## PART 1: Chapters 1–11 — Questions 1–75
### Chapter 1: The Nursing Assistant in
Health Care — Questions 1–7
**Q1.** Which of the following best describes the primary role of the nursing
assistant?
A. Performing surgery
B. Providing basic nursing care under the supervision of a licensed nurse
C. Prescribing medications
D. Diagnosing medical conditions
**Correct Answer: B**
**Rationale:** Nursing assistants provide basic nursing care under the
supervision of a licensed nurse (RN or LPN/LVN). Performing surgery,
prescribing medications, and diagnosing medical conditions are outside the
CNA scope of practice and require advanced licensure.
---
**Q2.** The chain of command in a health care facility typically begins with
the:
A. Nursing assistant
B. Physician
C. Director of nursing
,D. Housekeeping staff
**Correct Answer: A**
**Rationale:** The chain of command typically begins with the nursing
assistant, who reports to a licensed nurse. The physician and director of nursing
are higher in the chain, and housekeeping is not part of the nursing chain of
command.
---
**Q3.** Which of the following is a responsibility of the nursing assistant?
A. Administering intravenous medications
B. Measuring vital signs
C. Performing a lumbar puncture
D. Interpreting laboratory results
**Correct Answer: B**
**Rationale:** Measuring vital signs is within the CNA scope of practice.
Administering IV medications, performing lumbar punctures, and interpreting
lab results require licensed personnel.
---
**Q4.** The term "scope of practice" refers to:
A. The tasks a nursing assistant is legally allowed to perform
,B. The number of patients assigned to a CNA
C. The physical layout of the facility
D. The CNA's work schedule
**Correct Answer: A**
**Rationale:** Scope of practice defines the tasks a CNA is legally permitted
to perform. Patient assignment, facility layout, and work schedule are unrelated
to scope of practice.
---
**Q5.** Which member of the health care team is responsible for developing
the nursing care plan?
A. Nursing assistant
B. Registered nurse
C. Physical therapist
D. Dietitian
**Correct Answer: B**
**Rationale:** The registered nurse develops the nursing care plan. Nursing
assistants contribute observations but do not develop the plan. Physical
therapists and dietitians have their own discipline-specific plans.
---
**Q6.** A nursing assistant should report to which team member?
, A. The licensed nurse supervising care
B. The hospital administrator
C. The patient's family
D. The housekeeping supervisor
**Correct Answer: A**
**Rationale:** CNAs report to the licensed nurse supervising care. Hospital
administrators, family members, and housekeeping supervisors are not in the
direct reporting line for clinical care.
---
**Q7.** Which of the following is considered a "do not" for nursing assistants?
A. Providing basic hygiene care
B. Administering tube feedings
C. Measuring intake and output
D. Assisting with ambulation
**Correct Answer: B**
**Rationale:** Administering tube feedings is outside the CNA scope of
practice in most states. Basic hygiene, measuring I&O, and assisting with
ambulation are within scope.
---
### Chapter 1: The Nursing Assistant in
Health Care — Questions 1–7
**Q1.** Which of the following best describes the primary role of the nursing
assistant?
A. Performing surgery
B. Providing basic nursing care under the supervision of a licensed nurse
C. Prescribing medications
D. Diagnosing medical conditions
**Correct Answer: B**
**Rationale:** Nursing assistants provide basic nursing care under the
supervision of a licensed nurse (RN or LPN/LVN). Performing surgery,
prescribing medications, and diagnosing medical conditions are outside the
CNA scope of practice and require advanced licensure.
---
**Q2.** The chain of command in a health care facility typically begins with
the:
A. Nursing assistant
B. Physician
C. Director of nursing
,D. Housekeeping staff
**Correct Answer: A**
**Rationale:** The chain of command typically begins with the nursing
assistant, who reports to a licensed nurse. The physician and director of nursing
are higher in the chain, and housekeeping is not part of the nursing chain of
command.
---
**Q3.** Which of the following is a responsibility of the nursing assistant?
A. Administering intravenous medications
B. Measuring vital signs
C. Performing a lumbar puncture
D. Interpreting laboratory results
**Correct Answer: B**
**Rationale:** Measuring vital signs is within the CNA scope of practice.
Administering IV medications, performing lumbar punctures, and interpreting
lab results require licensed personnel.
---
**Q4.** The term "scope of practice" refers to:
A. The tasks a nursing assistant is legally allowed to perform
,B. The number of patients assigned to a CNA
C. The physical layout of the facility
D. The CNA's work schedule
**Correct Answer: A**
**Rationale:** Scope of practice defines the tasks a CNA is legally permitted
to perform. Patient assignment, facility layout, and work schedule are unrelated
to scope of practice.
---
**Q5.** Which member of the health care team is responsible for developing
the nursing care plan?
A. Nursing assistant
B. Registered nurse
C. Physical therapist
D. Dietitian
**Correct Answer: B**
**Rationale:** The registered nurse develops the nursing care plan. Nursing
assistants contribute observations but do not develop the plan. Physical
therapists and dietitians have their own discipline-specific plans.
---
**Q6.** A nursing assistant should report to which team member?
, A. The licensed nurse supervising care
B. The hospital administrator
C. The patient's family
D. The housekeeping supervisor
**Correct Answer: A**
**Rationale:** CNAs report to the licensed nurse supervising care. Hospital
administrators, family members, and housekeeping supervisors are not in the
direct reporting line for clinical care.
---
**Q7.** Which of the following is considered a "do not" for nursing assistants?
A. Providing basic hygiene care
B. Administering tube feedings
C. Measuring intake and output
D. Assisting with ambulation
**Correct Answer: B**
**Rationale:** Administering tube feedings is outside the CNA scope of
practice in most states. Basic hygiene, measuring I&O, and assisting with
ambulation are within scope.
---
