and Correct AnswersCertified Nurse Assistant – CNA Exam Prep Test.
Domain 1: Roles, Responsibilities, & Communication (Questions 1-30)
Question 1
A resident tells the nurse aide, "I feel like killing myself." What is the FIRST action
the CNA should take?
A) Tell the resident "Don't say that."
B) Report the statement to the nurse immediately.
C) Ask the resident why they feel that way.
D) Ignore the statement to avoid upsetting the resident.
Answer: B
Rationale: Suicidal ideation is a medical emergency. The CNA must report this to
the supervising nurse immediately. CNAs are not trained to counsel residents on
suicidal thoughts.
Question 2
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.
C) Sharing information only with the healthcare team involved in care.
D) Telling a family member about the resident’s bathroom habits.
Answer: C
Rationale: HIPAA regulations mandate that Protected Health Information (PHI) is
only shared with those directly involved in the patient’s care.
Question 3
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.
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.
,Question 4
Who does a CNA primarily report to regarding resident care?
A) The resident's family doctor
B) The nursing supervisor or charge nurse
C) The facility administrator
D) The social worker
Answer: B
Rationale: The chain of command dictates that CNAs report changes and concerns
regarding residents to the supervising LPN, RN, or Charge Nurse.
Question 5
Since CNAs spend the most time with patients, what should they constantly be
looking out for?
A) Gossip about other staff members
B) Which staff members are not working hard
C) Changes in a patient’s condition
D) Whether the patient has visitors
, Answer: C
Rationale: CNAs are the eyes and ears of the clinical team. They are in the best
position to notice subtle physical or mental changes and report them
immediately.
Question 6
Is it better to use open-ended questions or close-ended questions when speaking
with residents?
A) Close-ended, to get quick yes/no answers
B) Open-ended, to encourage expression of feelings
C) Rhetorical, to avoid long conversations
D) Leading, to get the resident to agree with you
Answer: B
Rationale: Open-ended questions (e.g., "Tell me how you are feeling") encourage
residents to express themselves and share concerns, rather than just saying "yes"
or "no".
Question 7
What is the most used skill in the healthcare career?