CNA Midterm Study Guide: Modules 1-3 (2026 Update)
1. Which of the following is considered within the CNA’s scope of practice?
A. Assisting a resident with bathing and grooming
B. Prescribing medication for a resident’s pain
C. Performing a sterile dressing change on a deep wound
D. Updating the resident’s official care plan
Answer: A
Rationale: CNAs are responsible for ADLs like bathing and grooming. Prescribing, sterile
procedures, and care plan updates are the responsibility of licensed nurses or physicians.
2. What is the primary purpose of the Long-Term Care Ombudsman?
A. To manage the facility’s financial budget
B. To supervise the nursing staff’s daily tasks
C. To provide medical diagnoses for new residents
D. To advocate for residents’ rights and resolve complaints
Answer: D
Rationale: An ombudsman is an official advocate who helps protect the rights of residents
in long-term care facilities.
3. Which law protects the privacy of a resident’s health information?
A. HIPAA
B. OBRA
C. OSHA
D. FDA
Answer: A
,Rationale: The Health Insurance Portability and Accountability Act (HIPAA) sets standards
for protecting sensitive patient data.
4. A resident refuses to take a bath. What should the CNA do first?
A. Force the resident into the shower for their own safety
B. Respect the refusal and notify the nurse
C. Tell the resident they cannot have dinner without a bath
D. Wait until the resident is asleep and perform a sponge bath
Answer: B
Rationale: Residents have the right to refuse care. The CNA must respect this and report
the refusal to a supervisor.
5. What is the most effective way to prevent the spread of infection?
A. Wearing a mask at all times
B. Frequent and proper handwashing
C. Using hand sanitizer only
D. Keeping all windows closed
Answer: B
Rationale: Handwashing remains the single most important practice for preventing the
transmission of pathogens.
6. According to the chain of command, who should a CNA report to directly?
A. The Staff Nurse (RN or LPN)
B. The Administrator
C. The Physician
D. The Director of Nursing
Answer: A
Rationale: The CNA reports directly to the licensed nurse responsible for the unit or shift.
, 7. Which of the following is an example of objective data?
A. The resident says they have a headache
B. A blood pressure reading of 140/90
C. The resident claims they feel nauseous
D. The resident reports feeling lonely
Answer: B
Rationale: Objective data is measurable or observable information, such as vital signs.
8. What does ‘Asepsis’ mean in a clinical setting?
A. The presence of dangerous pathogens
B. Being free from disease-producing microbes
C. The process of getting sick
D. The study of bacteria
Answer: B
Rationale: Asepsis is the state of being free from pathogenic microorganisms.
9. When using a fire extinguisher, what does the ‘A’ in the acronym PASS stand
for?
A. Activate the alarm
B. Aim at the base of the fire
C. Ask for help
D. Apply pressure to the handle
Answer: B
Rationale: PASS stands for Pull, Aim, Squeeze, Sweep. ‘Aim’ refers to pointing at the base of
the fire.
1. Which of the following is considered within the CNA’s scope of practice?
A. Assisting a resident with bathing and grooming
B. Prescribing medication for a resident’s pain
C. Performing a sterile dressing change on a deep wound
D. Updating the resident’s official care plan
Answer: A
Rationale: CNAs are responsible for ADLs like bathing and grooming. Prescribing, sterile
procedures, and care plan updates are the responsibility of licensed nurses or physicians.
2. What is the primary purpose of the Long-Term Care Ombudsman?
A. To manage the facility’s financial budget
B. To supervise the nursing staff’s daily tasks
C. To provide medical diagnoses for new residents
D. To advocate for residents’ rights and resolve complaints
Answer: D
Rationale: An ombudsman is an official advocate who helps protect the rights of residents
in long-term care facilities.
3. Which law protects the privacy of a resident’s health information?
A. HIPAA
B. OBRA
C. OSHA
D. FDA
Answer: A
,Rationale: The Health Insurance Portability and Accountability Act (HIPAA) sets standards
for protecting sensitive patient data.
4. A resident refuses to take a bath. What should the CNA do first?
A. Force the resident into the shower for their own safety
B. Respect the refusal and notify the nurse
C. Tell the resident they cannot have dinner without a bath
D. Wait until the resident is asleep and perform a sponge bath
Answer: B
Rationale: Residents have the right to refuse care. The CNA must respect this and report
the refusal to a supervisor.
5. What is the most effective way to prevent the spread of infection?
A. Wearing a mask at all times
B. Frequent and proper handwashing
C. Using hand sanitizer only
D. Keeping all windows closed
Answer: B
Rationale: Handwashing remains the single most important practice for preventing the
transmission of pathogens.
6. According to the chain of command, who should a CNA report to directly?
A. The Staff Nurse (RN or LPN)
B. The Administrator
C. The Physician
D. The Director of Nursing
Answer: A
Rationale: The CNA reports directly to the licensed nurse responsible for the unit or shift.
, 7. Which of the following is an example of objective data?
A. The resident says they have a headache
B. A blood pressure reading of 140/90
C. The resident claims they feel nauseous
D. The resident reports feeling lonely
Answer: B
Rationale: Objective data is measurable or observable information, such as vital signs.
8. What does ‘Asepsis’ mean in a clinical setting?
A. The presence of dangerous pathogens
B. Being free from disease-producing microbes
C. The process of getting sick
D. The study of bacteria
Answer: B
Rationale: Asepsis is the state of being free from pathogenic microorganisms.
9. When using a fire extinguisher, what does the ‘A’ in the acronym PASS stand
for?
A. Activate the alarm
B. Aim at the base of the fire
C. Ask for help
D. Apply pressure to the handle
Answer: B
Rationale: PASS stands for Pull, Aim, Squeeze, Sweep. ‘Aim’ refers to pointing at the base of
the fire.
