CNA Scope of Practice

Question 1

What defines a CNA's scope of practice?

Accepted Answer

State laws, facility policies, and tasks the CNA has been trained and found competent to perform

Answer

A CNA's scope of practice is defined by state law and regulations, the employing facility's policies, and the specific tasks for which the CNA has been trained and deemed competent. Scope of practice protects both residents and CNAs by clearly delineating what a CNA may and may not do.

Question 2

Which of the following is OUTSIDE the CNA's scope of practice?

Accepted Answer

Administering prescription medications

Answer

Administering prescription medications—whether oral, topical, injectable, or by any other route—is outside the CNA's scope of practice and is reserved for licensed nurses and other authorized providers. CNAs may assist with self-administered medications in some states under specific protocols.

Question 3

A nurse asks a CNA to perform a sterile catheter insertion. The CNA has not been trained for this. What should the CNA do?

Accepted Answer

Politely decline and explain they have not been trained for this procedure

Answer

CNAs must decline tasks outside their training and scope. The correct response is to politely decline and explain that catheter insertion has not been part of their training. The CNA should not attempt the task to avoid patient harm and legal liability.

Question 4

Why is it important for CNAs to understand their scope of practice?

Accepted Answer

To protect residents from harm, protect themselves legally, and function effectively within the care team

Answer

Understanding scope of practice protects residents from harm caused by unqualified care, protects the CNA from legal and disciplinary action, and ensures the healthcare team functions effectively. Performing tasks outside one's scope risks patient safety and professional standing.

Question 5

A CNA notices that a resident's IV site appears red and swollen. What is within the CNA's scope of practice to do?

Accepted Answer

Report the observation to the nurse immediately

Answer

CNAs do not manage IV lines or treat IV complications, but they are responsible for observing and reporting changes in a resident's condition. The correct action is to report the observation to the nurse immediately, who will assess and manage the IV site.

CNA Practice Test

CNA Practice Test

CNA Scope of Practice