ORIGINAL EXAM-STYLE QUESTIONS • ANSWER KEY INCLUDED A+ VERIFIED
CNA Chapter 1 Exam Questions and
Answers 2026/2027 – Questions and
Answers
| Professional Foundations | Ethical
Practice – Pass Guaranteed – A+ Graded
50 QUESTIONS • 5 SECTIONS • BLOOM'S: APPLICATION/ANALYSIS
50 5 50
QUESTIONS SECTIONS RATIONALES
WHAT THIS COVERS
1 Role and Responsibilities of the Nursing Assistant 2 The Healthcare Team and Interdisciplinary Care
3 Legal and Ethical Issues in Nursing Assisting 4 Resident Rights and Person-Centered Care
5 Work Ethics, Professionalism, and Career
Development
ABOUT THIS ASSESSMENT
This 50-item assessment is structured across 5 domains: Role and Responsibilities of the Nursing Assistant; The Healthcare
Team and Interdisciplinary Care; Legal and Ethical Issues in Nursing Assisting; Resident Rights and Person-Centered Care;
Work Ethics, Professionalism, and Career Development. Items are written at the Application/Analysis level and target
intermediate learners. Each question includes four options, one best answer, and a focused rationale that explains the clinical
reasoning. Use this resource to reinforce prioritization, safe practice, and application of core principles across the listed
domains.
Pharmacology Safety Patient Teaching Monitoring
PA S S I N G S C O R E D I F F I C U LT Y F O R M AT
75% Intermediate Multiple Choice
STUVIA ACTUAL EXAM
,CNA Chapter 1 Exam Questions and Answers 2026/2027 Questions and Answers • A+ Verified
CNA Chapter 1 Exam Questions and Answers 2026/2027 –
Questions and Answers | Professional Foundations | Ethical
Practice – Pass Guaranteed – A+ Graded
Total Questions: 50 Sections: 5 Passing Score: 75% Difficulty: Intermediate Bloom's: Application/Analysis
Section 1 — Role and Responsibilities of the Nursing Assistant
1. A newly hired nursing assistant is asked by a busy LPN to administer a scheduled dose of
acetaminophen to a resident while the LPN attends to another resident's IV line. Which response
by the NA best reflects understanding of the scope of practice?
A. Politely decline and explain that medication administration is outside the CNA scope of practice
B. Administer the medication this one time but document it as the LPN's action
C. Administer the medication only if the resident consents and the dose is a tablet
D. Crush the tablet and mix it with applesauce before giving it to the resident
Concept: CNA Scope of Practice - Medication Administration
Rationale: Administering medications, including oral tablets, is outside the scope of practice for a nursing
assistant in every state. Performing this task would constitute unauthorized practice and could result in loss of
certification, civil liability, and resident harm. The NA must politely decline, remind the LPN of the scope limit,
and report the request through the chain of command if it recurs.
2. A charge nurse delegates oral care to a nursing assistant for a resident who is NPO after a stroke
and has a history of aspiration. The NA reviews the task and is unsure whether the swallow screen
has been completed. Applying the Five Rights of Delegation, which right is the NA primarily
evaluating before accepting the task?
A. Right task
B. Right person
C. Right circumstance
D. Right direction
Concept: Five Rights of Delegation
Rationale: The Five Rights of Delegation are right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. The NA's question about the swallow screen
relates to whether the resident's current condition is safe for oral care, which is the right circumstance.
Accepting a delegated task without verifying the resident's status could place the resident at risk of aspiration.
3. While assisting a resident with morning care, the nursing assistant notices that the resident's speech
has become slurred and the right side of the mouth is drooping, findings not present the previous
shift. Using the SBAR framework, what should the NA state first when notifying the nurse?
A. "I think the resident may be having a stroke."
B. "Mr. Lee's speech is slurred and the right side of his mouth is drooping, which is new since
yesterday."
C. "Should I call a rapid response?"
D. "He was fine last night during care."
Concept: Observation and Reporting Using SBAR
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, with the Situation
communicated first. The NA should state the resident's identity and the immediate, objective findings. A
clinical interpretation such as "stroke" is an assessment outside the NA's scope and should not be the
opening statement.
STUVIA • ACTUAL EXAM • A+ VERIFIED Page 1
, CNA Chapter 1 Exam Questions and Answers 2026/2027 Questions and Answers • A+ Verified
4. A resident recovering from a hip fracture can dress the upper body independently but becomes
frustrated when bending to put on socks and shoes. Which action by the nursing assistant best
supports the resident's independence while respecting the care plan?
A. Dress the resident completely each morning to prevent frustration
B. Provide a long-handled sock aid and shoe horn and remain nearby for cues
C. Ask the resident to wait until physical therapy arrives to assist with lower-body dressing
D. Skip lower-body dressing and document that the resident declined care
Concept: Assisting with ADLs - Promoting Independence
Rationale: ADL assistance should promote the greatest level of independence consistent with the resident's
abilities and care plan. Adaptive devices such as a long-handled sock aid and shoe horn allow the resident to
complete the task while reducing fall and bending risks. Doing the task entirely removes the opportunity for
self-care, and skipping it would be inaccurate documentation.
5. A nursing assistant is measuring the blood pressure of a resident with a large upper arm. The only
cuff available is a standard adult cuff that wraps less than two-thirds of the arm circumference.
Which action is most appropriate?
A. Document the reading and note "cuff may be small" in the chart
B. Apply the cuff tightly and inflate to 200 mm Hg to ensure a reading
C. Use the standard cuff but record the value as a thigh pressure
D. Obtain a large-adult cuff and re-measure before documenting
Concept: Vital Signs - Blood Pressure Cuff Sizing
Rationale: Using a cuff that is too small for the arm produces falsely elevated readings, while a cuff that is too
large produces falsely low readings. The NA must select the correct cuff size and re-measure before
recording any value. Documenting an inaccurate reading could lead to inappropriate clinical decisions.
6. After ambulating a resident 150 feet, the nursing assistant completes the activity record. Which
documentation entry best meets standards for objective, timely charting?
A. "Resident ambulated 150 feet with rolling walker; denied shortness of breath; gait steady."
B. "Resident had a wonderful walk today and seems much happier than yesterday."
C. "Resident walked a long distance without any complaints."
D. "Ambulation completed; resident appeared tired and lazy afterward."
Concept: Documenting Care - Objectivity and Timeliness
Rationale: Documentation should be factual, objective, timed, and specific, using measurable terms and the
resident's own words where appropriate. The entry "ambulated 150 feet with rolling walker; denied shortness
of breath; gait steady" includes distance, assistive device, and observed status. Subjective adjectives such as
"lazy" or "wonderful" are non-clinical and should not appear in the record.
7. A post-operative resident has a sterile dry dressing over an abdominal incision that has loosened at
one corner. The nursing assistant is the only staff member in the room at the moment. What is the
most appropriate action?
A. Replace the loose tape using clean technique and document
B. Remove the dressing, clean the site with soap and water, and reapply sterile gauze
C. Cover the loosened edge with a clean barrier, do not touch the sterile field, and notify the nurse
immediately
D. Reinforce the dressing with extra layers of clean gauze without disturbing the original dressing
Concept: Scope-of-Practice Limits - Sterile Procedures
Rationale: Sterile dressing changes and any handling of a sterile field are outside the nursing assistant's
scope of practice. The NA may only reinforce a dressing with a clean cover without entering the sterile field
and must promptly notify the licensed nurse. Removing or directly manipulating the sterile dressing could
introduce pathogens and result in infection.
STUVIA • ACTUAL EXAM • A+ VERIFIED Page 2
CNA Chapter 1 Exam Questions and
Answers 2026/2027 – Questions and
Answers
| Professional Foundations | Ethical
Practice – Pass Guaranteed – A+ Graded
50 QUESTIONS • 5 SECTIONS • BLOOM'S: APPLICATION/ANALYSIS
50 5 50
QUESTIONS SECTIONS RATIONALES
WHAT THIS COVERS
1 Role and Responsibilities of the Nursing Assistant 2 The Healthcare Team and Interdisciplinary Care
3 Legal and Ethical Issues in Nursing Assisting 4 Resident Rights and Person-Centered Care
5 Work Ethics, Professionalism, and Career
Development
ABOUT THIS ASSESSMENT
This 50-item assessment is structured across 5 domains: Role and Responsibilities of the Nursing Assistant; The Healthcare
Team and Interdisciplinary Care; Legal and Ethical Issues in Nursing Assisting; Resident Rights and Person-Centered Care;
Work Ethics, Professionalism, and Career Development. Items are written at the Application/Analysis level and target
intermediate learners. Each question includes four options, one best answer, and a focused rationale that explains the clinical
reasoning. Use this resource to reinforce prioritization, safe practice, and application of core principles across the listed
domains.
Pharmacology Safety Patient Teaching Monitoring
PA S S I N G S C O R E D I F F I C U LT Y F O R M AT
75% Intermediate Multiple Choice
STUVIA ACTUAL EXAM
,CNA Chapter 1 Exam Questions and Answers 2026/2027 Questions and Answers • A+ Verified
CNA Chapter 1 Exam Questions and Answers 2026/2027 –
Questions and Answers | Professional Foundations | Ethical
Practice – Pass Guaranteed – A+ Graded
Total Questions: 50 Sections: 5 Passing Score: 75% Difficulty: Intermediate Bloom's: Application/Analysis
Section 1 — Role and Responsibilities of the Nursing Assistant
1. A newly hired nursing assistant is asked by a busy LPN to administer a scheduled dose of
acetaminophen to a resident while the LPN attends to another resident's IV line. Which response
by the NA best reflects understanding of the scope of practice?
A. Politely decline and explain that medication administration is outside the CNA scope of practice
B. Administer the medication this one time but document it as the LPN's action
C. Administer the medication only if the resident consents and the dose is a tablet
D. Crush the tablet and mix it with applesauce before giving it to the resident
Concept: CNA Scope of Practice - Medication Administration
Rationale: Administering medications, including oral tablets, is outside the scope of practice for a nursing
assistant in every state. Performing this task would constitute unauthorized practice and could result in loss of
certification, civil liability, and resident harm. The NA must politely decline, remind the LPN of the scope limit,
and report the request through the chain of command if it recurs.
2. A charge nurse delegates oral care to a nursing assistant for a resident who is NPO after a stroke
and has a history of aspiration. The NA reviews the task and is unsure whether the swallow screen
has been completed. Applying the Five Rights of Delegation, which right is the NA primarily
evaluating before accepting the task?
A. Right task
B. Right person
C. Right circumstance
D. Right direction
Concept: Five Rights of Delegation
Rationale: The Five Rights of Delegation are right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. The NA's question about the swallow screen
relates to whether the resident's current condition is safe for oral care, which is the right circumstance.
Accepting a delegated task without verifying the resident's status could place the resident at risk of aspiration.
3. While assisting a resident with morning care, the nursing assistant notices that the resident's speech
has become slurred and the right side of the mouth is drooping, findings not present the previous
shift. Using the SBAR framework, what should the NA state first when notifying the nurse?
A. "I think the resident may be having a stroke."
B. "Mr. Lee's speech is slurred and the right side of his mouth is drooping, which is new since
yesterday."
C. "Should I call a rapid response?"
D. "He was fine last night during care."
Concept: Observation and Reporting Using SBAR
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, with the Situation
communicated first. The NA should state the resident's identity and the immediate, objective findings. A
clinical interpretation such as "stroke" is an assessment outside the NA's scope and should not be the
opening statement.
STUVIA • ACTUAL EXAM • A+ VERIFIED Page 1
, CNA Chapter 1 Exam Questions and Answers 2026/2027 Questions and Answers • A+ Verified
4. A resident recovering from a hip fracture can dress the upper body independently but becomes
frustrated when bending to put on socks and shoes. Which action by the nursing assistant best
supports the resident's independence while respecting the care plan?
A. Dress the resident completely each morning to prevent frustration
B. Provide a long-handled sock aid and shoe horn and remain nearby for cues
C. Ask the resident to wait until physical therapy arrives to assist with lower-body dressing
D. Skip lower-body dressing and document that the resident declined care
Concept: Assisting with ADLs - Promoting Independence
Rationale: ADL assistance should promote the greatest level of independence consistent with the resident's
abilities and care plan. Adaptive devices such as a long-handled sock aid and shoe horn allow the resident to
complete the task while reducing fall and bending risks. Doing the task entirely removes the opportunity for
self-care, and skipping it would be inaccurate documentation.
5. A nursing assistant is measuring the blood pressure of a resident with a large upper arm. The only
cuff available is a standard adult cuff that wraps less than two-thirds of the arm circumference.
Which action is most appropriate?
A. Document the reading and note "cuff may be small" in the chart
B. Apply the cuff tightly and inflate to 200 mm Hg to ensure a reading
C. Use the standard cuff but record the value as a thigh pressure
D. Obtain a large-adult cuff and re-measure before documenting
Concept: Vital Signs - Blood Pressure Cuff Sizing
Rationale: Using a cuff that is too small for the arm produces falsely elevated readings, while a cuff that is too
large produces falsely low readings. The NA must select the correct cuff size and re-measure before
recording any value. Documenting an inaccurate reading could lead to inappropriate clinical decisions.
6. After ambulating a resident 150 feet, the nursing assistant completes the activity record. Which
documentation entry best meets standards for objective, timely charting?
A. "Resident ambulated 150 feet with rolling walker; denied shortness of breath; gait steady."
B. "Resident had a wonderful walk today and seems much happier than yesterday."
C. "Resident walked a long distance without any complaints."
D. "Ambulation completed; resident appeared tired and lazy afterward."
Concept: Documenting Care - Objectivity and Timeliness
Rationale: Documentation should be factual, objective, timed, and specific, using measurable terms and the
resident's own words where appropriate. The entry "ambulated 150 feet with rolling walker; denied shortness
of breath; gait steady" includes distance, assistive device, and observed status. Subjective adjectives such as
"lazy" or "wonderful" are non-clinical and should not appear in the record.
7. A post-operative resident has a sterile dry dressing over an abdominal incision that has loosened at
one corner. The nursing assistant is the only staff member in the room at the moment. What is the
most appropriate action?
A. Replace the loose tape using clean technique and document
B. Remove the dressing, clean the site with soap and water, and reapply sterile gauze
C. Cover the loosened edge with a clean barrier, do not touch the sterile field, and notify the nurse
immediately
D. Reinforce the dressing with extra layers of clean gauze without disturbing the original dressing
Concept: Scope-of-Practice Limits - Sterile Procedures
Rationale: Sterile dressing changes and any handling of a sterile field are outside the nursing assistant's
scope of practice. The NA may only reinforce a dressing with a clean cover without entering the sterile field
and must promptly notify the licensed nurse. Removing or directly manipulating the sterile dressing could
introduce pathogens and result in infection.
STUVIA • ACTUAL EXAM • A+ VERIFIED Page 2
