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CORE DOMAINS
Basic Nursing and Restorative Skills
Personal Care and Hygiene
Mental Health and Social Service Needs
Care of Cognitively Impaired Residents
Resident Rights and Advocacy
Safety and Emergency Procedures
Communication and Professionalism
Infection Control
INTRODUCTION
The purpose of this assessment is to evaluate the competency and readiness of
Nursing Assistant candidates in the state of Illinois. This exam comprehensively
assesses foundational clinical skills, safety protocols, and the ethical
responsibilities required to provide high-quality resident care. Utilizing a
combination of multiple-choice and scenario-based questions, the exam mirrors
the real-world challenges encountered in long-term care facilities. Candidates
,must demonstrate critical thinking and sound decision-making regarding resident
rights, infection control, and emergency response. This pack is designed to ensure
candidates possess the knowledge necessary for certification and the practical
application of care standards.
SECTION ONE: QUESTIONS 1–100
1. A resident is angry and begins to shout at a Nursing Assistant. The most
appropriate response is to:
A. Shout back so the resident hears you
B. Leave the room immediately without speaking
C. Stay calm and listen to the resident's concerns
D. Tell the resident they will be punished for shouting
🟢 C. Stay calm and listen to the resident's concerns
🔴 Explanation: Maintaining a calm, non-confrontational demeanor helps de-
escalate the situation and shows respect for the resident's feelings.
2. Which of the following is considered a normal part of the aging process?
A. Consistent chest pain
B. Frequent fainting spells
,C. Slower legal response times
D. Decreased skin elasticity
🟢 D. Decreased skin elasticity
🔴 Explanation: As people age, the skin naturally loses collagen and elastin,
making it thinner and less resilient.
3. To prevent pressure sores, a bedridden resident should be repositioned at
least every:
A. 30 minutes
B. 2 hours
C. 4 hours
D. 8 hours
🟢 B. 2 hours
🔴 Explanation: Repositioning every two hours is the standard protocol to relieve
pressure on bony prominences and maintain skin integrity.
4. When performing perineal care on a female resident, the Nursing Assistant
should wash:
, A. From back to front
B. From front to back
C. In a circular motion
D. Only with alcohol wipes
🟢 B. From front to back
🔴 Explanation: Washing from front to back (urethra to anus) prevents the spread
of fecal bacteria into the urinary tract.
5. A resident has a right-side weakness following a stroke. When dressing the
resident, the Nursing Assistant should:
A. Dress the right side first
B. Dress the left side first
C. Let the resident stay in a gown
D. Always use a lift for dressing
🟢 A. Dress the right side first
🔴 Explanation: When dressing a resident with one-sided weakness, always start
with the weak (affected) side to minimize strain.
6. What is the first sign of a developing pressure ulcer?