of the following diets is appropriate for a patient with dysphagia who can
swallow thin liquids but not solids? A) Clear liquid diet B) Full liquid diet C) Mechanical soft diet D) Soft
chew diet
Answer: B
Explanation: A full liquid diet provides nutrition in liquid form suitable for those who cannot handle
solids.
**Question 9.** The best method to prevent pressure ulcers on a bedridden patient is: A) Frequent
turning every 2‑4 hours B) Applying oil to the skin C) Using a firm mattress D) Keeping the patient in one
position for 8 hours
Answer: A
Explanation: Regular repositioning relieves pressure and reduces ulcer risk.
, Nursing Assistant Certification NAC AMCA Ultimate
Exam
**Question 10.** Which of the following is a sign of hypoglycemia in a diabetic resident? A) Polyuria B)
Polydipsia C) Tremor and sweating D) Weight gain
Answer: C
Explanation: Tremor, sweating, and anxiety are classic hypoglycemia symptoms.
**Question 11.** In standard precautions, hand hygiene should be performed: A) Only before patient
contact B) Only after patient contact C) Before and after patient contact, after removing gloves, and
after contact with contaminated surfaces D) Only when gloves are not available
Answer: C
Explanation: Hand hygiene is required before and after patient contact and after glove removal.
**Question 12.** Which isolation precaution is required for a patient with active tuberculosis? A)
Contact B) Droplet C) Airborne D) Protective
Answer: C
Explanation: Airborne precautions (negative pressure room, N‑95 mask) are needed for TB.
**Question 13.** The “RACE” fire safety acronym stands for: A) Rescue, Alarm, Contain, Extinguish B)
Remove, Alert, Contain, Extinguish C) Rescue, Alarm, Contain, Evacuate D) Remove, Alert, Call,
Extinguish
Answer: A
Explanation: RACE = Rescue, Alarm, Contain, Extinguish.
**Question 14.** Which of the following is a symptom of deep vein thrombosis (DVT)? A) Bilateral leg
swelling B) Painful, warm calf with swelling C) Severe headache D) Chest pain radiating to the arm
Answer: B
Explanation: Unilateral calf pain, warmth, and swelling suggest DVT.
, Nursing Assistant Certification NAC AMCA Ultimate
Exam
**Question 15.** The correct sequence for donning personal protective equipment (PPE) is: A) Gown,
mask, gloves, goggles B) Mask, goggles, gown, gloves C) Gown, gloves, mask, goggles D) Mask, gown,
gloves, goggles
Answer: B
Explanation: Mask first, then eye protection, gown, and finally gloves.
**Question 16.** A resident’s temperature of 38.5°C (101.3°F) most likely indicates: A) Hypothermia B)
Fever C) Normal variation D) Hyperthermia due to environment
Answer: B
Explanation: Temperature above 38°C is classified as fever.
**Question 17.** Which of the following is a contraindication for using a mechanical lift? A) Weight >
250 lb B) Resident has a spinal fracture C) Resident is non‑ambulatory D) Resident is cooperative
Answer: B
Explanation: Spinal fractures require manual techniques to avoid further injury.
**Question 18.** The term “proximal” refers to a location that is: A) Near the body’s midline B) Far from
the midline C) Toward the head D) Toward the feet
Answer: A
Explanation: Proximal means closer to the trunk’s central axis.
**Question 19.** Which medication class is most likely to cause orthostatic hypotension? A)
Beta‑blockers B) Anticholinergics C) Diuretics D) Opioids
Answer: C
Explanation: Diuretics reduce fluid volume, leading to orthostatic drops in blood pressure.
