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**CNA-CERTIFIED NURSING ASSISTANT EXAM
BANK**COMPLETE NNAAP PRACTICE
TEST**220 MULTIPLE-CHOICE QUESTIONS +
ANSWERS & RATIONALES**2026–2027 UPDATED
• FIRST-TIME PASS • GRADED A+**
# SECTION 1: CLIENT RIGHTS & ETHICS (Questions 1–20)
**1. A CNA sees another staff member taking a photo of a resident with
their phone. What should the CNA do?**
A) Ignore it because it is not the CNA’s business
B) Report the incident to the nurse immediately
C) Ask to be in the photo
D) Take a photo also
**Answer: B**
*Rationale:* Taking photos of residents without consent violates client
confidentiality and HIPAA. Report immediately.
**2. A resident refuses to take a bath. What is the most appropriate
response by the CNA?**
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A) Force the resident to bathe
B) Document refusal and try again later
C) Tell the resident they will lose their room
D) Bathe the resident while asleep
**Answer: B**
*Rationale:* Residents have the right to refuse care. Document and
reapproach later.
**3. Which of the following is an example of false imprisonment?**
A) Closing a door for privacy during care
B) Using a vest restraint without an order or emergency
C) Asking a resident to stay in the dining room for a meal
D) Walking a resident to the bathroom
**Answer: B**
*Rationale:* Unauthorized restraint or preventing a resident from
leaving is false imprisonment.
**4. A CNA is asked by a family member about another resident’s
medical condition. What should the CNA say?**
A) Share the information because family should know
B) Politely decline and refer to the nurse
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C) Tell the family member to look at the chart
D) Give a brief summary
**Answer: B**
*Rationale:* Confidentiality applies to all residents. Only share with
authorized persons.
**5. A resident gives the CNA a $50 gift card as a thank you. What
should the CNA do?**
A) Keep it as a gift
B) Politely refuse and explain it is against policy
C) Accept it but do not tell anyone
D) Give it to another resident
**Answer: B**
*Rationale:* Accepting gifts from residents is usually prohibited to
avoid exploitation.
**6. Which of the following is a violation of resident rights?**
A) Knocking before entering a room
B) Opening a resident’s mail without permission
C) Providing privacy during care
D) Explaining a procedure before starting
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**Answer: B**
*Rationale:* Residents have the right to privacy of their mail and
personal belongings.
**7. A resident with dementia repeatedly tries to leave the facility. What
is the best action?**
A) Lock the doors from the outside
B) Use a restraint to keep them in bed
C) Redirect and provide supervised walking
D) Ignore the behavior
**Answer: C**
*Rationale:* Redirection respects rights while ensuring safety.
Restraints require a doctor’s order.
**8. What is the purpose of the OBRA (Omnibus Budget Reconciliation
Act) regulations?**
A) To require hospitals to have more nurses
B) To ensure nursing home residents receive quality care and have rights
C) To increase CNA salaries
D) To reduce staffing in long-term care
**CNA-CERTIFIED NURSING ASSISTANT EXAM
BANK**COMPLETE NNAAP PRACTICE
TEST**220 MULTIPLE-CHOICE QUESTIONS +
ANSWERS & RATIONALES**2026–2027 UPDATED
• FIRST-TIME PASS • GRADED A+**
# SECTION 1: CLIENT RIGHTS & ETHICS (Questions 1–20)
**1. A CNA sees another staff member taking a photo of a resident with
their phone. What should the CNA do?**
A) Ignore it because it is not the CNA’s business
B) Report the incident to the nurse immediately
C) Ask to be in the photo
D) Take a photo also
**Answer: B**
*Rationale:* Taking photos of residents without consent violates client
confidentiality and HIPAA. Report immediately.
**2. A resident refuses to take a bath. What is the most appropriate
response by the CNA?**
,2|Page
A) Force the resident to bathe
B) Document refusal and try again later
C) Tell the resident they will lose their room
D) Bathe the resident while asleep
**Answer: B**
*Rationale:* Residents have the right to refuse care. Document and
reapproach later.
**3. Which of the following is an example of false imprisonment?**
A) Closing a door for privacy during care
B) Using a vest restraint without an order or emergency
C) Asking a resident to stay in the dining room for a meal
D) Walking a resident to the bathroom
**Answer: B**
*Rationale:* Unauthorized restraint or preventing a resident from
leaving is false imprisonment.
**4. A CNA is asked by a family member about another resident’s
medical condition. What should the CNA say?**
A) Share the information because family should know
B) Politely decline and refer to the nurse
,3|Page
C) Tell the family member to look at the chart
D) Give a brief summary
**Answer: B**
*Rationale:* Confidentiality applies to all residents. Only share with
authorized persons.
**5. A resident gives the CNA a $50 gift card as a thank you. What
should the CNA do?**
A) Keep it as a gift
B) Politely refuse and explain it is against policy
C) Accept it but do not tell anyone
D) Give it to another resident
**Answer: B**
*Rationale:* Accepting gifts from residents is usually prohibited to
avoid exploitation.
**6. Which of the following is a violation of resident rights?**
A) Knocking before entering a room
B) Opening a resident’s mail without permission
C) Providing privacy during care
D) Explaining a procedure before starting
, 4|Page
**Answer: B**
*Rationale:* Residents have the right to privacy of their mail and
personal belongings.
**7. A resident with dementia repeatedly tries to leave the facility. What
is the best action?**
A) Lock the doors from the outside
B) Use a restraint to keep them in bed
C) Redirect and provide supervised walking
D) Ignore the behavior
**Answer: C**
*Rationale:* Redirection respects rights while ensuring safety.
Restraints require a doctor’s order.
**8. What is the purpose of the OBRA (Omnibus Budget Reconciliation
Act) regulations?**
A) To require hospitals to have more nurses
B) To ensure nursing home residents receive quality care and have rights
C) To increase CNA salaries
D) To reduce staffing in long-term care
