CNA Written Exam (answered) 100%
correct-2026/2027 Actual Exam – Complete
Questions and Answers with Detailed Rationales –
Pass Guaranteed – A+ Graded
Section 1: Role & Responsibilities of the Nurse Aide
Q1: A family member approaches you in the hallway and asks you to give their father his
blood pressure medication because the nurse is tied up with another resident. What
should you do?
A. Give the pill to be helpful since the nurse is busy
B. Tell the family member to administer it themselves
C. Explain that administering medications is outside the CNA scope of practice and
notify the nurse immediately [CORRECT]
D. Give the pill but document that the family requested it
Correct Answer: C
Rationale: The best answer is C. Giving medications in any form—pills, injections, eye
drops—is never within a CNA's scope of practice, no matter who asks. You politely
decline and get the licensed nurse.
Q2: A resident has a surgical wound that requires a sterile dressing change. Can you
perform this task as a CNA?
A. Yes, if you observed the nurse do it yesterday
B. Yes, if the resident says it's okay
C. No, sterile dressing changes are outside the CNA scope of practice [CORRECT]
D. Yes, as long as you wear clean gloves
Correct Answer: C
Rationale: This choice is correct because sterile procedures require specialized
assessment and technique that fall under licensed nursing duties. A CNA never
performs sterile dressing changes.
,Q3: You're assisting Mr. Davis with his morning care when you notice his breathing is
much faster and more labored than it was yesterday. His skin looks pale and he's more
confused than usual. What's your action?
A. Tell him to take deep breaths and finish getting dressed
B. Document the change at the end of your shift
C. Report these changes to the nurse immediately [CORRECT]
D. Change his care plan to include more rest periods
Correct Answer: C
Rationale: The best answer is C. When a resident's condition changes—especially with
breathing difficulty and new confusion—you report it right away. CNAs observe and
report; nurses assess and intervene.
Q4: Mrs. Johnson tells you she doesn't want to take her scheduled walk today because
she's tired. The care plan says she needs ambulation twice daily. What do you do?
A. Skip the walk since she asked
B. Insist she walk because it's in the care plan
C. Encourage her to walk as planned, but if she refuses, report it to the nurse and
document her refusal [CORRECT]
D. Change the care plan to remove the walk
Correct Answer: C
Rationale: This choice is correct because you can't force a resident to do something, but
you also can't independently change the care plan. You encourage, respect her right to
refuse, and communicate that refusal to the nurse.
Q5: A resident tries to hand you a twenty-dollar bill as a thank-you for being kind to her
this week. What's your response?
A. Accept it so you don't hurt her feelings
B. Accept it but tell her it's the only time
C. Politely decline and explain that you care for all residents equally and cannot accept
gifts [CORRECT]
D. Take it and buy coffee for the break room
Correct Answer: C
Rationale: The best answer is C. Accepting money or gifts crosses professional
boundaries and can make other residents feel less favored. A gentle but firm decline
keeps the relationship appropriate.
, Q6: You're in the elevator with a coworker and mention that Mrs. Smith in room 204 was
crying all morning about her divorce. Another resident's family member is standing in
the elevator. Have you violated anything?
A. No, because you didn't use her full name
B. No, because CNAs are allowed to discuss residents with each other
C. Yes, you violated HIPAA by discussing protected health information where others
could overhear [CORRECT]
D. Only if the family member knows Mrs. Smith
Correct Answer: C
Rationale: This choice is correct because HIPAA protects all resident information, and
discussing a resident's personal business in a public elevator—regardless of whether
you use a name or room number—is a serious confidentiality breach.
Q7: If you have a concern about a resident's care that the charge nurse hasn't
addressed, what's the proper chain of command?
A. Go directly to the state surveyor
B. Talk to the director of nursing next [CORRECT]
C. Post about it on social media to warn families
D. Ignore it since you already told the charge nurse
Correct Answer: B
Rationale: The best answer is B. Chain of command means going to your immediate
supervisor first, then moving up to the director of nursing if the issue isn't resolved.
Q8: You disagree with the nurse about whether Mr. Lee should be turned every two
hours. The nurse says every four hours is fine. What should you do?
A. Refuse to care for Mr. Lee until the nurse agrees with you
B. Turn him every two hours secretly without saying anything
C. Follow the nurse's instruction but document your concern and share your
observations respectfully [CORRECT]
D. Tell the resident's family to complain to administration
Correct Answer: C
Rationale: This choice is correct because CNAs don't override nurses, but you can
advocate by sharing what you're seeing and documenting your concerns through proper
channels.
Q9: Which of the following tasks is outside the CNA scope of practice?
correct-2026/2027 Actual Exam – Complete
Questions and Answers with Detailed Rationales –
Pass Guaranteed – A+ Graded
Section 1: Role & Responsibilities of the Nurse Aide
Q1: A family member approaches you in the hallway and asks you to give their father his
blood pressure medication because the nurse is tied up with another resident. What
should you do?
A. Give the pill to be helpful since the nurse is busy
B. Tell the family member to administer it themselves
C. Explain that administering medications is outside the CNA scope of practice and
notify the nurse immediately [CORRECT]
D. Give the pill but document that the family requested it
Correct Answer: C
Rationale: The best answer is C. Giving medications in any form—pills, injections, eye
drops—is never within a CNA's scope of practice, no matter who asks. You politely
decline and get the licensed nurse.
Q2: A resident has a surgical wound that requires a sterile dressing change. Can you
perform this task as a CNA?
A. Yes, if you observed the nurse do it yesterday
B. Yes, if the resident says it's okay
C. No, sterile dressing changes are outside the CNA scope of practice [CORRECT]
D. Yes, as long as you wear clean gloves
Correct Answer: C
Rationale: This choice is correct because sterile procedures require specialized
assessment and technique that fall under licensed nursing duties. A CNA never
performs sterile dressing changes.
,Q3: You're assisting Mr. Davis with his morning care when you notice his breathing is
much faster and more labored than it was yesterday. His skin looks pale and he's more
confused than usual. What's your action?
A. Tell him to take deep breaths and finish getting dressed
B. Document the change at the end of your shift
C. Report these changes to the nurse immediately [CORRECT]
D. Change his care plan to include more rest periods
Correct Answer: C
Rationale: The best answer is C. When a resident's condition changes—especially with
breathing difficulty and new confusion—you report it right away. CNAs observe and
report; nurses assess and intervene.
Q4: Mrs. Johnson tells you she doesn't want to take her scheduled walk today because
she's tired. The care plan says she needs ambulation twice daily. What do you do?
A. Skip the walk since she asked
B. Insist she walk because it's in the care plan
C. Encourage her to walk as planned, but if she refuses, report it to the nurse and
document her refusal [CORRECT]
D. Change the care plan to remove the walk
Correct Answer: C
Rationale: This choice is correct because you can't force a resident to do something, but
you also can't independently change the care plan. You encourage, respect her right to
refuse, and communicate that refusal to the nurse.
Q5: A resident tries to hand you a twenty-dollar bill as a thank-you for being kind to her
this week. What's your response?
A. Accept it so you don't hurt her feelings
B. Accept it but tell her it's the only time
C. Politely decline and explain that you care for all residents equally and cannot accept
gifts [CORRECT]
D. Take it and buy coffee for the break room
Correct Answer: C
Rationale: The best answer is C. Accepting money or gifts crosses professional
boundaries and can make other residents feel less favored. A gentle but firm decline
keeps the relationship appropriate.
, Q6: You're in the elevator with a coworker and mention that Mrs. Smith in room 204 was
crying all morning about her divorce. Another resident's family member is standing in
the elevator. Have you violated anything?
A. No, because you didn't use her full name
B. No, because CNAs are allowed to discuss residents with each other
C. Yes, you violated HIPAA by discussing protected health information where others
could overhear [CORRECT]
D. Only if the family member knows Mrs. Smith
Correct Answer: C
Rationale: This choice is correct because HIPAA protects all resident information, and
discussing a resident's personal business in a public elevator—regardless of whether
you use a name or room number—is a serious confidentiality breach.
Q7: If you have a concern about a resident's care that the charge nurse hasn't
addressed, what's the proper chain of command?
A. Go directly to the state surveyor
B. Talk to the director of nursing next [CORRECT]
C. Post about it on social media to warn families
D. Ignore it since you already told the charge nurse
Correct Answer: B
Rationale: The best answer is B. Chain of command means going to your immediate
supervisor first, then moving up to the director of nursing if the issue isn't resolved.
Q8: You disagree with the nurse about whether Mr. Lee should be turned every two
hours. The nurse says every four hours is fine. What should you do?
A. Refuse to care for Mr. Lee until the nurse agrees with you
B. Turn him every two hours secretly without saying anything
C. Follow the nurse's instruction but document your concern and share your
observations respectfully [CORRECT]
D. Tell the resident's family to complain to administration
Correct Answer: C
Rationale: This choice is correct because CNAs don't override nurses, but you can
advocate by sharing what you're seeing and documenting your concerns through proper
channels.
Q9: Which of the following tasks is outside the CNA scope of practice?
