Top 20 Interview Questions & Answers for Nursing Home Nurse – 2025

Preparing for a nursing home nurse job interview? This guide provides a list of essential questions and answers that will help you showcase your experience, skills, and knowledge of caring for elderly patients in a nursing home setting. Whether you’re a registered nurse or licensed practical nurse, these questions cover all key areas of the job.

General Questions

• 1. Tell me about your experience working in a nursing home.
  Answer: I have 3 years of experience working at XYZ Nursing Home where I have gained hands-on experience in providing quality care to elderly residents. I have also completed specialized training in geriatric care and have a deep understanding of the unique needs and challenges of this population.
• 2. How do you prioritize your tasks in a fast-paced nursing home environment?
  Answer: I prioritize my tasks by assessing the level of urgency and importance. I always make sure to attend to emergencies first and then prioritize other tasks based on residents' needs and care plans to ensure efficient and effective care delivery.
• 3. How do you handle difficult residents or family members?
  Answer: I believe in empathetic communication and active listening when dealing with difficult residents or their family members. I strive to understand their concerns and find solutions to address their needs while maintaining professionalism and respect.
• 4. How do you maintain confidentiality in patient care?
  Answer: Maintaining confidentiality is crucial in nursing, and I am committed to upholding this ethical responsibility. I adhere to HIPAA guidelines and ensure that all patient information is kept secure and only shared with authorized individuals.
• 5. How do you stay updated with nursing home regulations and best practices?
  Answer: I regularly attend workshops and training sessions offered by professional organizations and stay updated with relevant research and updates in the field. I also attend in-services and engage in discussions with fellow nurses to enhance my knowledge and skills.

Behavioral Questions

• 6. Tell me about a time when you had a conflict with a coworker. How did you resolve it?
  Answer: In my previous job, I had a disagreement with a coworker about a resident's care plan. I calmly discussed our differing perspectives and ultimately found a compromise that was in the resident's best interest. We also established a better system for collaborating on care plans in the future.
• 7. Can you tell me about a time when you had to make a difficult decision regarding a resident's care? How did you handle it?
  Answer: There was a situation where a resident's family wanted to take them home against medical advice. After careful consideration and consulting with the healthcare team, I informed the family about the risks involved and made sure the resident's best interest was prioritized. It was a difficult decision, but I remained calm and professional throughout the process.
• 8. Have you ever had to handle a challenging or uncooperative resident? How did you handle the situation?
  Answer: In one instance, a resident was refusing to take their medication, which was essential for their health. I took a patient-centered approach and spent time talking to the resident about their reasons for refusal. I then informed the doctor and involved the care team in finding a solution that the resident was comfortable with.
• 9. Describe a time when you went above and beyond to care for a resident.
  Answer: There was a resident who was feeling particularly lonely and isolated. I took the time to sit with them, listen to their stories, and provide companionship. I also organized a small get-together for them with other residents, which brought a smile to their face and improved their overall well-being.
• 10. Can you tell me about a time when you had a difficult interaction with a resident's family member? How did you handle it?
  Answer: In my previous job, a resident's family member was unhappy with the care provided and became aggressive towards me. I remained calm and professional, listened to their concerns, and explained the steps we were taking to address the issue. I also involved my supervisor and worked collaboratively to find a resolution.

Situational Questions

• 11. How would you handle a resident who refuses to take their medication?
  Answer: I would first try to understand the reason for their refusal and address any underlying concerns. If necessary, I would involve the doctor and the resident's family in the decision-making process. If all else fails, I would use my nursing skills to administer the medication without causing harm or discomfort to the resident.
• 12. If a resident slips and falls, what is the first thing you would do?
  Answer: If the resident is conscious and not in immediate danger, I would assess their injuries and provide first aid. I would also report the incident and document it in the resident's medical chart. If the resident is unconscious or in critical condition, I would call for emergency assistance and notify the appropriate healthcare providers.
• 13. How would you handle a resident who is experiencing agitation and confusion?
  Answer: I would use my knowledge of therapeutic communication and utilize calming techniques to address the resident's agitation. I would also check for any underlying causes, such as pain or discomfort, and address them accordingly. If necessary, I would involve the doctor for medication or behavioral interventions.
• 14. If a resident has an allergic reaction, what steps would you take?
  Answer: I would immediately stop administering the medication and closely monitor the resident's vital signs. If the reaction is mild, I would provide appropriate treatment, such as antihistamines, and keep the resident under observation. If the reaction is severe, I would call for emergency assistance and follow the resident's emergency care plan.
• 15. How would you handle a resident who is in severe pain?
  Answer: I would assess the resident's pain using a pain scale and administer appropriate medication as prescribed by the doctor. I would also provide comfort measures, such as positioning and warm compress, and monitor the resident's response to the pain management. If the pain persists, I would consult with the doctor for alternative interventions.

Technical Questions

• 16. What are some common medical conditions and age-related health issues that you have experience in managing in a nursing home?
  Answer: Some common medical conditions and age-related issues I have experience in managing include dementia, falls and fractures, pressure ulcers, and chronic diseases such as diabetes and hypertension. I also have experience with post-operative care and wound management.
• 17. Can you describe how you administer medication to residents?
  Answer: I follow the 5 rights of medication administration: right patient, right medication, right dose, right time, and right route. I always check the medication with the doctor's orders and the resident's medication administration record. I also document any medications given and monitor for any adverse reactions.
• 18. How do you ensure infection control in a nursing home setting?
  Answer: I follow standard precautions, including proper hand hygiene, personal protective equipment, and appropriate handling and disposal of medical waste. I also educate residents and staff about the importance of infection control and the proper steps to prevent the spread of infections.
• 19. How do you assist the elderly with activities of daily living (ADLs)?
  Answer: I provide assistance with ADLs by promoting independence and respecting the resident's preferences. I also use adaptive equipment when necessary and educate residents about energy conservation techniques. Additionally, I collaborate with occupational therapists to develop individualized care plans for residents to improve their functional abilities.
• 20. How do you handle an emergency in a nursing home?
  Answer: In an emergency, I follow the facility's emergency protocol and call for emergency assistance. I also notify the healthcare team and assist with administering first aid or emergency medications when necessary. After the situation is under control, I document the incident and communicate any necessary information to the resident's family and doctor.