CNA Nursing Education
1 RETPAHC · ANC
CNA★
★
NURSING Certified Nursing Assistant Training Program
NG · COMPASSION · EXCELL
C A R I N G · C O M P A S S I O N · E X C E L L E N C E I N H E A LT H C A R E
CNA Chapter 1 — Comprehensive Examination
LO N G -T E R M C A R E · R E S I D E N T R I G H TS · L E GA L & E T H I C A L FO U N DAT I O N S
PROGRAM Certified Nursing Assistant (CNA) CHAPTER 1 — Foundations of Nursing
Assistant Care
SUBJECT Healthcare Systems · Resident ACADEMIC YEAR
Rights · Ethics
ASSESSMENT Chapter 1 Comprehensive Test TOTAL QUESTIONS 130 Questions
REGULATIONS OBRA · HIPAA · OSHA · State Law FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Covers long-term care settings, the care team, legal and ethical responsibilities, resident rights, abuse
and neglect, HIPAA, and documentation.
▸ Correct answers and detailed rationales appear below each question.
, CNA CHAPTER 1 — FOUNDATIONS OF NURSING
Questions 1 – 130
ASSISTANT CARE
1. Long-term care (LTC) is best defined as:
A. A facility providing care only during daytime hours
B. A facility providing 24-hour care
C. A hospital emergency department
D. A clinic for routine check-ups
CORRECT ANSWER B — A facility providing 24-hour care
RATIONALE Long-term care facilities provide continuous 24-hour care for residents who need
assistance with daily living. Unlike hospitals or clinics, LTC is designed for
extended stays, often for those with chronic conditions who cannot live
independently.
2. Skilled care is characterized by:
A. Care provided only by family members
B. 24-hour care with a therapist and licensed nurse in the facility
C. Care that only involves assistance with meals
D. Care provided exclusively in the patient's home
CORRECT ANSWER B — 24-hour care with a therapist and licensed nurse in the facility
RATIONALE Skilled care facilities provide 24-hour care with licensed nurses and therapists on
staff. This level of care is more intensive than assisted living and includes medical
services such as wound care, rehabilitation, and medication management.
,3. Length of stay refers to:
A. The distance between the nursing station and the resident's room
B. The number of days a person stays in a healthcare facility
C. The length of a nursing shift
D. The duration of a therapy session
CORRECT ANSWER B — The number of days a person stays in a healthcare facility
RATIONALE Length of stay measures how long a resident remains in a facility. In LTC, this can
be months or years; in acute care, it is typically days. Understanding length of stay
helps with care planning and resource allocation.
4. A terminal illness is defined as:
A. A condition that requires surgery
B. A disease or condition that will eventually cause death
C. A temporary illness that resolves with antibiotics
D. A chronic condition managed with diet
CORRECT ANSWER B — A disease or condition that will eventually cause death
RATIONALE A terminal illness is incurable and expected to result in death. Hospice care is
specifically designed for residents with terminal illnesses who have a prognosis of
six months or less.
5. Chronic conditions are characterized by:
A. Sudden onset and short duration
B. Long-term health issues that require ongoing management
C. Conditions that always require emergency surgery
D. Illnesses that resolve on their own
CORRECT ANSWER B — Long-term health issues that require ongoing management
RATIONALE Chronic conditions such as diabetes, heart disease, and arthritis persist over time
and require continuous management. Many LTC residents have multiple chronic
conditions.
, 6. Diagnoses are:
A. Medical conditions determined by a doctor
B. Tasks assigned by the CNA
C. Activities performed by the activities director
D. Meals prepared by the dietary staff
CORRECT ANSWER A — Medical conditions determined by a doctor
RATIONALE Only a medical doctor (MD or DO) can make a diagnosis. CNAs do not diagnose —
they observe, report, and provide care within their scope of practice based on the
care plan.
7. Home health care is provided:
A. Only in a hospital setting
B. In a person's home
C. Only in nursing homes
D. In outpatient surgery centers
CORRECT ANSWER B — In a person's home
RATIONALE Home health care allows patients to receive skilled care while remaining in their
own homes. Services may include nursing care, physical therapy, and assistance
with ADLs.
8. Assisted living facilities are designed for people who:
A. Need 24-hour skilled nursing care
B. Do not need skilled 24-hour care but require some help with daily care
C. Are completely independent
D. Need acute hospital care
CORRECT ANSWER B — Do not need skilled 24-hour care but require some help with daily care
RATIONALE Assisted living bridges independent living and skilled nursing. Residents maintain
some independence while receiving help with medications, meals, bathing, and
other daily activities.
1 RETPAHC · ANC
CNA★
★
NURSING Certified Nursing Assistant Training Program
NG · COMPASSION · EXCELL
C A R I N G · C O M P A S S I O N · E X C E L L E N C E I N H E A LT H C A R E
CNA Chapter 1 — Comprehensive Examination
LO N G -T E R M C A R E · R E S I D E N T R I G H TS · L E GA L & E T H I C A L FO U N DAT I O N S
PROGRAM Certified Nursing Assistant (CNA) CHAPTER 1 — Foundations of Nursing
Assistant Care
SUBJECT Healthcare Systems · Resident ACADEMIC YEAR
Rights · Ethics
ASSESSMENT Chapter 1 Comprehensive Test TOTAL QUESTIONS 130 Questions
REGULATIONS OBRA · HIPAA · OSHA · State Law FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Covers long-term care settings, the care team, legal and ethical responsibilities, resident rights, abuse
and neglect, HIPAA, and documentation.
▸ Correct answers and detailed rationales appear below each question.
, CNA CHAPTER 1 — FOUNDATIONS OF NURSING
Questions 1 – 130
ASSISTANT CARE
1. Long-term care (LTC) is best defined as:
A. A facility providing care only during daytime hours
B. A facility providing 24-hour care
C. A hospital emergency department
D. A clinic for routine check-ups
CORRECT ANSWER B — A facility providing 24-hour care
RATIONALE Long-term care facilities provide continuous 24-hour care for residents who need
assistance with daily living. Unlike hospitals or clinics, LTC is designed for
extended stays, often for those with chronic conditions who cannot live
independently.
2. Skilled care is characterized by:
A. Care provided only by family members
B. 24-hour care with a therapist and licensed nurse in the facility
C. Care that only involves assistance with meals
D. Care provided exclusively in the patient's home
CORRECT ANSWER B — 24-hour care with a therapist and licensed nurse in the facility
RATIONALE Skilled care facilities provide 24-hour care with licensed nurses and therapists on
staff. This level of care is more intensive than assisted living and includes medical
services such as wound care, rehabilitation, and medication management.
,3. Length of stay refers to:
A. The distance between the nursing station and the resident's room
B. The number of days a person stays in a healthcare facility
C. The length of a nursing shift
D. The duration of a therapy session
CORRECT ANSWER B — The number of days a person stays in a healthcare facility
RATIONALE Length of stay measures how long a resident remains in a facility. In LTC, this can
be months or years; in acute care, it is typically days. Understanding length of stay
helps with care planning and resource allocation.
4. A terminal illness is defined as:
A. A condition that requires surgery
B. A disease or condition that will eventually cause death
C. A temporary illness that resolves with antibiotics
D. A chronic condition managed with diet
CORRECT ANSWER B — A disease or condition that will eventually cause death
RATIONALE A terminal illness is incurable and expected to result in death. Hospice care is
specifically designed for residents with terminal illnesses who have a prognosis of
six months or less.
5. Chronic conditions are characterized by:
A. Sudden onset and short duration
B. Long-term health issues that require ongoing management
C. Conditions that always require emergency surgery
D. Illnesses that resolve on their own
CORRECT ANSWER B — Long-term health issues that require ongoing management
RATIONALE Chronic conditions such as diabetes, heart disease, and arthritis persist over time
and require continuous management. Many LTC residents have multiple chronic
conditions.
, 6. Diagnoses are:
A. Medical conditions determined by a doctor
B. Tasks assigned by the CNA
C. Activities performed by the activities director
D. Meals prepared by the dietary staff
CORRECT ANSWER A — Medical conditions determined by a doctor
RATIONALE Only a medical doctor (MD or DO) can make a diagnosis. CNAs do not diagnose —
they observe, report, and provide care within their scope of practice based on the
care plan.
7. Home health care is provided:
A. Only in a hospital setting
B. In a person's home
C. Only in nursing homes
D. In outpatient surgery centers
CORRECT ANSWER B — In a person's home
RATIONALE Home health care allows patients to receive skilled care while remaining in their
own homes. Services may include nursing care, physical therapy, and assistance
with ADLs.
8. Assisted living facilities are designed for people who:
A. Need 24-hour skilled nursing care
B. Do not need skilled 24-hour care but require some help with daily care
C. Are completely independent
D. Need acute hospital care
CORRECT ANSWER B — Do not need skilled 24-hour care but require some help with daily care
RATIONALE Assisted living bridges independent living and skilled nursing. Residents maintain
some independence while receiving help with medications, meals, bathing, and
other daily activities.
