Free Wisconsin Nurse Aide Exam Flashcards

Follow the care plan, set up the task safely, and let the resident do every part they can. Offer cues or the least assistance needed, allow enough time, and praise effort without taking over; independence preserves function and dignity.

Position the resident with good alignment, support the limb above and below the joint, and move slowly and smoothly only through the ordered range. Stop with pain, spasm, or resistance and report it; never force a joint or add unplanned repetitions.

Use care-plan positioning, alignment, mobility, and range-of-motion measures consistently. Encourage safe use of affected limbs and prescribed assistive devices, protect joints, and report declining movement, pain, or new stiffness to the nurse.

A nurse aide gathers observations and performs tasks taught, authorized, and included in the care plan. The aide does not diagnose, independently change treatments or the care plan, or administer medications unless separately trained and authorized under Wisconsin's medication-aide rules; new findings go to the licensed nurse.

Plan the move, clear the path, adjust the bed when appropriate, use a stable base of support, keep the load close, and bend at the hips and knees. Use required equipment and enough trained helpers; never attempt an unsafe manual lift alone.

Reposition and offload pressure exactly as the care plan directs, maintain alignment, keep skin clean and dry, smooth linens, and check pressure areas while giving care. Report nonblanching redness, discoloration, warmth, pain, or open skin promptly; do not massage a reddened area.

Confirm the care plan and assistance level, apply nonskid footwear, lock the bed or wheelchair, let the resident sit and regain balance, secure the belt over clothing, and stand on the weaker side when indicated. If the resident becomes faint or unsafe, support a controlled descent and call for help.

Verify that a stand-pivot is authorized, position the wheelchair as directed by the care plan, lock its brakes, move footrests out of the way, apply nonskid footwear and the prescribed transfer aid, and use adequate help. After transfer, restore alignment, footrests, comfort, and call-light access.

Keep the resident safe, recheck the measurement if doing so will not delay urgent help, and promptly report the value together with symptoms and relevant observations. Record the actual result; never alter a number to make it look normal or diagnose its cause.

You receive 3 or 4 tasks and have 30 minutes. For every assigned task, you must correctly demonstrate all bold key steps plus at least 80% of the non-key steps. You may demonstrate a correction before time expires and before declaring the task finished; verbal description alone does not count.

Approach from the front, identify yourself, use the resident's preferred name, speak calmly in short concrete phrases, and give one direction at a time. Allow time to respond and redirect rather than argue about a mistaken belief.

Pause, maintain space and safety, lower stimulation, and use a calm voice. Look for unmet needs such as pain, toileting, fear, hunger, or fatigue; do not argue, threaten, or force care. Report new, escalating, or dangerous behavior and the possible triggers you observed.

Follow the care plan for transfers, positioning, and feeding; protect the weak side without pulling on the arm. Place needed items where the resident can use them, encourage participation, and allow extra response time. Report any new weakness or change immediately.

For hearing loss, face the resident, reduce background noise, speak clearly without shouting, and verify hearing aids are available as directed. For vision loss, identify yourself, describe the environment and each action, keep belongings consistently placed, and offer an arm rather than pulling the person.

Coughing, choking, repeated throat clearing, a wet or gurgly voice, pocketed food, drooling, or breathing difficulty can signal dysphagia or aspiration. Stop feeding, keep the resident upright, summon the nurse or emergency help as the condition requires, and do not give more food or fluid until directed.

Give full attention, use open-ended prompts, allow silence, and reflect or restate the resident's message to confirm meaning. Acknowledge feelings without making promises you cannot keep, then report care needs or safety concerns through the proper channel.

Use plain words, one idea at a time, gestures or approved communication aids, and enough response time. Check understanding rather than pretending it occurred. Use the facility's qualified interpreter process when needed; do not rely on a child or guess at consent or clinical information.

An objective report states what was seen, heard, measured, or done, with relevant time and context: for example, the resident coughed after two sips. Labels such as difficult, lazy, or seems fine are opinions and can hide important changes.

Measure in the unit the facility requires, commonly milliliters, and record promptly on the correct resident's record. Include only what was actually consumed or eliminated, follow directions for items such as ice chips, and report unusual amount, color, odor, blood, pain, or inability to void.

Locate the radial pulse with fingertips on the thumb side of the wrist and count for a full 60 seconds. Count respirations for a full 60 seconds without asking the resident to change breathing. Record both measured values immediately and report clinically concerning findings.

Report the specific change, when it began or was noticed, relevant measurements, the resident's own words, associated symptoms, and what you did. Avoid diagnosing the cause. Urgent changes require immediate verbal escalation as well as documentation under facility policy.

Sweating, shaking, pallor, sudden hunger, weakness, confusion, or altered consciousness may indicate hypoglycemia. Stay with the resident, call the nurse immediately, and follow the resident-specific emergency plan. Do not give anything by mouth to a person who cannot swallow safely or change diabetes treatment yourself.

New or increasing shortness of breath, bluish or gray color, chest discomfort, reduced alertness, new swelling, rapid weight change, or inability to lie flat requires prompt reporting; severe breathing difficulty or chest pain requires emergency activation. Position for easier breathing if allowed, but never change oxygen flow yourself.

A new facial droop, arm weakness, speech difficulty, vision change, loss of balance, or severe unexplained headache is an emergency. Note when the resident was last known well, activate the facility's emergency response immediately, keep the resident safe, and do not offer food, fluid, or medication.

Wet hands, apply soap, create friction for at least 20 seconds, interlace fingers downward, wash every hand surface and the wrists, rinse with fingers downward, dry with clean paper towels, and use a clean dry towel to turn off the faucet. Do not touch the faucet or sink and recontaminate clean hands.

Treat blood, body fluids, nonintact skin, and mucous membranes as potentially infectious. Select PPE for the expected exposure, change gloves between dirty and clean tasks and between residents, remove them without touching contaminated surfaces, and perform hand hygiene; gloves never replace hand hygiene.

Wear indicated PPE, roll the contaminated surface inward, hold linen away from your uniform, and place it directly in the designated container. Do not shake it, sort it in the resident's room, put it on the floor, or carry it against your body; perform hand hygiene afterward.

Keep the closed system intact, tubing unkinked, and bag below bladder level and off the floor. During care, prevent tugging and clean as directed from the urinary opening outward. When emptying, keep the drain spout from touching the container, close it securely, and perform hand hygiene.

Avoid touching skin, clothing, or clean surfaces with the contaminated outside of PPE. Remove gloves so they are contained, handle the gown by its clean inner surface while rolling contamination inward, discard in the designated container, and wash hands as required. If contamination occurs, stop and correct it safely.

Treat the statement as urgent. Stay with the resident, listen without judgment, remove immediate hazards only if safe, and notify the nurse at once so the emergency or suicide-safety process can begin. Do not promise secrecy, dismiss the comment, or leave the person alone.

Dementia usually develops gradually, while delirium is a sudden or fluctuating change in attention, alertness, or thinking and may reflect an acute illness or medication effect. A nurse aide does not diagnose either condition; new confusion or a sharp change from baseline is reported promptly.

Offer presence, privacy, respectful listening, normal choices, and access to the resident's preferred support resources. Do not minimize feelings or impose your beliefs. Report withdrawal, major sleep or appetite change, hopelessness, refusal of essential care, or any self-harm statement.

Verify the correct resident and prescribed diet, position the resident upright at least 45 degrees, offer manageable bites and sips at the directed pace, allow each swallow, and watch for aspiration signs. When finished, leave the head of the bed at least 30 degrees, follow any stricter care-plan positioning directions, and record intake accurately.

Use gloves, protect dentures from breakage, use cool or lukewarm water, clean all surfaces with the designated product, rinse well, and store or replace them as directed. Provide oral-tissue care even when dentures are worn and report sores, bleeding, pain, loose fit, or swallowing difficulty.

Provide privacy, use gloves and comfortable water, and clean from front toward back with a clean area of the cloth for each stroke. Keep soiled water and linens away from clean supplies, rinse and dry gently in the same direction, observe the skin, dispose of supplies correctly, and wash hands.

Support the weak limb and put clothing on the affected side first, then the stronger side. When undressing, remove clothing from the stronger side first and the affected side last. Move gently, preserve privacy, encourage participation, and do not pull on the weak arm.

Follow the care plan, use comfortable water, wash and dry carefully, especially between toes, and avoid lotion between the toes. Do not cut nails, corns, or calluses unless specifically authorized by policy and training. Report blisters, open areas, color or temperature change, swelling, or pain, especially with diabetes or poor circulation.

Knock, identify yourself, explain the care, obtain cooperation, close doors or curtains, and expose only the area being cared for. Use the resident's preferred name, include choices, keep the person covered and comfortable, and avoid discussing private information where others can hear.

Stop and respect the refusal, make sure the resident understands what is being offered, ask calmly about the reason, and offer permitted choices or a later time. Report the refusal and any immediate risk to the nurse and document under policy; never threaten, trick, restrain, or force the resident.

Access, use, and share only the information needed for assigned care and only with authorized people. Secure records and screens, avoid public conversations, and never post resident images, names, stories, or identifying details on social media, even after discharge or death.

Protect the resident from immediate danger, obtain emergency help if needed, preserve rather than disturb possible evidence, and immediately report the incident, allegation, or suspicion through the required facility channel. If the usual recipient is implicated or does not act, escalate through the next chain-of-command or required external route. Do not confront the alleged offender, investigate independently, or wait for proof; the entity has regulatory investigation and reporting duties.

A restraint is not used for staff convenience, punishment, or as a substitute for observation. Use only an authorized, care-planned intervention with the required supervision and monitoring; never improvise one. Report entrapment, breathing difficulty, skin changes, distress, or an attempt to escape immediately.

Complete a Wisconsin DHS-approved program of at least 75 hours, including at least 16 clinical hours, or obtain DHS approval to test. Then pass both the 75-question knowledge part and the skills part within one year after training completion and satisfy DHS registry requirements.

To keep federal eligibility active, complete at least 8 hours of paid nurse aide work in a health care setting during each 24-month period under RN or LPN supervision. Self-employment and private-duty work do not qualify. Track registry status and ensure qualifying employment is reported through the required process.

Pause before starting and ask the nurse to clarify the resident, task, care-plan directions, required equipment, and assistance level. State the specific safety or scope concern and use the chain of command if it remains unresolved; do not guess, silently omit the task, or perform beyond training and authorization.

Follow the care plan: keep the bed low, brakes locked, pathway clear, call light and belongings reachable, and footwear and mobility aids in place. If a fall begins, guide the resident down without trying to hold full body weight. After a fall, call the nurse, do not move the resident unless immediate danger requires it, and observe and report.

Follow the facility fire plan: remove anyone in immediate danger if safe, activate the alarm and report the exact location, contain smoke by closing doors, and evacuate or extinguish only as trained. Never use elevators, re-enter an unsafe area, or choose an extinguisher action that delays rescue and alarm activation.

Treat this as severe choking: activate emergency help immediately and perform the facility-approved choking response only if trained, continuing until the obstruction clears or responders take over. Do not give water, leave the resident, or perform a blind finger sweep.

Call for help, protect the head, clear nearby hazards, loosen restrictive clothing, and note the start time and observations. Do not restrain the person, put anything in the mouth, or give food or fluid. After movement stops, support breathing and positioning as trained and continue observation until the nurse or emergency team takes over.

Keep oxygen away from flames, sparks, smoking, and petroleum-based products; post and enforce required precautions. Check that tubing and equipment are positioned safely, but never change the prescribed oxygen flow or repair equipment yourself. Report breathing distress, leaks, frayed cords, overheating, sparks, or malfunction immediately.