Latest Real Exam Questions with Correct Answers
and Rationales
Domain 1: Roles, Responsibilities & Communication (Questions 1–60)
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.
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.
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.
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, 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.
4. 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.
5. A resident refuses to take a bath. What is the most appropriate response by
the CNA?
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.
6. 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.
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,Answer: B – Rationale: Unauthorized restraint or preventing a resident from
leaving is false imprisonment.
7. 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.
Answer: B – Rationale: Respecting another resident's privacy is mandatory. Direct
the family member to the nurse.
8. A CNA overhears another CNA threaten a resident. What must the CNA do?
A) Stay silent to avoid conflict.
B) Report the threat to the nurse immediately.
C) Confront the other CNA personally.
D) Ignore it if the resident seems fine.
Answer: B – Rationale: Any form of abuse or threat must be reported
immediately to protect resident safety.
9. Which of the following is a job task performed by the nurse aide?
A) Participating in resident care planning conferences.
B) Taking a telephone order from a physician.
C) Giving medications to assigned residents.
D) Changing sterile wound dressings.
Answer: A – Rationale: CNAs are valuable members of the care team and may
participate in care conferences. Taking verbal orders, administering medications,
and performing sterile procedures are outside the CNA's scope of practice.
10. 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.
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, 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."
11. What is the most used skill in the healthcare career?
A) Taking blood pressure.
B) Lifting and transferring.
C) Communication (listening, responding, documenting).
D) Passing trays.
Answer: C – Rationale: Effective communication is the most frequently used skill
in healthcare, underpinning all aspects of patient care, safety, and teamwork.
12. Which of the following observations about restorative care should be
reported to the nurse?
A) Whether family is visiting.
B) How much television the resident watches.
C) Whether the resident uses the call light more than twice a day.
D) Signs of depression.
Answer: D – Rationale: Signs of depression are a critical observation that must be
reported to the nurse, as they indicate a change in the resident's mental health
status.
13. Which of the following statements is true of a nursing assistant's role in
restorative care?
A) If a resident takes too long doing a task by himself, the NA should do it
for him.
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