American Red Cross
TSET 2 HC · ANC
CNA
★
Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 2 — Comprehensive Test
I N F E CT I O N CO N T R O L · CO M M U N I C AT I O N · S A F E TY · E M E R G E N C I E S · B O DY
M E C H A N I CS · D E F E N S E M E C H A N I S M S
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 2 — Comprehensive Test
TOTAL QUESTIONS 60 Questions COURSE TITLE Nurse Assistant Training —
Chapter 2
FORMAT Multiple Choice & True/False — HQ Washington, D.C.
Select the Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers infection control, communication, safety, emergency procedures, body mechanics,
defense mechanisms, and disease conditions.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, SECTION I — INFECTION CONTROL, SAFETY &
Questions 1 – 30
EMERGENCY PROCEDURES
1. What is the most important thing a nursing assistant can do to prevent the spread of
infection?
A. Wear gloves at all times
B. Washing hands
C. Avoid resident contact
D. Take antibiotics prophylactically
CORRECT ANSWER B — Washing hands
RATIONALE Hand hygiene is universally recognized by the CDC and WHO as the single most
effective intervention to prevent healthcare-associated infections. It breaks the
chain of infection at the mode of transmission. Gloves (A) supplement but do not
replace handwashing. Avoiding contact (C) is impossible in CNA work.
Prophylactic antibiotics (D) are not standard infection prevention and promote
resistance.
2. An SDS manual will tell you what about a facility?
A. Resident medical histories
B. Information about chemicals used in the facility
C. Staff schedules and assignments
D. Fire evacuation routes only
CORRECT ANSWER B — Information about chemicals used in the facility
RATIONALE Safety Data Sheets (formerly MSDS) contain comprehensive chemical safety
information: product identity, hazardous ingredients, physical/chemical
characteristics, fire and explosion data, reactivity data, health hazards, safe
handling precautions, and emergency response/first aid procedures. OSHA
requires SDSs to be readily accessible to all employees. They do not contain
resident records (A), staff schedules (C), or evacuation routes (D).
,3. The nursing assistant has elevated the legs of the resident while in bed to help keep blood
flow to the head and heart. They have also urgently called for help. The resident is in:
A. Cardiac arrest
B. Shock
C. Respiratory distress
D. Seizure
CORRECT ANSWER B — Shock
RATIONALE Elevating the legs (unless head or abdominal injury is present) is the proper
positioning for shock — it promotes blood return from the lower extremities to
vital organs (brain, heart). Calling for urgent help is the correct accompanying
action. Signs of shock include pale/bluish skin, rapid weak pulse, hypotension,
and altered consciousness. Cardiac arrest (A) requires CPR. Respiratory distress
(C) requires upright positioning. Seizure (D) requires protection from injury.
4. The resident is standing with arms crossed and facial grimacing. You know they are mad
because:
A. They told you verbally they were angry
B. They are using non-verbal communication to communicate with the CNA
C. They wrote down their feelings
D. The nurse informed you of their mood
CORRECT ANSWER B — They are using non-verbal communication to communicate with the
CNA
RATIONALE Crossed arms (closed posture) and facial grimacing (facial expression of
displeasure) are classic examples of non-verbal communication conveying anger
or frustration. CNAs must be attuned to non-verbal cues — residents may not
always verbalize their feelings. Non-verbal communication includes body
language, facial expressions, gestures, posture, and eye contact. Recognizing
these signals allows the CNA to address concerns before they escalate.
, 5. Pointing to a cup of water is what type of communication?
A. Verbal
B. Nonverbal
C. Written
D. Electronic
CORRECT ANSWER B — Nonverbal
RATIONALE Gestures — such as pointing — are a form of nonverbal communication. They
convey meaning without spoken or written words. Other examples of nonverbal
communication include nodding, waving, facial expressions, and body posture.
For residents with speech difficulties, aphasia, or language barriers, nonverbal
communication becomes especially important for expressing needs.
6. What does verbal communication include?
A. Facial expressions only
B. Speaking
C. Pointing and gestures
D. Eye contact
CORRECT ANSWER B — Speaking
RATIONALE Verbal communication involves the use of spoken or written words. Speaking is
the most direct form of verbal communication. Facial expressions (A),
pointing/gestures (C), and eye contact (D) are all forms of NONVERBAL
communication. Effective CNAs use both verbal and nonverbal communication to
understand and respond to residents' needs.
TSET 2 HC · ANC
CNA
★
Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 2 — Comprehensive Test
I N F E CT I O N CO N T R O L · CO M M U N I C AT I O N · S A F E TY · E M E R G E N C I E S · B O DY
M E C H A N I CS · D E F E N S E M E C H A N I S M S
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 2 — Comprehensive Test
TOTAL QUESTIONS 60 Questions COURSE TITLE Nurse Assistant Training —
Chapter 2
FORMAT Multiple Choice & True/False — HQ Washington, D.C.
Select the Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers infection control, communication, safety, emergency procedures, body mechanics,
defense mechanisms, and disease conditions.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, SECTION I — INFECTION CONTROL, SAFETY &
Questions 1 – 30
EMERGENCY PROCEDURES
1. What is the most important thing a nursing assistant can do to prevent the spread of
infection?
A. Wear gloves at all times
B. Washing hands
C. Avoid resident contact
D. Take antibiotics prophylactically
CORRECT ANSWER B — Washing hands
RATIONALE Hand hygiene is universally recognized by the CDC and WHO as the single most
effective intervention to prevent healthcare-associated infections. It breaks the
chain of infection at the mode of transmission. Gloves (A) supplement but do not
replace handwashing. Avoiding contact (C) is impossible in CNA work.
Prophylactic antibiotics (D) are not standard infection prevention and promote
resistance.
2. An SDS manual will tell you what about a facility?
A. Resident medical histories
B. Information about chemicals used in the facility
C. Staff schedules and assignments
D. Fire evacuation routes only
CORRECT ANSWER B — Information about chemicals used in the facility
RATIONALE Safety Data Sheets (formerly MSDS) contain comprehensive chemical safety
information: product identity, hazardous ingredients, physical/chemical
characteristics, fire and explosion data, reactivity data, health hazards, safe
handling precautions, and emergency response/first aid procedures. OSHA
requires SDSs to be readily accessible to all employees. They do not contain
resident records (A), staff schedules (C), or evacuation routes (D).
,3. The nursing assistant has elevated the legs of the resident while in bed to help keep blood
flow to the head and heart. They have also urgently called for help. The resident is in:
A. Cardiac arrest
B. Shock
C. Respiratory distress
D. Seizure
CORRECT ANSWER B — Shock
RATIONALE Elevating the legs (unless head or abdominal injury is present) is the proper
positioning for shock — it promotes blood return from the lower extremities to
vital organs (brain, heart). Calling for urgent help is the correct accompanying
action. Signs of shock include pale/bluish skin, rapid weak pulse, hypotension,
and altered consciousness. Cardiac arrest (A) requires CPR. Respiratory distress
(C) requires upright positioning. Seizure (D) requires protection from injury.
4. The resident is standing with arms crossed and facial grimacing. You know they are mad
because:
A. They told you verbally they were angry
B. They are using non-verbal communication to communicate with the CNA
C. They wrote down their feelings
D. The nurse informed you of their mood
CORRECT ANSWER B — They are using non-verbal communication to communicate with the
CNA
RATIONALE Crossed arms (closed posture) and facial grimacing (facial expression of
displeasure) are classic examples of non-verbal communication conveying anger
or frustration. CNAs must be attuned to non-verbal cues — residents may not
always verbalize their feelings. Non-verbal communication includes body
language, facial expressions, gestures, posture, and eye contact. Recognizing
these signals allows the CNA to address concerns before they escalate.
, 5. Pointing to a cup of water is what type of communication?
A. Verbal
B. Nonverbal
C. Written
D. Electronic
CORRECT ANSWER B — Nonverbal
RATIONALE Gestures — such as pointing — are a form of nonverbal communication. They
convey meaning without spoken or written words. Other examples of nonverbal
communication include nodding, waving, facial expressions, and body posture.
For residents with speech difficulties, aphasia, or language barriers, nonverbal
communication becomes especially important for expressing needs.
6. What does verbal communication include?
A. Facial expressions only
B. Speaking
C. Pointing and gestures
D. Eye contact
CORRECT ANSWER B — Speaking
RATIONALE Verbal communication involves the use of spoken or written words. Speaking is
the most direct form of verbal communication. Facial expressions (A),
pointing/gestures (C), and eye contact (D) are all forms of NONVERBAL
communication. Effective CNAs use both verbal and nonverbal communication to
understand and respond to residents' needs.
