Basic Nursing Skills Practice Test

“positioning the patient every four hours.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “using mechanical aids.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “giving backrubs.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “performing active or passive ROM exercises.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“paralysis on one side of the body.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “paralysis of both legs.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “paralysis of both arms.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “paralysis of all four extremities.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“bend at the knees.” is correct. Safe transfers and equipment use follow the care plan; position/lock equipment, use ordered devices, and protect the client from falls. “keep the patient at arm’s length.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “twist at the waist.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “move the patient rapidly.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“improves client well-being.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “decreases clothing costs.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “makes it easier to dress clients” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “enhances infection control.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“lungs.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “throat.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “colon.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “kidneys.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“in a laundry bag.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “on the bedside table.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “on the floor.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “in a red plastic bag.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“abdominal thrusts.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “back blows.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “mouth-to-mouth ventilations.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “a finger sweep.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“0 ml” is correct. Measure vital signs correctly with the proper site/technique, and report abnormalities to the nurse. “1 ml” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “2 ml” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “3 ml” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“weigh the client at the same time each day.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “weigh the client without clothing.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “weigh the client fully clothed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “weigh the client after breakfast.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm.

“report the complaint to the charge nurse.” is correct. Protect personal devices from loss/damage; store/clean per policy and label clearly. “encourage him to wear the dentures more often.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “report the complaint to the physician.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “put the dentures on the bedside table.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“is independent with balanced periods of rest and activity.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “is not permitted out of bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “is out of bed at mealtime only.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “will need assistance for all activities of daily living.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“using an electronic thermometer.” is correct. Measure vital signs correctly with the proper site/technique, and report abnormalities to the nurse. “drinking a hot cup of tea ten minutes before the reading.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “failing to shake down a glass thermometer.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “vigorous exercise prior to the reading.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“hand rests” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “armpit” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “knees” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “shoulders” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“sight” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “smell” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “touch” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “hearing” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“urine will not return to the bladder, causing infection.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “urine will not leak out, soiling the bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “the bag will be hidden and the client will not be embarrassed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “the client will be more comfortable in bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“wipe it up immediately.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “cover it with a towel.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “notify the charge nurse.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “contact housekeeping.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“report it to the charge nurse.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “put alcohol on the nick.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “report it to the physician.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “ignore it, since it is just a nick.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm.

“employ body mechanic techniques.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “get another nurse aide to assist.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “raise the bed to its maximum height.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “lower all safety rails.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“warmth and color of fingers.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “pulse above the cast.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “color and hardness of the cast.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “signs of crumbling at the cast end.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“rinse them out with clear water.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “call 911.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “report the incident to the charge nurse.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “document it.” is incorrect because it documentation must reflect care actually provided; falsifying is unsafe and unethical.

“do perineal care from front to back as needed.” is correct. Infection control requires proper hand hygiene and task‑appropriate PPE, using clean‑to‑dirty technique. “keep the drainage bag higher than the bladder.” is incorrect because it risks urine backflow and infection; drainage bags must stay below bladder level. “let the tubing make a U loop below the bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “do perineal care every other night.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Assess the client's pulse and respiration.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Call 911.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Perform CPR.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Call for help.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“bluish tint to lips and skin” is correct. Report concerns through the nursing chain of command—usually to the charge nurse/supervisor first. “T–98.2, P–88, R–20” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “yellow-colored urine” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “skin that is warm and dry to the touch” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“a.c.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “p.c.” means after meals, which does not match the requirement in this question. “b.i.d.” means twice a day, which does not match the requirement in this question. “t.i.d.” means three times a day, which does not match the requirement in this question.

“keeping the feet comfortably apart.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “keeping knees locked in place.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “holding objects away from the body.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “holding feet and hands as far from the body
as possible.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“leave the call light within reach.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “lock the door to promote privacy.” is incorrect because it fails to protect privacy and dignity; always provide privacy. “stand next to the client until the client is finished.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “restrain the client to prevent a fall.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“airway, breathing, circulation.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “action before calling.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “airway before circulation.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “action, benefits, contact.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Discard it in the soiled linen hamper.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Ignore it and leave it on the floor.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “Place it back on the linen cart.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Use it anyway.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“spread bacteria.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “tear the pillowcase.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds. “drop the pillowcase.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds. “dampen the pillowcase.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds.

“using caution with oxygen tubing so the client does not trip and/or get it entangled in furniture.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “always setting the flow meter at 2–3 liters per minute.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “using wool blankets only to keep the patient warm.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “cleansing the nasal prongs each shift with alcohol.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“immediately after the doctor pronounces the patient dead” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “after the family views the body” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “when rigor mortis sets in” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “after the body goes to the morgue” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm.

“at the head of the bed, to protect the head.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “on the chair, out of the way.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “at the foot of the bed, out of the way.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “anywhere the client wants it.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“discussing this with the charge nurse.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “leaving the client on a padded bedpan.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “placing the client in bed with a waterproof
underpad.” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock. “giving the client some time to rest.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“cheerfulness.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “sudden paleness.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “excessive sweating.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “increased respirations.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“q2h” is correct. Positioning reduces aspiration risk and increases comfort; follow safe feeding and positioning guidelines. “q1h” means every hour, which does not match the requirement in this question. “q3h” means every 3 hours, which does not match the requirement in this question. “q4h” means every 4 hours, which does not match the requirement in this question.

“decreased body functions.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “increased appetite.” is incorrect because it does not match standard precautions/PPE sequence for the task. “normal or elevated vital signs.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “severe, unceasing pain.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“not tell the patient what he is going to do.” is correct. Measure vital signs correctly with the proper site/technique, and report abnormalities to the nurse. “wait until after the client has exercised.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “count five respirations and then check his watch.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “have the client count respirations while the aide takes her pulse.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“wear gloves.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “ensure that a family member is present.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “have a coworker assist her.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “contact the funeral director for instructions.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“change the position of the weights.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “give a complete bed bath.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds. “monitor affected skin color.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “monitor all possible distal pulses.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“750 cc.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “250 cc.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “500 cc.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “1,000 cc.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.