Prometric CNA Exam —
Comprehensive Test Bank, Part 1 of 5
Content areas: Role and Responsibilities, Communication, and Infection Control.
Q1. A nurse aide is caring for a resident who is refusing a bath. Which action should the nurse aide
take?
A. Respect the resident's refusal and report it to the nurse
B. Force the resident to take the bath
C. Skip the bath and document it as completed
D. Tell the resident that refusing care is not allowed
Correct Answer: Respect the resident's refusal and report it to the nurse ✅
Rationale: Residents have the right to refuse care, and the nurse aide must respect that right
and report the refusal to the nurse. Forcing the resident to take a bath violates the resident's rights.
Skipping the bath and documenting it as completed is falsification. Telling the resident that refusing
care is not allowed is incorrect because residents have the legal right to refuse. The concept is that
resident rights include the right to refuse care [citation:7].
Q2. A nurse aide is caring for a resident who is complaining of pain. Which action should the nurse
aide take?
A. Report the complaint to the nurse
B. Tell the resident that the pain will go away
C. Give the resident a pain medication
D. Wait until the end of the shift to report the pain
Correct Answer: Report the complaint to the nurse ✅
,Rationale: The nurse aide's role is to observe and report changes in the resident's condition
to the nurse. Giving pain medication is outside the nurse aide's scope of practice. Telling the resident
that the pain will go away dismisses the complaint. Waiting until the end of the shift delays necessary
intervention. The concept is that the nurse aide must report resident complaints promptly
[citation:7].
Q3. A nurse aide is caring for a resident who has a new diagnosis of dementia. Which action should
the nurse aide take?
A. Use simple, short sentences when speaking to the resident
B. Speak loudly to help the resident understand
C. Correct the resident when they say something incorrect
D. Ignore the resident when they are confused
Correct Answer: Use simple, short sentences when speaking to the resident ✅
Rationale: Residents with dementia benefit from simple, short sentences and a calm
approach. Speaking loudly does not help with comprehension. Correcting the resident may increase
agitation and distress. Ignoring the resident is neglectful. The concept is that communication
strategies must be adapted to the resident's cognitive ability [citation:7].
Q4. A nurse aide is caring for a resident who is at the end of life. Which action should the nurse aide
take?
A. Provide comfort measures and emotional support
B. Encourage the resident to eat more
C. Avoid talking to the resident about their feelings
D. Leave the resident alone to give them privacy
Correct Answer: Provide comfort measures and emotional support ✅
Rationale: End-of-life care focuses on comfort and emotional support. Encouraging the
resident to eat more may cause distress. Avoiding discussion of feelings denies the resident the
,opportunity to express themselves. Leaving the resident alone may feel like abandonment. The
concept is that end-of-life care prioritizes comfort and presence [citation:7].
Q5. A nurse aide is caring for a resident who is a victim of abuse. Which action should the nurse aide
take?
A. Report the abuse to the nurse immediately
B. Investigate the abuse personally
C. Confront the suspected abuser
D. Document the abuse without reporting
Correct Answer: Report the abuse to the nurse immediately ✅
Rationale: Nurse aides are mandated reporters and must report suspected abuse
immediately. Investigating personally is not the nurse aide's role. Confronting the suspected abuser is
unsafe. Documenting without reporting fails the legal obligation. The concept is that abuse must be
reported immediately [citation:11].
Q6. A nurse aide is caring for a resident who is hard of hearing. Which action should the nurse aide
take?
A. Face the resident and speak clearly at a normal volume
B. Speak loudly and over-articulate words
C. Stand behind the resident to reduce distractions
D. Use medical jargon to be precise
Correct Answer: Face the resident and speak clearly at a normal volume ✅
Rationale: Facing the resident allows lip-reading and clear speech at a normal volume is
more effective than shouting. Speaking loudly and over-articulating distorts sounds. Standing behind
the resident prevents lip-reading. Using medical jargon is confusing. The concept is that
communication must be adapted to the resident's needs [citation:7].
, Q7. A nurse aide is caring for a resident who speaks a different language. Which action should the
nurse aide take?
A. Use a professional interpreter or translation service
B. Ask the resident's family member to interpret
C. Speak loudly to help the resident understand
D. Use gestures and hand signals only
Correct Answer: Use a professional interpreter or translation service ✅
Rationale: Using a professional interpreter ensures accurate communication and avoids
confidentiality breaches. Asking a family member to interpret may place a burden on them and risks
inaccurate translation. Speaking loudly does not help if the resident does not understand the
language. Gestures alone are inadequate for complex health information. The concept is that
communication must be accurate [citation:7].
Q8. A nurse aide is caring for a resident who is visually impaired. Which action should the nurse aide
take?
A. Identify yourself when entering the room and announce when leaving
B. Speak loudly to compensate for the visual impairment
C. Move furniture without telling the resident
D. Avoid touching the resident to prevent startling them
Correct Answer: Identify yourself when entering the room and announce when leaving ✅
Rationale: Identifying yourself lets the resident know who is present, and announcing when
leaving avoids the resident speaking to an empty room. Speaking loudly is unnecessary because the
impairment is visual. Moving furniture without telling the resident creates a fall hazard. Avoiding
touch denies the resident a source of orientation. The concept is that residents with visual
impairment benefit from verbal cues [citation:7].
Q9. A nurse aide is caring for a resident who is angry. Which response by the nurse aide is most
appropriate?
Comprehensive Test Bank, Part 1 of 5
Content areas: Role and Responsibilities, Communication, and Infection Control.
Q1. A nurse aide is caring for a resident who is refusing a bath. Which action should the nurse aide
take?
A. Respect the resident's refusal and report it to the nurse
B. Force the resident to take the bath
C. Skip the bath and document it as completed
D. Tell the resident that refusing care is not allowed
Correct Answer: Respect the resident's refusal and report it to the nurse ✅
Rationale: Residents have the right to refuse care, and the nurse aide must respect that right
and report the refusal to the nurse. Forcing the resident to take a bath violates the resident's rights.
Skipping the bath and documenting it as completed is falsification. Telling the resident that refusing
care is not allowed is incorrect because residents have the legal right to refuse. The concept is that
resident rights include the right to refuse care [citation:7].
Q2. A nurse aide is caring for a resident who is complaining of pain. Which action should the nurse
aide take?
A. Report the complaint to the nurse
B. Tell the resident that the pain will go away
C. Give the resident a pain medication
D. Wait until the end of the shift to report the pain
Correct Answer: Report the complaint to the nurse ✅
,Rationale: The nurse aide's role is to observe and report changes in the resident's condition
to the nurse. Giving pain medication is outside the nurse aide's scope of practice. Telling the resident
that the pain will go away dismisses the complaint. Waiting until the end of the shift delays necessary
intervention. The concept is that the nurse aide must report resident complaints promptly
[citation:7].
Q3. A nurse aide is caring for a resident who has a new diagnosis of dementia. Which action should
the nurse aide take?
A. Use simple, short sentences when speaking to the resident
B. Speak loudly to help the resident understand
C. Correct the resident when they say something incorrect
D. Ignore the resident when they are confused
Correct Answer: Use simple, short sentences when speaking to the resident ✅
Rationale: Residents with dementia benefit from simple, short sentences and a calm
approach. Speaking loudly does not help with comprehension. Correcting the resident may increase
agitation and distress. Ignoring the resident is neglectful. The concept is that communication
strategies must be adapted to the resident's cognitive ability [citation:7].
Q4. A nurse aide is caring for a resident who is at the end of life. Which action should the nurse aide
take?
A. Provide comfort measures and emotional support
B. Encourage the resident to eat more
C. Avoid talking to the resident about their feelings
D. Leave the resident alone to give them privacy
Correct Answer: Provide comfort measures and emotional support ✅
Rationale: End-of-life care focuses on comfort and emotional support. Encouraging the
resident to eat more may cause distress. Avoiding discussion of feelings denies the resident the
,opportunity to express themselves. Leaving the resident alone may feel like abandonment. The
concept is that end-of-life care prioritizes comfort and presence [citation:7].
Q5. A nurse aide is caring for a resident who is a victim of abuse. Which action should the nurse aide
take?
A. Report the abuse to the nurse immediately
B. Investigate the abuse personally
C. Confront the suspected abuser
D. Document the abuse without reporting
Correct Answer: Report the abuse to the nurse immediately ✅
Rationale: Nurse aides are mandated reporters and must report suspected abuse
immediately. Investigating personally is not the nurse aide's role. Confronting the suspected abuser is
unsafe. Documenting without reporting fails the legal obligation. The concept is that abuse must be
reported immediately [citation:11].
Q6. A nurse aide is caring for a resident who is hard of hearing. Which action should the nurse aide
take?
A. Face the resident and speak clearly at a normal volume
B. Speak loudly and over-articulate words
C. Stand behind the resident to reduce distractions
D. Use medical jargon to be precise
Correct Answer: Face the resident and speak clearly at a normal volume ✅
Rationale: Facing the resident allows lip-reading and clear speech at a normal volume is
more effective than shouting. Speaking loudly and over-articulating distorts sounds. Standing behind
the resident prevents lip-reading. Using medical jargon is confusing. The concept is that
communication must be adapted to the resident's needs [citation:7].
, Q7. A nurse aide is caring for a resident who speaks a different language. Which action should the
nurse aide take?
A. Use a professional interpreter or translation service
B. Ask the resident's family member to interpret
C. Speak loudly to help the resident understand
D. Use gestures and hand signals only
Correct Answer: Use a professional interpreter or translation service ✅
Rationale: Using a professional interpreter ensures accurate communication and avoids
confidentiality breaches. Asking a family member to interpret may place a burden on them and risks
inaccurate translation. Speaking loudly does not help if the resident does not understand the
language. Gestures alone are inadequate for complex health information. The concept is that
communication must be accurate [citation:7].
Q8. A nurse aide is caring for a resident who is visually impaired. Which action should the nurse aide
take?
A. Identify yourself when entering the room and announce when leaving
B. Speak loudly to compensate for the visual impairment
C. Move furniture without telling the resident
D. Avoid touching the resident to prevent startling them
Correct Answer: Identify yourself when entering the room and announce when leaving ✅
Rationale: Identifying yourself lets the resident know who is present, and announcing when
leaving avoids the resident speaking to an empty room. Speaking loudly is unnecessary because the
impairment is visual. Moving furniture without telling the resident creates a fall hazard. Avoiding
touch denies the resident a source of orientation. The concept is that residents with visual
impairment benefit from verbal cues [citation:7].
Q9. A nurse aide is caring for a resident who is angry. Which response by the nurse aide is most
appropriate?
