NURSE AIDE I North Carolina - Candidate Handbook - Pearson VUE
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
North Carolina
NURSE
AIDE I
written (or oral) examination
& skills evaluation
Candidate Handbook
SEARCH
04/21
Stock #0734-00
April 2021QUICK REFERENCE
PEARSON VUE® REGISTRATION Refer any additional questions to:
AND SCHEDULING SERVICES NORTH CAROLINA DEPARTMENT OF HEALTH
North Carolina NNAAP ® AND HUMAN SERVICES
(Eastern Time Zone) Health Care Personnel Education
(888) 723-6773 and Credentialing Section
Hours of Operation: 2709 Mail Service Center
Monday – Friday 8 a.m. – 11 p.m. Raleigh, NC 27699-2709
Saturday 8 a.m. – 5 p.m. (919) 855-3969
Sunday 10 a.m. – 4 p.m. Fax: (919) 733-9764
(Eastern Time Zone) Hours of Operation 8:00 a.m. – 12:00 p.m.
To contact a customer service agent: and 1:00 p.m. – 3:00 p.m.
(Eastern Time Zone, weekdays)
• Call (888) 723-6773 or email The phone lines will be closed between
pearsonvuecustomerservice@pearson.com 12 noon and 1 p.m.
Call Pearson VUE to:
Go to NC DHHS website www.ncnar.org
• Schedule, reschedule or cancel an examination for additional information
• Request an excused absence
• Ask questions about On-Line Registration
• Obtain information regarding your Score Report ACCOUNT RECOVERY
• Obtain information regarding your examination • If your activation notification is not in your junk or
spam folder or you have not accessed your account
within the allotted time period, please visit
PEARSON VUE® WEBSITE https://i7lp.integral7.com/durango/do/
Go to Pearson VUE’s website login?ownername=ncna
(www.pearsonvue.com) to: • Under "forgot username or password" select "Click
• View the most current exam updates Here"
• Register on-line at https://i7lp.integral7.com/ncna
• Download a Candidate Handbook DUPLICATE SCORE REPORT
• View Regional Test Site testing dates • Score reports for exams taken on or after
• Download a Nurse Aide Practice Written July 1, 2018 are available for instant download
Examination and printing online. Please log into your account at
• View the Nurse Aide Program Overview http://www.pearsonvue.com/nc/nurseaides/
• View a list of the Nurse Aide Registries (by State) for access.
• View Skills ListingTABLE OF CONTENTS
Quick Reference............................. inside front cover
Introduction............................................................... 1
National Nurse Aide Assessment Program................ 1
Exam Overview......................................................... 2
Eligibility..................................................................... 3
North Carolina State-Approved Nurse Aide I Trained
Candidates (E1)...................................................... 3
North Carolina State-Approved Refresher Course
Trained Candidates (E3)........................................ 3
North Carolina State-Approved Student Nurse
Training Candidates (E5)....................................... 4
Other Trained (E8).................................................... 4
Trained Out of State (E9).......................................... 4
NC Registry Candidates (E10).................................. 5
Out-of-state Registry Candidates (E11)..................... 5
Application and Scheduling...................................... 6
Filling Out an Application........................................ 6
Proper I.D.................................................................. 6
Exam Fees.................................................................. 7
Exam Scheduling....................................................... 7
Authorization to Test Notice..................................... 8
Testing Locations....................................................... 8
Accommodations....................................................... 8
Cancellation and Rescheduling................................. 9
Refunds..................................................................... 9
Absence Policy.......................................................... 10
Weather Emergencies................................................ 10
Exam Day................................................................. 11
Checking In.............................................................. 11
What to Bring.......................................................... 11
Proper Identification................................................. 11
Security .................................................................... 12
Testing Policies........................................................ 13
Lateness................................................................ 13
Electronic Devices................................................ 13
Pearson VUE and Credentia do not discriminate on the basis of age, sex, race, creed,
disabling condition, religion, national origin, or any other protected characteristics.
Study Aids............................................................ 13
Copyright © 2018 Pearson Education, Inc., or its affiliate(s). All Rights Reserved.
Eating/Drinking/Smoking.................................... 13
Pubs_orders@pearson.com Misconduct........................................................... 13
NNAAP® Written Exam Content Outline and Practical Skills Listing Guests/Visitors...................................................... 13
Copyright © 2016–2018 National Council of State Boards of Nursing, Inc. (NCSBN®). All rights reserved.
continued on next pageThe Written (or Oral) Exam...................................... 14
Written Exam........................................................... 14
INTRODUCTION
English or Spanish Oral Exam................................. 14
This handbook is designed for candidates seeking Nurse
Written (or Oral) Exam Content Outline...................... 15 Aide I certifi
cation in North Carolina. It describes the
process of applying for and taking the National Nurse Aide
Sample Questions.................................................... 16
Assessment Program (NNAAP®) Examination.
Self-Assessment Reading Test.......................... 17-20 The North Carolina Department of Health and Human
Services (DHHS) has contracted with Pearson VUE,
The Skills Evaluation.................................................. 21
a nationally recognized leading provider of assessment
What to Expect....................................................... 21 services to regulatory agencies and national associations.
Setting................................................................. 21 Pearson VUE will administer, score, and report the results
Who Will Act As a Client?.................................. 21 of the NNAAP ® Examination for the North Carolina
Candidate Volunteer Requirements...................... 21 Nurse Aide I Registry. Credentia will be working with
Candidate Dress Requirements............................. 21 Pearson VUE to schedule and administer the examina-
The Tasks................................................................ 22 tion.
Recording a Measurement....................................... 23
Sample Recording Sheet for Measurement Skills..... 24 NATIONAL NURSE AIDE ASSESSMENT
Tips for the Skills Evaluation................................ 25 PROGRAM (NNAAP®)
Skills Listing ...................................................... 26-40 The Nursing Home Reform Act, adopted by Congress as
part of the Omnibus Budget Reconciliation Act of 1987
Score Reporting....................................................... 41 (OBRA ’87), was designed to improve the quality of care
Exam Results............................................................ 41 in long-term health care facilities and to define training
Written (or Oral) Exam........................................ 41 and evaluation standards for nurse aides who work in such
Skills Evaluation................................................... 41 facilities. Each state is responsible for following the terms
Failing....................................................................... 41 of this federal law.
Reading a Failing Score Report............................... 42 The National Nurse Aide Assessment Program (NNAAP®)
Sample of a Failing Score Report............................. 43 is an examination program designed to determine minimal
Passing..................................................................... 43 competency to become a certified nurse aide in your state.
Duplicate Score Report............................................ 43 The NNAAP was developed by the National Council of
Grievance Process................................................... 44 State Boards of Nursing, Inc., (NCSBN) to meet the nurse
aide evaluation requirement of federal and state laws and
The Registry............................................................. 44 regulations. Pearson VUE is the authorized administrator
Initial Listing........................................................... 44 of the NNAAP in your state.
Change of Address or Name..................................... 45 The NNAAP Examination is an evaluation of nurse
Listing Renewal....................................................... 46 aide-related knowledge, skills, and abilities. The NNAAP
Examination is made up of both a Written (or Oral)
Appendix
Examination and a Skills Evaluation. The purpose of the
Appendix A: Skills List
NNAAP Examination is to test that you understand and
can safely perform the job of an entry-level nurse aide.
1EXAM OVERVIEW ELIGIBILITY
The two parts of the examination process, the Written
(or Oral) Examination and the Skills Evaluation, will be
All candidates applying to take the NNAAP Exam
administered separately. Your written exam will be deliv-
in North Carolina MUST complete an Application
ered at a Pearson Third Party test site via computer and
for Registration by Competency Examination on-line at
your skills exam will be delivered at a facility test site by a
www.pearsonvue.com/nc/nurseaides. Go to the link for
Nurse Aide Evaluator. You must pass both parts in order
On-Line Registration & Scheduling for additional infor-
to be certified and listed on the North Carolina Nurse
mation. You must pass both portions of the examination
Aide I Registry.
within designated time period to be eligible for listing on
The Written Examination consists of seventy (70) multiple- the NC Nurse Aide I Registry.
choice questions written in English. Sample examination
questions are provided in this handbook. NORTH CAROLINA STATE-APPROVED
NURSE AIDE I TRAINED CANDIDATES (E1)
An Oral Examination available in English or in Spanish
All applicants who have successfully completed a North
may be taken in place of the Written Examination. The
Carolina state-approved Nurse Aide I training program.
Oral Examination consists of sixty (60) multiple-choice
Candidates must pass both portions within two (2) years from
questions and ten (10) m ultiple-choice reading com-
the completion date of a training program or within three (3)
prehension questions. If you want to take the Oral
attempts, whichever comes first, in order to be placed on the
Examination, you must request it when you submit
North Carolina Nurse Aide I Registry. Failure to do so will
your application.
require training at a North Carolina state-approved training
At the Skills Evaluation you will be asked to perform five program and retesting of both portions of the examination.
(5) randomly selected nurse aide skills. You will be given If you have not completed testing or passed both portions
thirty (30) minutes to complete the five (5) skills. You will of the examination within 2 years of completion of train-
be rated on these skills by a Nurse Aide Evaluator. You ing and you change your eligibility route, you MUST take
must successfully demonstrate all five (5) skills to pass the BOTH portions of the examination.
Skills Evaluation. A complete listing of the skills is shown
on pages 26 to 40. NORTH CAROLINA STATE-APPROVED
See The Written (or Oral) Exam and The Skills Evaluation REFRESHER COURSE TRAINED CANDIDATES
for more details about the NNAAP Examination. (E3)
All applicants who have completed a Nurse Aide I refresher
course at a North Carolina state-approved Community
College or Proprietary School. Candidate must pass both
portions within two (2) years from the completion date of a
refresher course or within three (3) attempts, whichever comes
first, in order to be placed on the North Carolina Nurse Aide
I Registry. Failure to do so will require training at a North
Carolina state-approved training program and retesting of
both portions of the examination. If you have not completed
testing or passed both portions of the examination within
2 years of completion of training and you change your
eligibility route, you MUST take BOTH portions of the
examination.
Eligibility routes continue on next page
2 3NORTH CAROLINA STATE-APPROVED NC REGISTRY CANDIDATES (E10)
STUDENT NURSE TRAINING CANDIDATES (E5) Active status on NC Nurse Aide I Registry
All applicants who are currently enrolled in a North Carolina If work requirements are not met for listing renewal,
approved nursing education program preparing for registered candidates must complete testing prior to their registry
or practical nurse licensure. Candidates must pass both expiration date. Candidates must submit Training Waiver
portions within two (2) years from completion of the state- requests to NC DHHS. You may only apply for testing
approved portion of the training program or within three (3) no more than 45 days prior to your registry expiration
attempts, whichever comes first in order to be placed on the date. Once approved, you must complete testing before
North Carolina Nurse Aide I Registry. Failure to do so will your listing expires on the registry. Candidates have three
require training at a North Carolina state-approved training (3) attempts to pass both portions of the examination in
program and retesting of both portions of the examination. order to be placed on the North Carolina Nurse Aide I
If you have not completed testing or passed both por- Registry. Failure to do so will require training at a North
tions of the examination within 2 years of completion Carolina state-approved training program and retesting
of training and you change your eligibility route, you of both portions of the examination. If you change eli-
MUST take BOTH portions of the examination. gibility routes, you MUST take BOTH portions of the
OTHER TRAINED (E8) examination.
EMTs, nurses with inactive/expired listings, unli- Lapsed status must train at a NC State approved training/
censed nursing school graduates or military medics refresher program and test under route E1, E3 or E5.
Candidates must submit Training Waiver requests to OUT-OF-STATE REGISTRY CANDIDATES (E11)
NC DHHS. Candidate must pass both portions within Out-of-state candidates who are current on another
two (2) years of approval date or within three (3) attempts, state registry
whichever comes first, in order to be placed on the North
Candidates must complete testing prior to your certi-
Carolina Nurse Aide I Registry. Failure to do so will
fication on that registry’s expiration date. Must submit
require training at a North Carolina state-approved train-
Training Waiver requests to NC DHHS. Candidates
ing program and retesting of both portions of the exami-
must complete testing within 45 days of your NC DHHS
nation. If you change your eligibility route you MUST
approval date, or complete testing prior to expiration on
take BOTH portions of the examination.
registry, or within three (3) attempts, whichever comes
OUT OF STATE TRAINED (E9) first. You must pass both portions of the examination in
Trained out-of-state within the last 24 months and not order to be placed on the North Carolina Nurse Aide I
listed on another state registry Registry. Failure to do so will require training at a North
Carolina state-approved training program and retesting
Candidates must submit Training Waiver requests to
of both portions of the examination. If you change eli-
NC DHHS. Candidate must pass both portions of the test
gibility routes, you MUST take BOTH portions of the
within two (2) years from the completion date of training
examination.
or within three (3) attempts, whichever comes first, in order
to be placed on the North Carolina Nurse Aide I Registry. Lapsed status
Failure to do so will require training at a North Carolina If you are lapsed on another state registry, you must com-
state-approved training program and retesting of both por- plete state approved training before you can test.
tions of the examination. If you change eligibility routes,
you MUST take BOTH portions of the examination.
4 5APPLICATION EXAM FEES
AND SCHEDULING The fees listed below have been established for the NNAAP
Examination in North Carolina.
PROPER IDENTIFICATION
Candidates are required to bring two (2) forms of current, examination type fees
not expired, official signature-bearing identification (one
of which must be photo-bearing) to the test site. One form
of identification must be a U.S. government-issued Social Written Examination & Skills
$140
Security card, signed and non-laminated. Evaluation
Name and SSN must match what is on the registration Oral (English or Spanish)
record. Examination & Skills $140
Evaluation
ONLINE REGISTRATION AND SCHEDULING
Written Examination ONLY
All applications must be approved either by NC state- $40
(re-test)
approved training programs or by the NC Department
of Health and Human Services PRIOR to completing the
Oral (English or Spanish)
registration process. $40
Examination ONLY (re-test)
Your approval will be loaded into the Pearson Credential
Manager system. Once you have been approved, you will
Skills Evaluation ONLY (re-test) $100
receive an email notification to complete the registration
and scheduling process. Under federal and North Carolina state laws, candidates
The candidate will need to fill in all required fields, which employed as nurse aides in nursing homes that participate
are preceded by an asterisk (*), on the online form in order in Medicaid/Medicare programs are prohibited from
to create an ID and be assigned a password. Step-by-step paying their examination fees. Employers must pay the
instructions will lead the candidate through the rest of the
examination fee and any re-test fee for those candidates
examination reservation process.
in their employ as nurse aides or candidates who have a
• Payment is in the form of a credit card or pre-paid credit written commitment or signed acceptance of employment
card (American Express, MasterCard, Visa, or electronic on file in a Medicaid-certified nursing home. Candidates
voucher). Fees are non-refundable and non-transferable who become employed as a nurse aide by a Medicare/
once submitted.
Medicaid skilled nursing facility within 12 months of suc-
• You can access the online application at cessful completion of the competency evaluation may be
https://i7lp.integral7.com/ncna reimbursed by the facility for training and competency
• You must make an online reservation for your skills exam testing costs. Therefore candidates should save all receipts
at least 12 days in advance and an online reservation for to submit to the skilled nursing employer.
your written exam at least 24 hours prior to your test
date. Walk-in exams are not available. EXAM SCHEDULING
• You are responsible for completing the appropriate sec- For more information about scheduling, or on how
tions on-line. You may ask someone from your nurse to register for the examination on-line, please visit
aide training program or facility employer for assistance www.pearsonvue.com/nc/nurseaides.
in completing the application.
• If you need help or have any questions about the
application process, contact a Pearson VUE support
representative at (888) 723-6773 between 8:00 a.m.
and 8:00 p.m. (Eastern Time Zone).
• Fees are non-refundable and non-transferable.
6 7TESTING LOCATIONS FOR SKILLS EXAM The steps to follow when requesting test accom-
modations vary, depending on your test program. To begin,
Regional Testing Sites (RTS)
go to http://pearsonvue.com/accommodations, and then
Regional Testing Sites (RTS) are testing locations select your test program from the alphabetized list. Can-
throughout the state where anyone can schedule to test didates who have additional questions concerning test
the Nurse Aide I examination. These RTS locations have accommodations may contact the ADA Coordinator at
specific test dates. The Regional Test Sites can be found accommodationspearsonvue@pearson.com.
on the Pearson VUE North Carolina Nurse Aide I website
www.pearsonvue.com/nc/nurseaides.
CANCELLATION
In-Facility Testing (INF)
AND RE-SCHEDULING
In-facility testing is when your State-approved Training
Program Nurse Aide I instructor has made arrangements If you provide at least nine (9) calendar days advance
with Credentia to test at your training program on a spe- notice before your skills examination date or 48 hours
cific date. Please make certain you know your In-Facility before your written examination date, you may resched-
(INF) Code and test date when you are completing your ule one (1) time, without penalty charges, and your fee
registration. may be transferred to your new examination date. You
may not give your examination reservation to another
ACCOMMODATIONS
person.
Pearson VUE complies with the provisions of the
Americans with Disabilities Act as amended. The purpose If you do not call Pearson VUE at least nine (9) calendar
of accommodations is to provide candidates with full days before your skills examination date or 48 hours
access to the test. Accommodations are not a guarantee of before your written examination date to reschedule, and
improved performance or test completion. Pearson VUE do not show up for your scheduled examination, your fee
provides reasonable and appropriate accommodations to will NOT be refunded and cannot be transferred to a new
individuals with documented disabilities who demon- examination date. You may not give your examination
strate a need for accommodations. date to another person.
Test accommodations may include things such as: REFUNDS
• A separate testing room Once payment of exam fees is received, NO REFUNDS
• Extra testing time WILL BE ISSUED.
• A Reader or Recorder, for individuals with mobility
or vision impairments and cannot read or write on
their own
Test accommodations are individualized and considered on a
case-by-case basis. All candidates who are requesting accom-
modations because of a disability must provide appropriate
documentation of their condition and how it is expected to
affect their ability to take the test under standard conditions.
This may include:
• Supporting documentation from the professional who
diagnosed the condition, including the credentials that
qualify the professional to make this diagnosis
• A description of past accommodations the candidate has
received
8 9ABSENCE POLICY EXAM DAY
Candidates who are late or absent from an exam may call
Pearson VUE at 1-888-723-6773 within 14 days of the
exam date to request an excused absence for the following CHECKING IN
reasons: You must arrive 30 minutes prior to your scheduled time for
BOTH the written and skills examinations. If you are late for
• Illness of yourself or a member of your immediate
the written examination you will not be allowed to test and your
family fees will not be refunded. If you missed your written examina-
• Death in the family tion and are scheduled for a skills evaluation, please arrive 30
• Disabling traffic accident minutes prior to your scheduled time. Skills Evaluation test
• Court appearance or jury duty times are approximate. Please plan to spend the day.
• Military duty You will be required to check in for both the written and
• Weather emergency for the skills examinations. You will be required to pres-
ent proper identification.
A case number will be assigned and instructions provided
for emailing supporting documentation. WHAT TO BRING
Your request must include verification from the cause of You must have the following items with you when you
your absence. For example, if you are absent because of take the examination:
jury duty, you must supply a copy of the court notice. In • Two (2) forms of proper identification
the case of illness a verification from your medical pro- • Three (3) No. 2 pencils (sharpened)
vider must be included in your request. Please note resolu- • Eraser
tion takes approximately 3-5 business days to process and • Watch with a second hand
complete once documentation has been received. No other materials will be allowed.
Candidates absent from or late to the exam who have PROPER IDENTIFICATION
not changed or canceled the reservation according to Candidates are required to bring two (2) forms of current,
the Change/Cancel Policy will forfeir the exam fee. not expired, official signature-bearing identification (one
The decision of Pearson VUE to approve or deny the of which must be photo-bearing) to the test site. One form
excused absence will be final. of identification must be a U.S. government-issued Social
Security card, signed and non-laminated.
WEATHER EMERGENCIES Nurse Aide I applicants who are in the armed services may use
Examinations will be delayed or cancelled only in emer- their current U.S. Military I.D. in place of a Social Security
gencies. If severe weather or a natural disaster makes the (SS) card. The test taker’s SS number must be on the I.D. if
test center inaccessible or unsafe, the examination will be used. Sponsor or Dependent Military I.D.s are NOT accept-
delayed or canceled. Candidates may call Pearson VUE ed in place of SS card, but can be used as a second I.D. (one
with photo) when presented with a valid SS card.
at (800) 274-2615 for details on delays and cancellations
during severe weather. The second form must be any of those listed below.
Photocopies of identification will NOT be accepted.
Please check the email account used in your registration
Original signature-bearing SS cards are required to test in
record for additional information. North Carolina. The signatures on both IDs must match. If
there are extenuating circumstances such as fire or theft and
your exam is scheduled in less than 9 calendar days from the
time of the incident, you may apply for an excused absence.
Refer to page 7, Cancellation and Rescheduling (in this
handbook). Documentation substantiating the event must
be provided. Credentia’s decision to approve or deny a credit
request will be final.
10 11Proper photo identification includes one of the following: TESTING POLICIES
• Current, non-expired driver’s license
The following policies are observed at each test center.
(Candidates who do not have their new license by
exam day MUST bring their expired driver's license Lateness
AND the 20 day temporary permit)
You must arrive thirty (30) minutes before the examina-
• U.S. government-issued Military I.D. (if not used
in lieu of social security card) tion starts. If you are late for your scheduled examination,
• State-issued identification card or do not bring all of your required materials, you will
• Passport (US or foreign, current, non-expired) NOT be allowed to test and your examination fee will
• Current, non-expired, federal-issued NOT be returned. If you are late for the Written (or Oral)
EMPLOYMENT AUTHORIZATION Examination, but arrive on time for the Skills Evaluation,
DOCUMENT (EAD) photo identification card you will be allowed to take the Skills Evaluation.
• Alien registration card If you are late for your Skills Evaluation or do not bring
• Current, non-expired NC Learner's Permit all your required materials, you will NOT be allowed to
The name on your identification must be the same as the test and you will be required to re-apply and pay another
name you used to register for the examination including examination fee (see Cancellation for more details).
suffixes and hyphens. If your name has changed you must
do the following at least nine (9) calendar days prior to Electronic Devices
your scheduled exam. Be prepared to provide official gov- Cellular phones, beepers, or any other electronic devices
ernment documentation of the name change: are not permitted to be used and must be turned off
• If you are NOT on the North Carolina Nurse Aide I during testing. There is no place for storage of personal
Registry, contact Pearson VUE at (888) 723-6773 belongings at the test center.
• If you ARE on the North Carolina Nurse Aide I
Registry: Study Aids
> contact the registry at (919) 855-3969 prior to You are not permitted to take personal belongings such
registering/scheduling as briefcases, large bags, study materials, extra books, or
> contact Pearson VUE at (888) 723-6773 if you papers into the examination room. Any such materials
have scheduled an examination.
brought into the examination room will be collected and
If you do not bring proper identification, you will not
returned to you when you have completed the examina-
be allowed to test and your examination fee will not
tion. Pearson VUE is not responsible for lost or misplaced
be refunded.
items.
SECURITY AND CHEATING Eating/Drinking/Smoking
If you give help to or receive help from anyone during the You are not permitted to eat, drink, or smoke during the
examination, the examination will be stopped. The incident examination.
will be reported to the North Carolina Division of Health
Service Regulation (DHSR) for review, and your examination Misconduct
will not be scored (see Testing Policies). If you are discovered causing a disturbance of any kind
Please note that all examination questions, each form of the or engaging in any kind of misconduct, before, during,
examination, and all other examination materials are copy- or after your examination you will be dismissed from
righted by, the property of, or licensed by Pearson VUE. the examination and the incident will be reported to the
Consequently, any distribution of the examination content North Carolina Division of Health Service. You many not
or materials through any form of reproduction, or through
be permitted to re-test your examination.
oral or written communication, is strictly prohibited and
punishable by law. Anyone who removes or tries to remove Guests/Visitors
examination materials or information from the test site
No guests, visitors, pets, or children are allowed at the
will be prosecuted.
test center.
12 13THE WRITTEN WRITTEN (OR ORAL) EXAM
(OR ORAL) EXAM CONTENT OUTLINE
The revised content outline is based on the findings from
WRITTEN EXAM
the 2014 Job Analysis and Knowledge, Skill, and Ability
The test site administrator will take you to your desig-
Study of Nurse Aides published by the National Council of
nated work station and load your exam. The Written
State Boards of Nursing (NCSBN) in 2015. The examina-
Examination has seventy (70) multiple-choice questions.
tion content outline will be effective January 2016.
You will have two (2) hours to complete the Written
Examination. You will be told when fifteen (15) minutes The NNAAP written examination is comprised of 70
are left to finish. Fill in only one (1) box on the answer multiple-choice items; 10 of these items are pretest (non-
sheet for each question. See Sample Questions (page 14 of scored) items on which statistical information will be
of this handbook) for examples of the kinds of questions collected. The NNAAP oral examination is comprised of
found on the Written Examination. 60 multiple-choice items and 10 reading comprehension
(word recognition) items. The candidate is allowed to
ENGLISH OR SPANISH ORAL EXAM choose between a written and an oral examination.
An Oral Examination may be taken in place of the Written # of
Examination. You must request an Oral Examination % of questions
I. Physical Care Skills the exam in the exam
when filling out your application. The Oral Examination
consists of two (2) parts, and you must pass both parts in A. Activities of Daily Living......... 14% ............9
order to pass the Oral Examination. 1. Hygiene
2. Dressing and Grooming
Earphones are provided at the test center and you will use
3. Nutrition and Hydration
these to hear the questions read aloud.
4. Elimination
The first part of the Oral Examination has sixty (60) 5. Rest/Sleep/Comfort
multiple choice questions. Each of the sixty (60) multiple- B. Basic Nursing Skills..................39%............. 23
choice questions is read twice. As each question is read,
1. Infection Control
you are asked to choose the correct answer and mark it 2. Safety/Emergency
on the screen. 3. Therapeutic/Technical Procedures
The second part of the Oral Examination has ten (10) 4. Data Collection and Reporting
multiple-choice questions that test whether you know C. Restorative Skills....................... 8%..............5
common words used in long-term care facilities. Each 1. Prevention
word is read three (3) times. You are asked to match the 2. Self Care/Independence
word you hear on the recording to the written word. As
you find the match, you mark your answer on the screen. II. Psychosocial Care Skills
In the Spanish Oral Examination, the 10 multiple-choice A. Emotional and
questions are read in Spanish and you are asked to match Mental Health Needs...............11%..............6
the word you hear on the recording to the English written B. Spiritual and Cultural Needs.....2%...............2
word on the screen.
III. Role of the Nurse Aide
A. Communication........................ 8%..............4
B. Client Rights............................ 7%..............4
C. Legal and Ethical Behavior....... 3%..............2
D. Member of the
Health Care Team.................... 8%..............5
14 15SAMPLE QUESTIONS SELF-ASSESSMENT
READING TEST
The following questions are samples of the kinds of ques-
tions that you will find on the Written Examination. The two-part Self-Assessment Reading Test that appears
Check your answers to these questions in the box below. below will help you decide if you should consider taking
1. The client's call light should always be placed: the Oral Examination instead of the Written Examination.
(A) on the bed To complete the reading test, follow the instructions pro-
(B) within the client's reach vided below and select the answer to each question. When
(C) on the client's right side you have completed the reading test, you will be able to
(D) over the side rail determine the number of questions you answered correctly.
2. Which of the following items is used in the pre-
vention and treatment of bedsores or pressure PART 1: VOCABULARY
sores?
1. Circle the best answer to each question.
(A) rubber sheet
(B) air mattress 2. When you have finished, check your answers using
(C) emesis basin the answer key on page 18.
(D) restraint 3. Count up the number of correct answers.
3. When caring for a dying client, the nurse aide 4. If your score is less than 17, you may have difficulty
should: reading the Written Examination and should con-
(A) keep the client's room dark and quiet sider taking the Oral Examination.
(B) allow client to express his feelings 1. You go to a doctor when you _____.
(C) change the subject if client talks about death (A) feel sleepy (D) need money
(D) contact the client's minister, priest or rabbi (B) need socks (E) need clothes
4. What does the abbreviation ADL mean? (C) feel sick
(A) Ad Lib 2. A person who flies an airplane is its _____.
(B) As Doctor Likes (A) pilot (D) surgeon
(C) Activities of Daily Living (B) steward (E) director
(D) After Daylight (C) mother
5. After giving a client a back rub, the nurse aide 3. You use a _____ to write.
should always note: (A) bow (D) carpenter
(A) the last time the client had a back rub (B) calculator (E) needle
(B) any change in the client's skin (C) pencil
(C) client's weight 4. To EXIT a room means to _____ it.
(D) amount of lotion used (A) enter (D) read
(B) leave (E) interrupt
6. How should the nurse aide communicate with a
client who has a hearing loss? (C) forget
(A) face the client when speaking 5. A wedding is a joyous _____.
(B) repeat the statement (A) focus (D) occasion
(C) shout so that the client can hear (B) vehicle (E) civilization
(C) balloon
(D) use a high-pitched voice
6. To REQUIRE something means to _____ it.
6. A 5. B 4. C 3. B 2. B 1. B (A) need (D) understand
(B) have (E) hear
(C) forget
Correct Answers
go to next page
16 17SELF-ASSESSMENT
7. You _____ something to find its length.
(A) slice
(B) lock
(C) measure
READING TEST
(D) force
(E) tape PART 2: COMPREHENSION
8. Soup is served in a _____. In this part of the reading test you will be provided with a
(A) plate series of brief paragraphs. You are to read each paragraph and
(B) bowl
then answer the questions that appear after the paragraph.
(C) fork
(D) chair
(E) closet There are many different kinds of fish. All fish live
in water. They use their tails and fins to swim.
9. To accompany someone means to _____.
(A) disagree with him
(B) work for him 15. Fish live in _____.
(C) go with him (A) cups
(D) speak to him (B) houses
(E) choose him (C) air
(D) water
10. A nursing home resident receives _____ from the
staff. (E) fountains
(A) quality 16. Fish use their _____ to swim.
(B) fame (A) tails
(C) interruption (B) heads
(D) care (C) gills
(E) work (D) lungs
11. Medicine is used to _____ pain. (E) floats
(A) widen
(B) conjure Maria grew up on a farm. She loved the work on
(C) enliven the farm. She knew when all of the crops had to
(D) increase be planted. She would like a job on a farm or in a
(E) relieve flower garden.
12. To DRENCH the flowers means to ____ them.
(A) steam 17. Maria has had experience as a _____.
(B) drink (A) guide
(C) touch (B) farmer
(D) soak (C) driver
(E) anger (D) nurse
(E) teacher
13. A bicycle is a means of _____.
(A) nourishment 18. She would like to work in _____.
(B) transportation (A) an office
(C) prediction (B) a library
(D) collision (C) a garden
(E) walking (D) a hospital
(E) a supermarket
14. When someone speaks in a whisper,
it may be difficult to _____. 19. As a child Maria lived _____.
(A) deceive (A) in the city
(B) understand (B) in an apartment
(C) frighten (C) on a farm
(D) estimate (D) in a large house
(E) regulate go to next page (E) on the beach go to next page
18 19Carolyn has a good job. She is a nurse in a large hos- THE SKILLS EVALUATION
pital. Every day she can help many people. She enjoys
this very much. She also makes a good salary. Each
month she can pay her bills and save some money. WHAT TO EXPECT
Setting
20. Carolyn works in a _____. The Skills Evaluation is set up to resemble an actual care-
(A) hospital giving situation. The Skills Evaluation area will look similar
(B) doctor’s office to your work setting. It will have all the equipment neces-
(C) garage sary to perform the assigned skills. The Skills Evaluation
(D) school will be administered by a Nurse Aide Evaluator. Before your
(E) library skills evaluation begins, the evaluator will show you where
equipment is located and answer questions about operating
21. One of the things Carolyn enjoys is _____.
the equipment. Please arrive 30 minutes early. Test times
(A) working in an office
are approximate. Please plan to spend the day.
(B) helping people
(C) reading books Who Will Act as a Client?
(D) working late hours The part of the “client” will be played by a candidate who
(E) driving a car volunteers to act as a weakened elderly person. While you per-
22. With her salary she can pay her bills and _____. form the skills, speak to the candidate volunteer as you would
(A) buy furniture speak to an actual client in a nurse aide work setting. You
(B) give to charity are encouraged to speak to the candidate volunteer not only
(C) save money because it is part of quality care, but also because it will help
(D) buy new clothes you to relax as you perform the skills. Please note, you may
(E) pay for college not receive help from anyone during the Skills Evaluation,
and the candidate and the client must speak to one another
This completes the in English so that the evaluator can understand and correctly
Self-Assessment Reading Test. score the evaluation. If either candidate gives help or receives
help during the test, or the client and candidate are communicat-
ing in a language other than English, the test will be stopped.
Answers Candidate Volunteer Requirements
1. C 7. C 13. B 19. C You will need to act as a candidate volunteer for another
2. A 8. B 14. B 20. A candidate’s Skills Evaluation and play the role of a nursing
home patient (client). The evaluator will give you verbal
3. C 9. C 15. D 21. B instructions that will describe how you should act in per-
4. B 10. D 16. A 22. C forming the role of the client.
5. D 11. E 17. B
Candidate Dress Requirements
6. A 12. D 18. C You must wear flat, slip-on, non-skid shoes, a loose-fitting
top with short sleeves that can be rolled up to the shoulder or
tank top, and loose fitting pants that can be rolled up. You will be
If your score is less than 17, you may have difficulty required to put a gown on over your clothing. In no case may
reading the Written Examination and should consider candidates remove clothing down to undergarments.
taking the Oral Examination in place of the Written Prior to beginning the exam, you should inform the evalu-
Examination. ator of any food or latex allergy or sensitivity to skin soaps
or lotion. Any limitations to range of motion must also
be communicated to the evaluator prior to the start of the
skills examination.
20 21For infection control purposes, you should not come to the Once you begin a new skill, you may not go back to
test site with open areas/sores on the skin. Candidates with correct a previous skill. The Nurse Aide Evaluator will
any open areas or sores on their skin should reschedule their not answer questions during the Skills Evaluation and
skills test to a later date after their skin fully heals. will not tell you whether you performed a skill correctly.
You may not receive help from anyone during the Skills
THE TASKS Evaluation. If you do have any questions, please ask them
The NNAAP Skills List contains all of the skills that you before the Skills Evaluation begins.
may be asked to demonstrate during the Skills Evaluation. One (1) of the four (4) randomly-selected skills will include
Each skill represents a task that you will be asked to per- a measurement skill (see the section below, Recording A
form in your job and has been broken down into a series Measurement, for more information regarding measure-
of steps. ment skills).
You will be asked to decontaminate your hands (with hand
See pages 26-40 for the complete skills listing.
sanitizer) before proceeding from skills performed on a live
A step that is highlighted in bold type is called a Critical client to skills that are not. This is for infection control
Element Step. Critical Element Steps are important steps purposes and will not effect the result of your evaluation.
that must be performed correctly in order for you to pass
When you have completed your skills evaluation, the
the skill. If you leave out a Critical Element Step or do
evaluator will direct you to wash your hands. Although
not perform a Critical Element Step properly, you will not
this will not affect your examination results, for the pur-
pass the skill. However, if you perform only the Critical
poses of infection control, you must wash your hands.
Element Step correctly in a skill, you do not automati-
cally pass that skill. You must also correctly demonstrate You must successfully complete all five (5) skills to pass the
enough steps to meet the passing standard (or cut score) Skills Evaluation. You will have thirty (30) minutes to
for each skill. demonstrate all five (5) skills.
Before your Skills Evaluation begins, the Nurse Aide RECORDING A MEASUREMENT
Evaluator will give you an instruction card that will list the
The NNAAP Skills Evaluation requires every candidate
five (5) skills selected for you to perform. Hand-washing will
to perform one measurement skill, such as blood pressure,
always be one of the skills to be performed. The remaining
radial pulse, respirations, urine output, or weight. You
four (4) skills are randomly chosen from the complete set of
will be given a special form, called a Recording Sheet for
skills listings on pages 27 to 41 of this handbook. You are
Measurement Skills, to write down, or record, the measure-
strongly encouraged to perform the skills in the order they
ment. For example, if performing the Measures and Records
are listed on the instruction card.
Blood Pressure skill, you will write the complete systolic and
If you make a mistake, say so, and you will be instructed diastolic pressures of your blood pressure reading in a box
to tell the evaluator which step(s) is to be corrected and labeled Candidate Results.
then to perform the step(s). You will not have to redo the
On the following page is a copy of the recording sheet that
entire skill, just the steps you wish to correct. There are,
will be used during the skills exam. The candidate must
however, some exceptions to this rule. If you fail to put
record his/her results in the Candidate Results box on this
on gloves or take them off when it is required to do so and
sheet. This sheet will be used to record the results of the
the evaluator reminds you to do so, for infection control
following measurement skills:
purposes, then you will not receive credit for attempting to
correct this step. If you wish to correct an order-dependent • Measures and Records Blood Pressure
step (a step stating that an action should be performed • Measures and Records Weight of
before or after another step) and you fail to say when the Ambulatory Client
corrected step should be performed, you will not receive • Measures and Records Urinary Output
credit for the correction. • Counts and Records Radial Pulse
• Counts and Records Respirations
22 23Tips for the Skills Evaluation
• You will be expected to perform the skills as you
would in a nursing home setting. When water is
required, you must use running water. All candidates
RECORDING SHEET FOR will be required to perform the Hand Hygiene skill.
MEASUREMENT SKILLS The evaluator will inform you after you have washed
your hands for the first time that you should just tell
Date him or her when you would wash your hands during
your performance of the rest of the skills, rather than
Test Site ID
actually washing them for each skill. For all steps
other than hand-washing, you must actually perform
E
the skill in order to receive credit. You may not simply
Candidate Name
L
tell the evaluator what you would do for simulating a
step. For example, you may not simply tell the evalua-
P
Candidate ID tor that you would wash the client. You must actually
demonstrate washing the client. You may not simply
M
Evaluator Name tell the evaluator that you would feed the client. You
A
must actually demonstrate feeding the client.
S
Evaluator ID • After you have introduced yourself to the client for
the first time, it is not necessary for you to introduce
yourself each time you begin a new skill.
SKILL TESTED • To receive full credit for a measurement skill, you
One box next to the skill being must accurately make the required measurement and
tested must be marked. then write that measurement on the Recording Sheet
for Measurement Skills. The evaluator will provide the
Blood Pressure Recording Sheet to you at the test site. A sample of the
Recording Sheet is shown on page 24 of this hand-
Radial Pulse
book. You are encouraged to become familiar with the
Respirations Recording Sheet before your scheduled test date.
• You must know how to operate both a standing and
Urine Output a non-digital bathroom scale and must know how to
Weight (must document the unit of set both types of scales to zero.
measurement, lb or kg) • You may not bring any of your own equipment to
the test site (e.g. transfer/gait belt).
• It is important for you to place the call signal within
CANDIDATE EVALUATOR the client’s reach whenever you leave the client.
RESULTS RESULTS
• Where the word “client” appears, it refers to the person
receiving care.
Copyright © 2018 Pearson Education, Inc. All Rights Reserved.
Stock# 0699-02 7/18
24 25SKILLS LISTING
6 Pulls top of stocking over foot, heel, and leg
7 Moves foot and leg gently and naturally, avoiding force
and over-extension of limb and joints
The 23 skills that follow are arranged in alphabetical
8 Finishes procedure with no twists or wrinkles and
order, except for the Hand Hygiene (Hand Washing) skill.
heel of stocking, if present, is over heel and opening
Hand Hygiene is listed first as a reminder of the impor-
in toe area (if present) is either over or under toe
tance of performing this skill before all other skills. The
area; if using a mannequin, candidate may state
numbered lines below each skill are the steps needed to
stocking needs to be wrinkle-free
perform that skill. Critical Element Steps are in bold type.
9 Signaling device is within reach and bed is in low
SKILL 1 — HAND HYGIENE (HAND WASHING) position
1 Address client by name and introduces self to client by 10 After completing skill, wash hands
name
SKILL 3 — ASSISTS TO AMBULATE USING
2 Turns on water at sink TRANSFER BELT
3 Wets hands and wrists thoroughly 1 Explains procedure, speaking clearly, slowly, and directly,
4 Applies soap to hands maintaining face-to-face contact whenever possible
5 Lathers all surfaces of wrists, hands, and fingers 2 Privacy is provided with a curtain, screen, or door
producing friction, for at least 20 (twenty) seconds, 3 Before assisting to stand, client is wearing non-skid
keeping hands lower than the elbows and the shoes/footwear
fingertips down
4 Before assisting to stand, bed is at a safe level
6 Cleans fingernails by rubbing fingertips against palms
5 Before assisting to stand, checks and/or locks bed wheels
of the opposite hand
6 Before assisting to stand, client is assisted to sitting
7 Rinse all surfaces of wrists, hands, and fingers,
position with feet flat on the floor
keeping hands lower than the elbows and the
fingertips down 7 Before assisting to stand, applies transfer belt securely
at the waist over clothing/gown
8 Uses clean, dry paper towel/towels to dry all surfaces
of fingers, hands, and wrists starting at fingertips then 8 Before assisting to stand, provides instructions to
disposes of paper towel/towels into waste container enable client to assist in standing including prearranged
signal to alert client to begin standing
9 Uses clean, dry paper towel/towels to turn off faucet
then disposes of paper towel/towels into waste 9 Stands facing client positioning self to ensure safety of
container or uses knee/foot control to turn off faucet candidate and client during transfer. Counts to three
(or says other prearranged signal) to alert client to
10 Does not touch inside of sink at any time
begin standing
SKILL 2 — APPLIES ONE KNEE-HIGH 10 On signal, gradually assists client to stand by grasping
ELASTIC STOCKING transfer belt on both sides with an upward grasp
1 Explains procedure, speaking clearly, slowly, and (candidate’s hands are in upward position), and
directly, maintaining face-to-face contact whenever maintaining stability of client’s legs by standing knee to
possible knee, or toe to toe with client
2 Privacy is provided with a curtain, screen, or door 11 Walks slightly behind and to one side of client for a
distance of ten (10) feet, while holding onto the belt
3 Client is in supine position (lying down in bed) while
stocking is applied 12 Assists client to bed and removes transfer belt
4 Turns stocking inside-out, at least to the heel 13 Signaling device is within reach and bed is in low
position
5 Places foot of stocking over toes, foot, and heel
14 After completing skill, wash hands
Skill continues
26 27SKILL 4 — ASSISTS WITH USE OF BEDPAN 9 Rinses toothbrush and places in designated toothbrush
basin/container
1 Explains procedure speaking clearly, slowly, and directly,
maintaining face-to-face contact whenever possible 10 Maintains clean technique with placement of
toothbrush and denture
2 Privacy is provided with a curtain, screen, or door
11 Sink liner is removed and disposed of appropriately
3 Before placing bedpan, lowers head of bed
and/or sink is drained
4 Puts on clean gloves before placing bedpan under client
12 Removes and disposes of gloves (without contaminating
5 Places bedpan correctly under client’s buttocks
self ) into waste container and washes hands
6 Removes and disposes of gloves (without contaminating
self) into waste container and washes hands SKILL 6 — COUNTS AND RECORDS RADIAL
7 After positioning client on bedpan and removing PULSE
gloves, raises head of bed 1 Explains procedure, speaking clearly, slowly, and
8 Toilet tissue is within reach directly, maintaining face-to-face contact whenever
9 Hand wipe is within reach and client is instructed to possible
clean hands with hand wipe when finished 2 Places fingertips on thumb side of client’s wrist to
10 Signaling device within reach and client is asked to locate radial pulse
signal when finished 3 Count beats for one full minute
11 Puts on clean gloves before removing bedpan 4 Signaling device is within reach
12 Head of bed is lowered before bedpan is removed 5 Before recording, washes hands
13 Ensures client is covered except when placing and 6 Records pulse rate within plus or minus 4 beats of
removing bedpan evaluator’s reading
14 Empties and rinses bedpan and pours rinse into toilet
SKILL 7 — COUNTS AND RECORDS
15 Places bedpan in designated dirty supply area RESPIRATIONS
16 Removes and disposes of gloves (without contaminating 1 Explains procedure (for testing purposes), speaking
self) into waste container and washes hands clearly, slowly, and directly, maintaining face-to-face
17 Signaling device is within reach and bed is in low contact whenever possible
position 2 Counts respirations for one full minute
SKILL 5 — CLEANS UPPER OR LOWER 3 Signaling device is within reach
DENTURE 4 Before recording, washes hands
1 Puts on clean gloves before handling denture 5 Records respiration rate within plus or minus 2
2 Bottom of sink is lined and/or sink is partially filled breaths of evaluator’s reading
with water before denture is held over sink
SKILL 8 — DONNING AND REMOVING PPE
3 Rinses denture in moderate temperature running water (GOWN AND GLOVES)
before brushing them
1 Picks up gown and unfolds
4 Applies denture toothpaste to toothbrush
2 Facing the back opening of the gown places arms
5 Brushes all surfaces of denture through each sleeve
6 Rinses all surfaces of denture under moderate 3 Fastens the neck opening
temperature running water
4 Secures gown at waist making sure that back of
7 Rinses denture cup and lid clothing is covered by gown (as much as possible)
8 Places denture in denture cup with moderate 5 Puts on gloves
temperature water/solution and places lid on cup Skill continues
Skill continues
28 296 Cuffs of gloves overlap cuffs of gown SKILL 10 — FEEDS CLIENT WHO CANNOT
7 Before removing gown, with one gloved hand, FEED SELF
grasps the other glove at the palm, remove glove 1 Explains procedure to client, speaking clearly, slowly,
8 Slips fingers from ungloved hand underneath cuff of and directly, maintaining face-to-face contact whenever
remaining glove at wrist, and removes glove turning possible
it inside out as it is removed 2 Before feeding, looks at name card on tray and asks
9 Disposes of gloves into designated waste container client to state name
without contaminating self 3 Before feeding client, client is in an upright sitting
10 After removing gloves, unfastens gown at waist and position (75-90 degrees)
neck 4 Places tray where the food can be easily seen by client
11 After removing gloves, removes gown without touching 5 Candidate cleans client’s hands before beginning
outside of gown feeding
12 While removing gown, holds gown away from body 6 Candidate sits in a chair facing client during feeding
without touching the floor, turns gown inward and 7 Tells client what foods and beverage are on tray
keeps it inside out
8 Asks client what he/she would like to eat first
13 Disposes of gown in designated container without
9 Using spoon, offers client one bite of each type of food
contaminating self
on tray, telling client the content of each spoonful
14 After completing skill, washes hands
10 Offers beverage at least once during meal
SKILL 9 — DRESSES CLIENT WITH AFFECTED 11 Candidate asks client if they are ready for next bite of
(WEAK) RIGHT ARM food or sip of beverage
1 Explains procedure, speaking clearly, slowly, and 12 At end of meal, candidate cleans client’s mouth and
directly, maintaining face-to-face contact whenever hands
possible 13 Removes food tray
2 Privacy is provided with a curtain, screen, or door 14 Leaves client in upright sitting position (75-90 degrees)
3 Asks which shirt he/she would like to wear and dresses with signaling device within client’s reach
him/her in shirt of choice 15 After completing skill, washes hands
4 Avoids overexposure of client by ensuring client’s chest
SKILL 11 — GIVES MODIFIED BED BATH (FACE
is covered
AND ONE ARM, HAND AND UNDERARM)
5 Removes gown from the left (unaffected) side first, 1 Explains procedure, speaking clearly, slowly, and directly,
then removes gown from the right (affected/weak) side maintaining face-to-face contact whenever possible
6 Before dressing client, disposes of gown into soiled 2 Privacy is provided with a curtain, screen, or door
linen container
3 Removes gown and places directly in soiled linen
7 Assists to put the right (affected/weak) arm through container while ensuring client’s chest and lower body
the right sleeve of the shirt before placing garment is covered
on left (unaffected) arm
4 Before washing, checks water temperature for safety and
8 While putting on shirt, moves body gently and comfort and asks client to verify comfort of water
naturally, avoiding force and over-extension of limbs
5 Puts on clean gloves before washing client.
and joints
6 Beginning with eyes, washes eyes with wet washcloth
9 Finishes with clothing in place
(no soap), using a different area of the washcloth for
10 Signaling device is within reach and bed is in low each stroke, washing inner aspect to outer aspect
position then proceeds to wash face
11 After completing skill, washes hands Skill continues
30 31You can also read
