CNA Training 3 — Questions and Answers
Question 1: During CNA clinical training, a student witnesses a nurse make a medication error. What should the student do?
- Ignore it to avoid conflict
- Report it to the supervising instructor immediately (Correct answer)
- Confront the nurse directly
- Document it in the patient's chart personally
Correct answer: Report it to the supervising instructor immediately
Students must report observed errors or unsafe practices to their supervising instructor right away to ensure patient safety.
Question 2: Which of the following is a core competency area covered in federally mandated CNA training programs?
- Pharmacology and drug administration
- Infection control and prevention (Correct answer)
- Surgical wound closure
- Anesthesia monitoring
Correct answer: Infection control and prevention
Federal regulations require CNA training to include infection control as one of the core competency areas.
Question 3: A CNA trainee is learning proper hand hygiene. When must hands be washed with soap and water rather than hand sanitizer?
- Before taking vital signs
- After removing gloves following routine care
- When hands are visibly soiled or after caring for a patient with C. difficile (Correct answer)
- After touching a patient's chart
Correct answer: When hands are visibly soiled or after caring for a patient with C. difficile
Soap and water are required when hands are visibly soiled or after contact with C. difficile spores, which are not killed by alcohol-based sanitizers.
Question 4: What is the minimum number of clinical training hours required by federal law for a CNA program?
- 16 hours
- 75 hours (with at least 16 clinical) (Correct answer)
- 40 hours
- 100 hours
Correct answer: 75 hours (with at least 16 clinical)
OBRA 1987 mandates at least 75 total training hours, of which at least 16 must be supervised clinical hours.
Question 5: During skills training, the instructor asks a student to demonstrate range-of-motion exercises. What must the student do first?
- Begin moving the resident's limbs immediately
- Explain the procedure to the resident and obtain consent (Correct answer)
- Check the resident's chart for their diet order
- Ask another student to hold the resident down
Correct answer: Explain the procedure to the resident and obtain consent
Explaining the procedure and obtaining consent before any care respects resident rights and is standard practice.
Question 6: A CNA student completes their written exam but fails the skills evaluation. What happens next?
- They receive a conditional CNA license
- They must retake only the skills portion of the competency evaluation (Correct answer)
- They must repeat the entire training program
- They are permanently barred from CNA certification
Correct answer: They must retake only the skills portion of the competency evaluation
Candidates who fail only one portion of the competency exam may retake just that section within the allowed attempt window.
Question 7: Which organization sets the federal standards that all state CNA training and testing programs must meet?
- American Nurses Association (ANA)
- Centers for Medicare & Medicaid Services (CMS) (Correct answer)
- Joint Commission
- National League for Nursing (NLN)
Correct answer: Centers for Medicare & Medicaid Services (CMS)
CMS enforces the OBRA 1987 requirements that establish minimum standards for nurse aide training and competency evaluation.
During CNA clinical training, a student witnesses a nurse make a medication error.
What should the student do?