New York Nurse Aide Practice Test

Free New York Nurse Aide Practice Sample Questions & Answers

Question 1.
A resident who normally walks independently asks the nurse aide for help getting out of bed. The aide notices that the resident is unsteady and says, “My legs feel much weaker than usual today.” What should the aide do?

A. Encourage the resident to walk slowly without assistance
B. Have the resident remain in bed and report the change to the nurse
C. Tell the resident that weakness is common after sleeping
D. Ask the resident to walk to the bathroom before reporting the concern

Correct Answer. B

Explanation:
A sudden change from a resident’s normal ability to walk should be taken seriously. The resident’s report of unusual weakness combined with unsteadiness creates a potential fall and health risk. The aide should not encourage the resident to walk independently when the resident appears less stable than usual. The change should be communicated promptly to the nurse, and the aide should follow the resident’s care plan and facility procedures for mobility assistance. Nurse aides are responsible for observing and reporting changes rather than diagnosing their cause. Prompt communication allows the appropriate healthcare professional to assess the resident and determine what action is needed.

Question 2.
A nurse aide is preparing to help a resident with a shower. Before entering the bathroom, the aide notices that the floor near the shower is wet. What is the best action?

A. Ask the resident to step carefully around the wet area
B. Place a towel over the water and begin the shower
C. Correct the hazard according to facility procedure before assisting the resident
D. Have the resident hold the aide’s arm while walking across the wet floor

Correct Answer. C

Explanation:
A wet bathroom floor creates a significant fall hazard, particularly for a resident who may have limited mobility or balance. The hazard should be addressed before the resident enters the area. Simply asking the resident to walk carefully or using the aide’s arm for support does not eliminate the environmental risk. The nurse aide should follow facility procedures for cleaning or reporting the hazard and ensure that the area is safe before proceeding. Preventing accidents involves identifying environmental risks before they result in injury, not merely reacting after a resident has fallen.

Question 3.
A resident tells the nurse aide, “Please close the door while you help me change clothes. I don’t want anyone walking by to see me.” What should the aide do?

A. Leave the door open so staff can easily check on the resident
B. Close the door or provide another appropriate privacy measure while maintaining required safety precautions
C. Tell the resident that privacy is not possible during personal care
D. Ask another resident to stand outside the room and watch the hallway

Correct Answer. B

Explanation:
Residents have a right to privacy and dignity during personal care. The aide should use appropriate measures, such as closing the door or drawing the privacy curtain, while still following facility safety requirements. Personal care can leave residents feeling vulnerable, so protecting privacy is an important part of respectful care. Leaving the door open unnecessarily or dismissing the resident’s request does not support dignity. The aide should also avoid discussing the resident’s personal care in public areas. Balancing privacy with legitimate safety and observation requirements allows the resident to receive care in a respectful manner.

Question 4.
While assisting a resident with breakfast, the nurse aide notices that the resident’s food intake has decreased substantially over the past two meals. The resident also appears unusually tired and has taken very little fluid. What should the aide do?

A. Tell the resident to finish the meal before leaving
B. Offer several large glasses of water at once
C. Document the intake as required and promptly report the change to the nurse
D. Remove the meal and assume the resident will eat more later

Correct Answer. C

Explanation:
A significant change in food and fluid intake, particularly when accompanied by unusual fatigue, should be observed and reported. The nurse aide should document intake according to facility procedures and communicate the change to the nurse so the resident can be assessed appropriately. The aide should not force the resident to finish a meal or attempt to determine why the appetite has changed. Offering excessive fluid at once may also be inappropriate depending on the resident’s care plan and condition. Careful monitoring of nutrition and hydration is an important part of nurse aide responsibilities because changes in intake can provide valuable information about a resident’s condition.

Question 5.
A resident with Alzheimer’s disease becomes upset during evening care and repeatedly says, “I need to find my children.” The resident begins walking toward the hallway. Which response is most appropriate?

A. “Your children are adults and you should know where they are.”
B. “You are confused, so you need to stay in your room.”
C. “You seem worried about your children. Let’s sit together and talk about them.”
D. “If you leave the room, I will have to restrain you.”

Correct Answer. C

Explanation:
A calm response that acknowledges the resident’s feelings can help reduce distress and support a respectful interaction. Arguing with or correcting a person with cognitive impairment may increase agitation. The aide can acknowledge the concern, use a reassuring tone, and redirect the resident toward a safe and familiar activity while following the care plan. The aide should also consider the immediate safety of the resident and communicate significant behavioral changes to the appropriate healthcare professional. Threatening restraint is inappropriate, and nurse aides should never use restraints simply to control behavior. Effective dementia care emphasizes safety, dignity, patience, and person-centered communication.