CNA State Competency ACTUAL EXAM ALL
QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% VERIFIED SOLUTIONS | UPDATED PER
LATEST GUIDELINES | GRADED A+
Section 1: Resident Rights and Communication (Questions 1-15)
Question 1
A resident tells you, "I feel like ending my life." You should:
A) Keep this confidential because it's personal
B) Tell the resident to stop saying that
C) Report it to the nurse immediately
D) Ask other residents if they feel the same
Answer: C) Report it to the nurse immediately
Rationale: Suicidal ideation is a serious safety risk. CNAs must report any threat of self-harm to
the nurse immediately (OBRA mandate). This is a legal and ethical responsibility to protect the
resident.
Question 2
Which of the following is a violation of resident rights?
A) Closing the curtain before bathing
B) Opening the resident's mail without permission
C) Answering the call light promptly
D) Knocking before entering the room
Answer: B) Opening the resident's mail without permission
Rationale: Residents have the right to privacy and confidential communication. Opening a
resident's mail without permission is a legal violation of their rights.
,Question 3
When communicating with a resident who has hearing loss, you should:
A) Shout loudly toward the weaker ear
B) Face the resident and speak clearly
C) Turn away to avoid lip-reading
D) Use only written notes
Answer: B) Face the resident and speak clearly
Rationale: Facing the resident allows them to use lip-reading and visual cues. Shouting distorts
sound and is not effective.
Question 4
Which legal concept means "the failure to provide necessary care that results in harm"?
A) Malpractice
B) Negligence
C) Battery
D) Defamation
Answer: B) Negligence
Rationale: Negligence is the omission of care that a reasonable person would provide, resulting
in harm. Malpractice applies more to professional licensed staff.
Question 5
A CNA finds a small fire in a resident's trash can. First action:
A) Pull the fire alarm
B) Find the fire extinguisher
C) Remove the resident from the room
D) Throw water on the fire
Answer: C) Remove the resident from the room
Rationale: RACE protocol: Rescue, Alarm, Contain, Extinguish. Rescue (removing the resident
from the room) is the first priority.
Question 6
You are asked to do a task outside your scope of practice.
A) Do it because the nurse asked
B) Politely refuse and explain it is not allowed
C) Do it but do not document it
D) Ask the resident's family for permission
, Answer: B) Politely refuse and explain it is not allowed
Rationale: CNAs must follow state and facility scope of practice. Delegation from a nurse cannot
override legal limits of a CNA's scope. You must refuse tasks you are not legally permitted to
perform.
Question 7
A resident refuses to get dressed. Best response:
A) Dress them while they sleep
B) Respect the refusal and try again later
C) Call the resident's daughter to force them
D) Threaten to skip lunch
Answer: B) Respect the refusal and try again later
Rationale: Residents have the right to refuse care. Gentle reattempt respects their autonomy.
Question 8
Which of the following shows correct professional communication etiquette for a CNA?
A) Discussing a resident's diagnosis in the elevator
B) Reporting a change in condition to the charge nurse privately
C) Sharing a funny story about a resident on social media
D) Leaving a resident's medical record open on a cart
Answer: B) Reporting a change in condition to the charge nurse privately
Rationale: HIPAA requires confidential communication. Report changes privately and
professionally.
Question 9
Standard Precautions apply to:
A) All body fluids except sweat
B) Only blood
C) Only visible soiling
D) Only airborne diseases
Answer: A) All body fluids except sweat
Rationale: Standard Precautions apply to blood, all body fluids (except sweat), non-intact skin,
and mucous membranes.
Question 10
A resident falls while you are assisting them.
A) Get the nurse
QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% VERIFIED SOLUTIONS | UPDATED PER
LATEST GUIDELINES | GRADED A+
Section 1: Resident Rights and Communication (Questions 1-15)
Question 1
A resident tells you, "I feel like ending my life." You should:
A) Keep this confidential because it's personal
B) Tell the resident to stop saying that
C) Report it to the nurse immediately
D) Ask other residents if they feel the same
Answer: C) Report it to the nurse immediately
Rationale: Suicidal ideation is a serious safety risk. CNAs must report any threat of self-harm to
the nurse immediately (OBRA mandate). This is a legal and ethical responsibility to protect the
resident.
Question 2
Which of the following is a violation of resident rights?
A) Closing the curtain before bathing
B) Opening the resident's mail without permission
C) Answering the call light promptly
D) Knocking before entering the room
Answer: B) Opening the resident's mail without permission
Rationale: Residents have the right to privacy and confidential communication. Opening a
resident's mail without permission is a legal violation of their rights.
,Question 3
When communicating with a resident who has hearing loss, you should:
A) Shout loudly toward the weaker ear
B) Face the resident and speak clearly
C) Turn away to avoid lip-reading
D) Use only written notes
Answer: B) Face the resident and speak clearly
Rationale: Facing the resident allows them to use lip-reading and visual cues. Shouting distorts
sound and is not effective.
Question 4
Which legal concept means "the failure to provide necessary care that results in harm"?
A) Malpractice
B) Negligence
C) Battery
D) Defamation
Answer: B) Negligence
Rationale: Negligence is the omission of care that a reasonable person would provide, resulting
in harm. Malpractice applies more to professional licensed staff.
Question 5
A CNA finds a small fire in a resident's trash can. First action:
A) Pull the fire alarm
B) Find the fire extinguisher
C) Remove the resident from the room
D) Throw water on the fire
Answer: C) Remove the resident from the room
Rationale: RACE protocol: Rescue, Alarm, Contain, Extinguish. Rescue (removing the resident
from the room) is the first priority.
Question 6
You are asked to do a task outside your scope of practice.
A) Do it because the nurse asked
B) Politely refuse and explain it is not allowed
C) Do it but do not document it
D) Ask the resident's family for permission
, Answer: B) Politely refuse and explain it is not allowed
Rationale: CNAs must follow state and facility scope of practice. Delegation from a nurse cannot
override legal limits of a CNA's scope. You must refuse tasks you are not legally permitted to
perform.
Question 7
A resident refuses to get dressed. Best response:
A) Dress them while they sleep
B) Respect the refusal and try again later
C) Call the resident's daughter to force them
D) Threaten to skip lunch
Answer: B) Respect the refusal and try again later
Rationale: Residents have the right to refuse care. Gentle reattempt respects their autonomy.
Question 8
Which of the following shows correct professional communication etiquette for a CNA?
A) Discussing a resident's diagnosis in the elevator
B) Reporting a change in condition to the charge nurse privately
C) Sharing a funny story about a resident on social media
D) Leaving a resident's medical record open on a cart
Answer: B) Reporting a change in condition to the charge nurse privately
Rationale: HIPAA requires confidential communication. Report changes privately and
professionally.
Question 9
Standard Precautions apply to:
A) All body fluids except sweat
B) Only blood
C) Only visible soiling
D) Only airborne diseases
Answer: A) All body fluids except sweat
Rationale: Standard Precautions apply to blood, all body fluids (except sweat), non-intact skin,
and mucous membranes.
Question 10
A resident falls while you are assisting them.
A) Get the nurse
