CNA Chapter 4 Exam
Questions and Ansẉers with
Rationales 2026\2027 update
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Questions and Ansẉers
format set of multiple-choice
Expert-Verified rationales
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Which of the following is an example of verbal communication?
A. Nodding in agreement
B. Maintaining eye contact
C. Asking a resident if they need water
D. Smiling at a resident
Answer: C
Rationale: Verbal communication involves the use of spoken or
written words. Asking a question uses spoken words, whereas
nodding, eye contact, and smiling are forms of nonverbal
communication.
When communicating with a resident who has aphasia (difficulty
speaking), the nursing assistant should:
A. Speak louder so the resident can hear.
B. Finish the resident's sentences for them to save time.
C. Use a notepad, pictures, or gestures to assist with
communication.
D. Avoid speaking to the resident directly to prevent frustration.
Answer: C
Rationale: Aphasia is a language disorder, not a hearing loss.
Speaking louder will not help. Using alternative communication
methods like notepads or gestures empowers the resident to
express their needs. Finishing sentences removes their autonomy,
and ignoring them is abusive.
Active listening involves:
A. Thinking about what you will say next while the resident is
talking.
B. Giving full attention to the speaker and observing nonverbal cues.
C. Interrupting the speaker to clarify a point immediately.
, D. Asking multiple questions in a row without waiting for an answer.
Answer: B
Rationale: Active listening requires focusing completely on the
speaker, understanding their message, comprehending the
information, and responding thoughtfully. It includes observing
body language and nonverbal cues.
A resident says, "I'm so useless lately." What is the best response by
the nursing assistant?
A. "Don't say that, you are very useful."
B. "Why do you feel that way?"
C. "You seem to be feeling down today. Would you like to talk about
it?"
D. "Everyone feels useless sometimes."
Answer: C
Rationale: This response uses empathy and clarifies the resident's
feelings without judgment. It opens the door for communication.
Asking "why" can make a resident defensive, and dismissing their
feelings minimizes their emotions.
Which of the following is an example of an open-ended question?
A. "Do you want to wear the blue shirt or the red shirt?"
B. "Are you in pain today?"
C. "How did you spend your morning?"
D. "Did you finish your breakfast?"
Answer: C
Rationale: Open-ended questions encourage a full, meaningful
answer based on the resident's knowledge or feelings. It cannot be
answered with a simple "yes" or "no."
When a nursing assistant uses the term "we" instead of "you" (e.g.,
"Are we ready for our bath?"), it is an example of:
A. Patronizing speech (elder speak).
B. Active listening.
Questions and Ansẉers with
Rationales 2026\2027 update
This Exam contains:
Guarantee passing score
Questions and Ansẉers
format set of multiple-choice
Expert-Verified rationales
Verified ẉith trusted textbooks
,───────────────────────────────────────────────────────
─
Which of the following is an example of verbal communication?
A. Nodding in agreement
B. Maintaining eye contact
C. Asking a resident if they need water
D. Smiling at a resident
Answer: C
Rationale: Verbal communication involves the use of spoken or
written words. Asking a question uses spoken words, whereas
nodding, eye contact, and smiling are forms of nonverbal
communication.
When communicating with a resident who has aphasia (difficulty
speaking), the nursing assistant should:
A. Speak louder so the resident can hear.
B. Finish the resident's sentences for them to save time.
C. Use a notepad, pictures, or gestures to assist with
communication.
D. Avoid speaking to the resident directly to prevent frustration.
Answer: C
Rationale: Aphasia is a language disorder, not a hearing loss.
Speaking louder will not help. Using alternative communication
methods like notepads or gestures empowers the resident to
express their needs. Finishing sentences removes their autonomy,
and ignoring them is abusive.
Active listening involves:
A. Thinking about what you will say next while the resident is
talking.
B. Giving full attention to the speaker and observing nonverbal cues.
C. Interrupting the speaker to clarify a point immediately.
, D. Asking multiple questions in a row without waiting for an answer.
Answer: B
Rationale: Active listening requires focusing completely on the
speaker, understanding their message, comprehending the
information, and responding thoughtfully. It includes observing
body language and nonverbal cues.
A resident says, "I'm so useless lately." What is the best response by
the nursing assistant?
A. "Don't say that, you are very useful."
B. "Why do you feel that way?"
C. "You seem to be feeling down today. Would you like to talk about
it?"
D. "Everyone feels useless sometimes."
Answer: C
Rationale: This response uses empathy and clarifies the resident's
feelings without judgment. It opens the door for communication.
Asking "why" can make a resident defensive, and dismissing their
feelings minimizes their emotions.
Which of the following is an example of an open-ended question?
A. "Do you want to wear the blue shirt or the red shirt?"
B. "Are you in pain today?"
C. "How did you spend your morning?"
D. "Did you finish your breakfast?"
Answer: C
Rationale: Open-ended questions encourage a full, meaningful
answer based on the resident's knowledge or feelings. It cannot be
answered with a simple "yes" or "no."
When a nursing assistant uses the term "we" instead of "you" (e.g.,
"Are we ready for our bath?"), it is an example of:
A. Patronizing speech (elder speak).
B. Active listening.
