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Content Area Overview: This actual examination reflects the foundational knowledge and practical skills
required for success on the Certified Nursing Assistant (CNA) certification exam. It is designed to
evaluate the student's ability to provide safe, effective patient care, communicate professionally, and
demonstrate ethical behavior in healthcare settings. Questions are structured to assess recall of basic
nursing concepts, application of patient care techniques, and analysis of clinical scenarios. This authentic
question bank represents the real exams used in the course and serves as a comprehensive resource for
students demonstrating mastery of CNA content.
SECTION 1: ROLE AND RESPONSIBILITIES OF THE CNA (10 Questions)
Q1. A nursing assistant is assigned to care for a resident who needs help with bathing and dressing. The
resident asks the CNA to adjust their medication because they feel the dose is too strong. Which action
is most appropriate?
A. Adjust the medication as requested since the resident knows their body best.
B. Explain that medication adjustments are outside the CNA scope of practice and report the concern to
the nurse [CORRECT]
C. Tell the resident to discuss it with the doctor at the next appointment.
D. Ask another CNA for advice on how to adjust the dose.
Rationale: The best answer is B. CNAs are never permitted to adjust, administer, or make decisions
about medications—that is strictly within the scope of licensed nurses and physicians. However, the
CNA should always listen to the resident's concerns and promptly report them to the supervising nurse.
Ignoring the concern or telling the resident to wait could allow a medication error to continue, and
asking another CNA for dosing advice is practicing beyond your scope.
Correct Answer: B
Q2. Which statement best describes the primary role of a Certified Nursing Assistant?
,A. To diagnose illnesses and prescribe treatments
B. To provide direct patient care under the supervision of a licensed nurse [CORRECT]
C. To manage the nursing unit and assign tasks to other staff
D. To perform surgical procedures
Rationale: The best answer is B. The CNA's primary role is to provide hands-on, direct patient care—
including bathing, feeding, positioning, vital signs, and assistance with activities of daily living—under
the direction and supervision of a licensed nurse (RN or LPN/LVN). CNAs do not diagnose, prescribe,
manage units, or perform invasive procedures. Understanding your role and scope of practice is
fundamental to safe, legal, and effective patient care.
Correct Answer: B
Q3. A CNA notices that a resident's call light has been on for 15 minutes while the nurse is busy with
another patient. Which action is most appropriate?
A. Ignore the call light because it's the nurse's responsibility.
B. Answer the call light and determine what the resident needs [CORRECT]
C. Turn off the call light and tell the resident to wait.
D. Tell the resident to call back later.
Rationale: The best answer is B. Answering call lights promptly is a core responsibility of every member
of the care team, including CNAs. Residents may need assistance with toileting, pain, or other urgent
needs, and delaying response can lead to falls, incontinence episodes, or distress. The CNA should assess
the need and provide care within their scope, or escalate to the nurse if the need requires licensed
intervention.
Correct Answer: B
Q4. Which of the following is an example of a CNA working within their scope of practice?
A. Inserting a urinary catheter
B. Administering oral medications
C. Assisting a resident with ambulation using a gait belt [CORRECT]
D. Changing a sterile wound dressing
Rationale: The best answer is C. Assisting with ambulation using a gait belt is a fundamental CNA skill
that promotes mobility, prevents falls, and supports rehabilitation. Inserting catheters, administering
medications, and performing sterile dressing changes are all invasive or clinical procedures that require
licensed nurse training and delegation. Knowing what you can and cannot do protects both you and
your residents.
, Correct Answer: C
Q5. A CNA is asked by a family member to share information about a resident's medical condition.
Which action is most appropriate?
A. Share the information because family members have a right to know.
B. Refer the family member to the nurse and explain that resident information is confidential [CORRECT]
C. Share only the information that seems harmless.
D. Tell the family member to ask the resident directly.
Rationale: The best answer is B. Resident health information is protected under HIPAA, and CNAs are
not authorized to disclose medical information to anyone, including family members, without proper
consent and direction from the nurse or facility policies. The appropriate response is to direct the family
member to the nurse, who can verify authorization and provide information appropriately. Sharing even
"harmless" information violates confidentiality.
Correct Answer: B
Q6. A CNA is assigned to work with a resident who is known to be difficult and often refuses care. Which
approach is most professional?
A. Refuse to care for the resident and ask for a different assignment.
B. Approach the resident with patience, respect, and a positive attitude while seeking guidance from the
nurse [CORRECT]
C. Force the resident to accept care because it's for their own good.
D. Ignore the resident's refusals and complete the tasks quickly.
Rationale: The best answer is B. Residents have the right to refuse care, and forcing care or ignoring
refusals violates their rights and dignity. A professional CNA approaches every resident with respect,
attempts to build rapport, and seeks guidance from the nurse when refusals persist. The nurse may
need to assess why the resident is refusing and develop a different care approach. Asking for a different
assignment every time a resident is challenging is not professional behavior.
Correct Answer: B
Q7. Which document outlines the specific tasks and procedures that a CNA is permitted to perform in
their state?
A. The facility employee handbook
B. The state Nurse Practice Act and CNA registry requirements [CORRECT]