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CNA Written Exam Prometric Practice Test
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
[Role of the Nursing Assistant & Resident Rights]
Q1: A nursing assistant is asked by a licensed nurse to perform a task that the CNA has not been
trained to do. Which action should the assistant take?
A. Perform the task carefully to the best of their ability.
B. Attempt the task but ask the nurse for help if they get stuck.
C. Politely refuse the task because it is outside their scope of practice. [CORRECT]
D. Ask another CNA to show them how to do it quickly.
Correct Answer: C
Rationale: A nursing assistant must only perform tasks they have been trained and certified to do.
Performing a task outside of one's training or scope of practice is unsafe and illegal, so the CNA
must refuse and explain why to the nurse.
Q2: A resident who is alert and oriented refuses to take their medication. What is the CNA's best
response?
A. Explain that the doctor ordered it and they must take it.
B. Hide the medication in the resident's applesauce without telling them.
C. Report the refusal to the nurse immediately. [CORRECT]
D. Tell the resident they will get sicker if they don't take it.
Correct Answer: C
Rationale: Residents have the right to refuse treatment and medication. The CNA should never
force or coerce a resident or hide medication. The correct action is to document the refusal and
report it to the nurse so they can follow up.
Q3: Which of the following is an example of a resident's right to confidentiality?
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A. The resident can choose which nurse they prefer for the shift.
B. The resident's medical information should not be discussed in the hallway. [CORRECT]
C. The resident has the right to keep their door open at night.
D. The resident can refuse to answer questions during the admission process.
Correct Answer: B
Rationale: Confidentiality means protecting the resident's personal and medical information.
Discussing a resident's condition or care in public areas like hallways or elevators violates
HIPAA and privacy rights.
Q4: The Omnibus Budget Reconciliation Act (OBRA) requires that nursing homes do what for
residents?
A. Provide a private room for every resident.
B. Develop an individualized care plan for each resident. [CORRECT]
C. Allow residents to self-administer all medications.
D. Employ at least one physician on site 24 hours a day.
Correct Answer: B
Rationale: OBRA mandates that each resident receive a comprehensive assessment and have an
individualized care plan developed to address their specific needs, preferences, and abilities.
Q5: A CNA finds a resident lying on the floor. What should the assistant do FIRST?
A. Help the resident stand up and check for injuries.
B. Move the resident to the bed to ensure comfort.
C. Check the resident for injuries and call for help. [CORRECT]
D. Call the resident's family immediately.
Correct Answer: C
Rationale: The priority is to ensure the resident is safe and assess the immediate situation. The
CNA should not move the resident because there could be a spinal injury. The correct steps are to
check for responsiveness/injuries, stay with the resident, and call for help (nurse).
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Q6: Which action violates a resident's right to dignity?
A. Addressing the resident by "Mr. Smith" instead of "Honey."
B. Leaving the bathroom door open while the resident uses the commode. [CORRECT]
C. Closing the privacy curtain before giving perineal care.
D. Allowing the resident to choose their own clothes for the day.
Correct Answer: B
Rationale: Leaving the bathroom door open while the resident is using the commode violates
their right to privacy and dignity. Residents must be afforded privacy during personal care.
Q7: Before performing a procedure, such as catheter care, the CNA should explain the procedure
to the resident. This supports the resident's right to:
A. Privacy and confidentiality.
B. Informed consent and participation in care. [CORRECT]
C. Freedom from abuse and neglect.
D. Grievance and complaint resolution.
Correct Answer: B
Rationale: Explaining the procedure ensures the resident understands what will happen, which
supports their right to be informed and participate in their own care.
Q8: A resident wants to wear a specific outfit that the CNA thinks is inappropriate for the
weather. What should the CNA do?
A. Refuse to let the resident wear the outfit to prevent illness.
B. Put the outfit away so the resident forgets about it.
C. Allow the resident to make the choice and report any concerns to the nurse. [CORRECT]
D. Tell the resident's family to convince them to change.
Correct Answer: C
Rationale: Residents have the right to self-determination and choice, including clothing. Unless
the choice poses immediate danger (which a clothing choice usually doesn't), the CNA should
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respect the choice and perhaps mention the weather concern, but ultimately allow it and report if
necessary.
Q9: Which of the following statements is true about documentation?
A. A CNA may document care that was performed by another staff member if they forget.
B. Documentation should include only objective data, not opinions. [CORRECT]
C. If a CNA forgets to document a morning task, they can add it in the evening.
D. Correction fluid (white-out) is acceptable for fixing charting errors.
Correct Answer: B
Rationale: Documentation must be factual, accurate, and objective. It should never include
opinions or assumptions. Charting for someone else or back-charting hours later are serious
errors, and white-out is never permitted.
Q10: A resident's daughter asks the CNA, "How is my father doing? Is he getting worse?" What
is the best response?
A. "He seems to be doing okay, but you should ask the nurse."
B. "I'm not allowed to discuss his condition, please speak with the nurse." [CORRECT]
C. "His pressure injury looks a lot better today."
D. "He is very confused and hasn't eaten much."
Correct Answer: B
Rationale: While C is tempting if true, CNAs generally cannot provide medical prognoses or
interpret conditions to families to avoid miscommunication and violating confidentiality/scope.
The safest and most standard answer for a CNA exam regarding medical status is to refer to the
nurse.
Q11: When should a nursing assistant wear gloves?
A. Only when the resident has a known infectious disease.
B. When touching blood, body fluids, or non-intact skin. [CORRECT]
C. Whenever the nurse is in the room.
CNA Written Exam Prometric Practice Test
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
[Role of the Nursing Assistant & Resident Rights]
Q1: A nursing assistant is asked by a licensed nurse to perform a task that the CNA has not been
trained to do. Which action should the assistant take?
A. Perform the task carefully to the best of their ability.
B. Attempt the task but ask the nurse for help if they get stuck.
C. Politely refuse the task because it is outside their scope of practice. [CORRECT]
D. Ask another CNA to show them how to do it quickly.
Correct Answer: C
Rationale: A nursing assistant must only perform tasks they have been trained and certified to do.
Performing a task outside of one's training or scope of practice is unsafe and illegal, so the CNA
must refuse and explain why to the nurse.
Q2: A resident who is alert and oriented refuses to take their medication. What is the CNA's best
response?
A. Explain that the doctor ordered it and they must take it.
B. Hide the medication in the resident's applesauce without telling them.
C. Report the refusal to the nurse immediately. [CORRECT]
D. Tell the resident they will get sicker if they don't take it.
Correct Answer: C
Rationale: Residents have the right to refuse treatment and medication. The CNA should never
force or coerce a resident or hide medication. The correct action is to document the refusal and
report it to the nurse so they can follow up.
Q3: Which of the following is an example of a resident's right to confidentiality?
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A. The resident can choose which nurse they prefer for the shift.
B. The resident's medical information should not be discussed in the hallway. [CORRECT]
C. The resident has the right to keep their door open at night.
D. The resident can refuse to answer questions during the admission process.
Correct Answer: B
Rationale: Confidentiality means protecting the resident's personal and medical information.
Discussing a resident's condition or care in public areas like hallways or elevators violates
HIPAA and privacy rights.
Q4: The Omnibus Budget Reconciliation Act (OBRA) requires that nursing homes do what for
residents?
A. Provide a private room for every resident.
B. Develop an individualized care plan for each resident. [CORRECT]
C. Allow residents to self-administer all medications.
D. Employ at least one physician on site 24 hours a day.
Correct Answer: B
Rationale: OBRA mandates that each resident receive a comprehensive assessment and have an
individualized care plan developed to address their specific needs, preferences, and abilities.
Q5: A CNA finds a resident lying on the floor. What should the assistant do FIRST?
A. Help the resident stand up and check for injuries.
B. Move the resident to the bed to ensure comfort.
C. Check the resident for injuries and call for help. [CORRECT]
D. Call the resident's family immediately.
Correct Answer: C
Rationale: The priority is to ensure the resident is safe and assess the immediate situation. The
CNA should not move the resident because there could be a spinal injury. The correct steps are to
check for responsiveness/injuries, stay with the resident, and call for help (nurse).
,3
Q6: Which action violates a resident's right to dignity?
A. Addressing the resident by "Mr. Smith" instead of "Honey."
B. Leaving the bathroom door open while the resident uses the commode. [CORRECT]
C. Closing the privacy curtain before giving perineal care.
D. Allowing the resident to choose their own clothes for the day.
Correct Answer: B
Rationale: Leaving the bathroom door open while the resident is using the commode violates
their right to privacy and dignity. Residents must be afforded privacy during personal care.
Q7: Before performing a procedure, such as catheter care, the CNA should explain the procedure
to the resident. This supports the resident's right to:
A. Privacy and confidentiality.
B. Informed consent and participation in care. [CORRECT]
C. Freedom from abuse and neglect.
D. Grievance and complaint resolution.
Correct Answer: B
Rationale: Explaining the procedure ensures the resident understands what will happen, which
supports their right to be informed and participate in their own care.
Q8: A resident wants to wear a specific outfit that the CNA thinks is inappropriate for the
weather. What should the CNA do?
A. Refuse to let the resident wear the outfit to prevent illness.
B. Put the outfit away so the resident forgets about it.
C. Allow the resident to make the choice and report any concerns to the nurse. [CORRECT]
D. Tell the resident's family to convince them to change.
Correct Answer: C
Rationale: Residents have the right to self-determination and choice, including clothing. Unless
the choice poses immediate danger (which a clothing choice usually doesn't), the CNA should
, 4
respect the choice and perhaps mention the weather concern, but ultimately allow it and report if
necessary.
Q9: Which of the following statements is true about documentation?
A. A CNA may document care that was performed by another staff member if they forget.
B. Documentation should include only objective data, not opinions. [CORRECT]
C. If a CNA forgets to document a morning task, they can add it in the evening.
D. Correction fluid (white-out) is acceptable for fixing charting errors.
Correct Answer: B
Rationale: Documentation must be factual, accurate, and objective. It should never include
opinions or assumptions. Charting for someone else or back-charting hours later are serious
errors, and white-out is never permitted.
Q10: A resident's daughter asks the CNA, "How is my father doing? Is he getting worse?" What
is the best response?
A. "He seems to be doing okay, but you should ask the nurse."
B. "I'm not allowed to discuss his condition, please speak with the nurse." [CORRECT]
C. "His pressure injury looks a lot better today."
D. "He is very confused and hasn't eaten much."
Correct Answer: B
Rationale: While C is tempting if true, CNAs generally cannot provide medical prognoses or
interpret conditions to families to avoid miscommunication and violating confidentiality/scope.
The safest and most standard answer for a CNA exam regarding medical status is to refer to the
nurse.
Q11: When should a nursing assistant wear gloves?
A. Only when the resident has a known infectious disease.
B. When touching blood, body fluids, or non-intact skin. [CORRECT]
C. Whenever the nurse is in the room.
