CNA PROMETRIC EXAM 2026/2027 |
NURSING ASSISTANT | 100 VERIFIED
Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
SECTION 1: ROLES, RESPONSIBILITIES & COMMUNICATION – Questions 1-15
Q1: Suicidal Ideation – First Action
A resident tells you, "I want to die, and I have a plan to do it." What is your FIRST action?
A. Tell the resident to not talk like that.
B. Ask the resident to explain their plan in detail.
C. Report the statement to the charge nurse immediately.
D. Make a note of the statement for the next shift.
Correct Answer: C
Rationale: Any verbal or behavioral sign of suicidal ideation is a medical and psychiatric
emergency. Your primary role is to observe and report. You must immediately inform the
supervising nurse, who is qualified to assess the situation further, as CNAs are not trained for
crisis intervention.
Q2: Resident Privacy – Spouse Visit
You are giving a resident a bath. Her husband comes in and asks for some time alone with her.
What should you do?
A. Ask the husband to wait outside while you finish the bath.
B. Allow the husband to visit, but stay in the room to supervise.
C. Allow the husband to visit and leave the door open to ensure safety.
D. Allow the husband to visit in private and return after a reasonable time.
Correct Answer: D
Rationale: Residents have a right to privacy and dignity. This includes the right to receive
visitors in private, especially their spouse. You should accommodate the request, ensure the
resident is comfortable, and then leave them alone to respect their relationship and the
resident's rights.
,Q3: Scope of Practice – Foley Catheter
Which of the following tasks is considered OUTSIDE the scope of practice for a CNA?
A. Measuring a resident's blood pressure.
B. Assisting a resident with oral care.
C. Inserting a new indwelling Foley catheter.
D. Recording a resident's urine output.
Correct Answer: C
Rationale: Inserting a Foley catheter is an invasive, sterile procedure that requires specialized
training and a nursing license (RN or LPN/LVN). CNAs may assist with catheter care, empty
drainage bags, and measure urine output, but they cannot insert or remove a catheter.
Q4: Dementia Care – Doll Behavior
A resident often carries a doll, treating it like her baby. One day, she is crying and says she can't
find her baby. What is the BEST response?
A. Tell her the doll is not a real baby.
B. Remind her that she is in a nursing home.
C. Explain that she probably put the doll away and forgot.
D. Offer comfort and help her look for her doll.
Correct Answer: D
Rationale: This behavior is common in residents with dementia. It is best to enter their reality
rather than trying to reorient them, which can cause increased agitation and distress. Providing
comfort and entering their world is a more therapeutic approach.
Q5: Witnessing Abuse – First Action
A CNA observes a coworker slapping a resident. What is the FIRST thing the CNA must do?
A. Talk to the coworker in private and tell them to stop.
B. Report the incident immediately to the charge nurse.
C. Ask the resident if they are okay.
D. Call the resident's family to inform them.
Correct Answer: B
,Rationale: Witnessing or suspecting abuse requires immediate reporting to the charge nurse or
supervisor. The CNA must follow facility policy and state regulations for mandatory reporting of
abuse.
Q6: Confidentiality – HIPAA
Which of the following is the BEST example of maintaining a resident's confidentiality?
A. Discussing the resident's condition with their roommate.
B. Posting the resident's diagnosis on a bulletin board in the staff breakroom.
C. Sharing the resident's medical information only with the healthcare team involved in their
care.
D. Telling a family member about the resident's bowel movement.
Correct Answer: C
Rationale: HIPAA regulations mandate that protected health information (PHI) is only shared
with those directly involved in the patient's care. Discussing with roommates, posting on bulletin
boards, or sharing with uninvolved family members violates confidentiality.
Q7: Professional Boundaries – Cashing Check
A CNA is asked by a resident to cash a personal check for her. What should the CNA do?
A. Cash the check to be helpful.
B. Politely refuse and report the request to the nurse.
C. Cash the check but only if it is for a small amount.
D. Ask the resident's family for permission.
Correct Answer: B
Rationale: CNAs must maintain professional boundaries. Handling a resident's finances is a
conflict of interest and is usually prohibited by facility policy and state regulations. The CNA
should politely refuse and report the request.
Q8: Transfer Belt – Placement
When using a transfer belt, where should it be placed?
A. Over the resident's chest.
B. Around the resident's neck.
C. Around the resident's waist over their clothing.
D. Under the resident's armpits.
, Correct Answer: C
Rationale: The transfer (gait) belt must be snug around the waist to provide a secure grip for the
CNA to assist with balance and transfer without causing injury.
Q9: Care Plan – Primary Purpose
What is the primary purpose of the care plan?
A. To provide a schedule for the nursing assistants.
B. To outline the specific care and approaches for each resident.
C. To list the dietary preferences of the staff.
D. To serve as a legal document for the facility.
Correct Answer: B
Rationale: The care plan is a tailored guide developed by the interdisciplinary team to ensure
consistent, individualized care for each resident.
Q10: Hand Hygiene – Before Procedure
Which of the following is the MOST important action a CNA should take before performing any
procedure on a patient?
A. Gather all necessary equipment
B. Ask the nurse for permission
C. Check the patient's chart
D. Wash hands thoroughly
Correct Answer: D
Rationale: Hand hygiene is the single most effective measure to prevent the spread of infection.
Before any patient contact or procedure, the CNA must wash hands to protect both the patient
and themselves.
Q11: Call Light – First Response
A patient's call light is on. What should the CNA do FIRST?
A. Finish the task currently being performed
B. Notify the charge nurse
C. Ask another CNA to respond
D. Respond to the call light promptly
NURSING ASSISTANT | 100 VERIFIED
Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
SECTION 1: ROLES, RESPONSIBILITIES & COMMUNICATION – Questions 1-15
Q1: Suicidal Ideation – First Action
A resident tells you, "I want to die, and I have a plan to do it." What is your FIRST action?
A. Tell the resident to not talk like that.
B. Ask the resident to explain their plan in detail.
C. Report the statement to the charge nurse immediately.
D. Make a note of the statement for the next shift.
Correct Answer: C
Rationale: Any verbal or behavioral sign of suicidal ideation is a medical and psychiatric
emergency. Your primary role is to observe and report. You must immediately inform the
supervising nurse, who is qualified to assess the situation further, as CNAs are not trained for
crisis intervention.
Q2: Resident Privacy – Spouse Visit
You are giving a resident a bath. Her husband comes in and asks for some time alone with her.
What should you do?
A. Ask the husband to wait outside while you finish the bath.
B. Allow the husband to visit, but stay in the room to supervise.
C. Allow the husband to visit and leave the door open to ensure safety.
D. Allow the husband to visit in private and return after a reasonable time.
Correct Answer: D
Rationale: Residents have a right to privacy and dignity. This includes the right to receive
visitors in private, especially their spouse. You should accommodate the request, ensure the
resident is comfortable, and then leave them alone to respect their relationship and the
resident's rights.
,Q3: Scope of Practice – Foley Catheter
Which of the following tasks is considered OUTSIDE the scope of practice for a CNA?
A. Measuring a resident's blood pressure.
B. Assisting a resident with oral care.
C. Inserting a new indwelling Foley catheter.
D. Recording a resident's urine output.
Correct Answer: C
Rationale: Inserting a Foley catheter is an invasive, sterile procedure that requires specialized
training and a nursing license (RN or LPN/LVN). CNAs may assist with catheter care, empty
drainage bags, and measure urine output, but they cannot insert or remove a catheter.
Q4: Dementia Care – Doll Behavior
A resident often carries a doll, treating it like her baby. One day, she is crying and says she can't
find her baby. What is the BEST response?
A. Tell her the doll is not a real baby.
B. Remind her that she is in a nursing home.
C. Explain that she probably put the doll away and forgot.
D. Offer comfort and help her look for her doll.
Correct Answer: D
Rationale: This behavior is common in residents with dementia. It is best to enter their reality
rather than trying to reorient them, which can cause increased agitation and distress. Providing
comfort and entering their world is a more therapeutic approach.
Q5: Witnessing Abuse – First Action
A CNA observes a coworker slapping a resident. What is the FIRST thing the CNA must do?
A. Talk to the coworker in private and tell them to stop.
B. Report the incident immediately to the charge nurse.
C. Ask the resident if they are okay.
D. Call the resident's family to inform them.
Correct Answer: B
,Rationale: Witnessing or suspecting abuse requires immediate reporting to the charge nurse or
supervisor. The CNA must follow facility policy and state regulations for mandatory reporting of
abuse.
Q6: Confidentiality – HIPAA
Which of the following is the BEST example of maintaining a resident's confidentiality?
A. Discussing the resident's condition with their roommate.
B. Posting the resident's diagnosis on a bulletin board in the staff breakroom.
C. Sharing the resident's medical information only with the healthcare team involved in their
care.
D. Telling a family member about the resident's bowel movement.
Correct Answer: C
Rationale: HIPAA regulations mandate that protected health information (PHI) is only shared
with those directly involved in the patient's care. Discussing with roommates, posting on bulletin
boards, or sharing with uninvolved family members violates confidentiality.
Q7: Professional Boundaries – Cashing Check
A CNA is asked by a resident to cash a personal check for her. What should the CNA do?
A. Cash the check to be helpful.
B. Politely refuse and report the request to the nurse.
C. Cash the check but only if it is for a small amount.
D. Ask the resident's family for permission.
Correct Answer: B
Rationale: CNAs must maintain professional boundaries. Handling a resident's finances is a
conflict of interest and is usually prohibited by facility policy and state regulations. The CNA
should politely refuse and report the request.
Q8: Transfer Belt – Placement
When using a transfer belt, where should it be placed?
A. Over the resident's chest.
B. Around the resident's neck.
C. Around the resident's waist over their clothing.
D. Under the resident's armpits.
, Correct Answer: C
Rationale: The transfer (gait) belt must be snug around the waist to provide a secure grip for the
CNA to assist with balance and transfer without causing injury.
Q9: Care Plan – Primary Purpose
What is the primary purpose of the care plan?
A. To provide a schedule for the nursing assistants.
B. To outline the specific care and approaches for each resident.
C. To list the dietary preferences of the staff.
D. To serve as a legal document for the facility.
Correct Answer: B
Rationale: The care plan is a tailored guide developed by the interdisciplinary team to ensure
consistent, individualized care for each resident.
Q10: Hand Hygiene – Before Procedure
Which of the following is the MOST important action a CNA should take before performing any
procedure on a patient?
A. Gather all necessary equipment
B. Ask the nurse for permission
C. Check the patient's chart
D. Wash hands thoroughly
Correct Answer: D
Rationale: Hand hygiene is the single most effective measure to prevent the spread of infection.
Before any patient contact or procedure, the CNA must wash hands to protect both the patient
and themselves.
Q11: Call Light – First Response
A patient's call light is on. What should the CNA do FIRST?
A. Finish the task currently being performed
B. Notify the charge nurse
C. Ask another CNA to respond
D. Respond to the call light promptly
