IndIana Cna WrItten examInatIon —
advanCed PraCtICe QuestIon Bank v2
ComPrehensIve 150-QuestIon multIPle-
ChoICe test WIth detaIled ratIonales a
Well detaIled one WrItten
and graded a+ uPgraded
Exam Topic: Indiana Certified Nursing Assistant (CNA) Written Examination
Difficulty Level: Advanced / Complex Clinical Scenarios
Target Audience: CNA candidates seeking rigorous preparation for the Indiana State Nurse Aide
Competency Evaluation
Test Format: 100 multiple-choice questions (actual exam) | Passing Score: 80% (80 correct
answers)
Time Allocation: 90 minutes
Certification Requirement: Complete 105-hour state-approved training program
SECTION I: ROLE, RESPONSIBILITIES, AND LEGAL/ETHICAL ISSUES (Questions 1–30)
1. A CNA working the night shift discovers that a coworker has been documenting care for a
resident that was not actually provided. What is the CNA's MOST appropriate action?
A) Confront the coworker privately and give them a chance to correct the documentation
B) Ignore the incident since it does not directly involve the CNA
C) Report the falsification of records to the charge nurse immediately
D) Discuss the situation with other staff members to gather more information
Correct Answer: C
Rationale: Falsification of medical records is a serious legal and ethical violation that must be
reported immediately to the charge nurse. It constitutes fraud and can have severe
,consequences for resident care and facility compliance. Confronting the coworker privately (A)
is not appropriate as it does not address the systemic issue and may compromise patient safety.
Ignoring the incident (B) makes the CNA complicit. Discussing with other staff (D) violates
confidentiality and is not the proper chain of command.
2. A resident's family member asks the CNA, "Can you tell me what the doctor said about my
mother's tests?" What is the BEST response?
A) "I'm not allowed to share that information. You'll need to speak with the charge nurse."
B) "Everything is fine. Don't worry about it."
C) "Let me check her chart and I'll let you know."
D) "Your mother's tests were normal."
Correct Answer: A
Rationale: CNAs must protect resident confidentiality under HIPAA and should not share
medical information with family members unless authorized. Directing the family member to
the charge nurse is appropriate. Providing false reassurance (B), checking the chart (C), or
sharing information (D) all violate confidentiality and are outside the CNA's scope.
3. A CNA observes a coworker taking a photograph of a resident on their personal cell phone
without the resident's consent. What should the CNA do?
A) Ask the coworker to delete the photo and move on
B) Report the incident to the charge nurse immediately
C) Take a photo of the coworker to document the violation
D) Ignore it since no physical harm was done
Correct Answer: B
Rationale: Taking photographs of residents without consent violates resident rights to privacy
and confidentiality. This must be reported immediately to the charge nurse. Asking the
coworker to delete the photo (A) does not address the violation or prevent future occurrences.
Taking a photo of the coworker (C) is itself a violation. Ignoring the incident (D) is negligent.
4. A CNA is assigned to care for a resident who is known to be verbally abusive to staff. The
resident begins yelling and using profanity toward the CNA. What is the MOST appropriate
response?
,A) Yell back to establish authority
B) Leave the room and refuse to provide care
C) Remain calm, speak in a low tone, and report the behavior to the charge nurse
D) Tell the resident that their behavior is unacceptable and walk away
Correct Answer: C
Rationale: CNAs must maintain professionalism with all residents, regardless of behavior.
Remaining calm and reporting to the charge nurse is appropriate. Yelling back (A) escalates the
situation and is unprofessional. Refusing care (B) constitutes abandonment. Walking away
without reporting (D) fails to address the behavior and leaves the resident unattended.
5. A CNA is asked by the charge nurse to perform a task that is outside the CNA's scope of
practice. What should the CNA do?
A) Perform the task to avoid conflict with the charge nurse
B) Refuse politely and explain that the task is outside their scope of practice
C) Perform the task and document it as completed by the nurse
D) Ask another CNA to perform the task instead
Correct Answer: B
Rationale: CNAs must work within their scope of practice. Politely refusing and explaining why is
appropriate. Performing the task (A) could endanger the resident and the CNA's certification.
Falsifying documentation (C) is illegal. Delegating to another CNA (D) does not address the
scope issue.
6. A resident has a Do Not Resuscitate (DNR) order. The resident's family member arrives and
demands that CPR be initiated if the resident's heart stops. What should the CNA do?
A) Begin CPR as requested by the family member
B) Respect the DNR order and notify the charge nurse of the family's request
C) Call 911 immediately
D) Ask the family member to sign a waiver
Correct Answer: B
Rationale: DNR orders must be respected regardless of family wishes. The CNA should notify
the charge nurse, who can address the family's concerns and provide education. Beginning CPR
(A) violates the DNR order. Calling 911 (C) is not appropriate without nurse direction. Asking for
a waiver (D) is outside the CNA's scope.
, 7. Which of the following is an example of misappropriation of resident property?
A) Using the resident's personal telephone to make a local call with permission
B) Borrowing the resident's television remote because the CNA's is broken
C) Taking the resident's money from their wallet and using it for personal expenses
D) Helping the resident count their money at their request
Correct Answer: C
Rationale: Misappropriation is the unauthorized use of a resident's property for personal
benefit. Taking money for personal expenses is misappropriation. Using a phone with
permission (A) is acceptable. Borrowing a remote (B) without permission is inappropriate but
less serious. Helping count money (D) is part of care.
8. A CNA notices that a resident's wedding ring is missing. The resident is confused and
cannot remember where it was placed. What should the CNA do?
A) Search the resident's room thoroughly
B) Report the missing ring to the charge nurse immediately
C) Ask other staff members if they have seen the ring
D) Tell the resident that the ring will be found later
Correct Answer: B
Rationale: Missing personal property must be reported to the charge nurse immediately.
Searching the room (A) without authorization may violate privacy. Asking other staff (C) without
reporting first is inappropriate. Dismissing the resident's concern (D) is unprofessional.
9. A CNA is caring for a resident who is from a culture that practices traditional healing
methods. The resident requests to use herbal remedies in addition to prescribed medications.
What should the CNA do?
A) Allow the resident to use the herbal remedies without informing the nurse
B) Explain that only prescribed medications are allowed and confiscate the herbs
C) Report the request to the charge nurse and document the resident's preference
D) Tell the resident that herbal remedies are dangerous and should not be used
Correct Answer: C
Rationale: CNAs should respect cultural practices while ensuring safety. Reporting to the charge
nurse allows for proper evaluation of potential interactions with prescribed medications.
advanCed PraCtICe QuestIon Bank v2
ComPrehensIve 150-QuestIon multIPle-
ChoICe test WIth detaIled ratIonales a
Well detaIled one WrItten
and graded a+ uPgraded
Exam Topic: Indiana Certified Nursing Assistant (CNA) Written Examination
Difficulty Level: Advanced / Complex Clinical Scenarios
Target Audience: CNA candidates seeking rigorous preparation for the Indiana State Nurse Aide
Competency Evaluation
Test Format: 100 multiple-choice questions (actual exam) | Passing Score: 80% (80 correct
answers)
Time Allocation: 90 minutes
Certification Requirement: Complete 105-hour state-approved training program
SECTION I: ROLE, RESPONSIBILITIES, AND LEGAL/ETHICAL ISSUES (Questions 1–30)
1. A CNA working the night shift discovers that a coworker has been documenting care for a
resident that was not actually provided. What is the CNA's MOST appropriate action?
A) Confront the coworker privately and give them a chance to correct the documentation
B) Ignore the incident since it does not directly involve the CNA
C) Report the falsification of records to the charge nurse immediately
D) Discuss the situation with other staff members to gather more information
Correct Answer: C
Rationale: Falsification of medical records is a serious legal and ethical violation that must be
reported immediately to the charge nurse. It constitutes fraud and can have severe
,consequences for resident care and facility compliance. Confronting the coworker privately (A)
is not appropriate as it does not address the systemic issue and may compromise patient safety.
Ignoring the incident (B) makes the CNA complicit. Discussing with other staff (D) violates
confidentiality and is not the proper chain of command.
2. A resident's family member asks the CNA, "Can you tell me what the doctor said about my
mother's tests?" What is the BEST response?
A) "I'm not allowed to share that information. You'll need to speak with the charge nurse."
B) "Everything is fine. Don't worry about it."
C) "Let me check her chart and I'll let you know."
D) "Your mother's tests were normal."
Correct Answer: A
Rationale: CNAs must protect resident confidentiality under HIPAA and should not share
medical information with family members unless authorized. Directing the family member to
the charge nurse is appropriate. Providing false reassurance (B), checking the chart (C), or
sharing information (D) all violate confidentiality and are outside the CNA's scope.
3. A CNA observes a coworker taking a photograph of a resident on their personal cell phone
without the resident's consent. What should the CNA do?
A) Ask the coworker to delete the photo and move on
B) Report the incident to the charge nurse immediately
C) Take a photo of the coworker to document the violation
D) Ignore it since no physical harm was done
Correct Answer: B
Rationale: Taking photographs of residents without consent violates resident rights to privacy
and confidentiality. This must be reported immediately to the charge nurse. Asking the
coworker to delete the photo (A) does not address the violation or prevent future occurrences.
Taking a photo of the coworker (C) is itself a violation. Ignoring the incident (D) is negligent.
4. A CNA is assigned to care for a resident who is known to be verbally abusive to staff. The
resident begins yelling and using profanity toward the CNA. What is the MOST appropriate
response?
,A) Yell back to establish authority
B) Leave the room and refuse to provide care
C) Remain calm, speak in a low tone, and report the behavior to the charge nurse
D) Tell the resident that their behavior is unacceptable and walk away
Correct Answer: C
Rationale: CNAs must maintain professionalism with all residents, regardless of behavior.
Remaining calm and reporting to the charge nurse is appropriate. Yelling back (A) escalates the
situation and is unprofessional. Refusing care (B) constitutes abandonment. Walking away
without reporting (D) fails to address the behavior and leaves the resident unattended.
5. A CNA is asked by the charge nurse to perform a task that is outside the CNA's scope of
practice. What should the CNA do?
A) Perform the task to avoid conflict with the charge nurse
B) Refuse politely and explain that the task is outside their scope of practice
C) Perform the task and document it as completed by the nurse
D) Ask another CNA to perform the task instead
Correct Answer: B
Rationale: CNAs must work within their scope of practice. Politely refusing and explaining why is
appropriate. Performing the task (A) could endanger the resident and the CNA's certification.
Falsifying documentation (C) is illegal. Delegating to another CNA (D) does not address the
scope issue.
6. A resident has a Do Not Resuscitate (DNR) order. The resident's family member arrives and
demands that CPR be initiated if the resident's heart stops. What should the CNA do?
A) Begin CPR as requested by the family member
B) Respect the DNR order and notify the charge nurse of the family's request
C) Call 911 immediately
D) Ask the family member to sign a waiver
Correct Answer: B
Rationale: DNR orders must be respected regardless of family wishes. The CNA should notify
the charge nurse, who can address the family's concerns and provide education. Beginning CPR
(A) violates the DNR order. Calling 911 (C) is not appropriate without nurse direction. Asking for
a waiver (D) is outside the CNA's scope.
, 7. Which of the following is an example of misappropriation of resident property?
A) Using the resident's personal telephone to make a local call with permission
B) Borrowing the resident's television remote because the CNA's is broken
C) Taking the resident's money from their wallet and using it for personal expenses
D) Helping the resident count their money at their request
Correct Answer: C
Rationale: Misappropriation is the unauthorized use of a resident's property for personal
benefit. Taking money for personal expenses is misappropriation. Using a phone with
permission (A) is acceptable. Borrowing a remote (B) without permission is inappropriate but
less serious. Helping count money (D) is part of care.
8. A CNA notices that a resident's wedding ring is missing. The resident is confused and
cannot remember where it was placed. What should the CNA do?
A) Search the resident's room thoroughly
B) Report the missing ring to the charge nurse immediately
C) Ask other staff members if they have seen the ring
D) Tell the resident that the ring will be found later
Correct Answer: B
Rationale: Missing personal property must be reported to the charge nurse immediately.
Searching the room (A) without authorization may violate privacy. Asking other staff (C) without
reporting first is inappropriate. Dismissing the resident's concern (D) is unprofessional.
9. A CNA is caring for a resident who is from a culture that practices traditional healing
methods. The resident requests to use herbal remedies in addition to prescribed medications.
What should the CNA do?
A) Allow the resident to use the herbal remedies without informing the nurse
B) Explain that only prescribed medications are allowed and confiscate the herbs
C) Report the request to the charge nurse and document the resident's preference
D) Tell the resident that herbal remedies are dangerous and should not be used
Correct Answer: C
Rationale: CNAs should respect cultural practices while ensuring safety. Reporting to the charge
nurse allows for proper evaluation of potential interactions with prescribed medications.
