Free CNA-Aide The Nurse Aide's Role and Responsibilities Questions and Answers 1 — Questions and Answers
Question 1: Which of the following tasks is outside the scope of practice for a Certified Nurse Aide (CNA)?
- Assisting a resident with bathing and dressing.
- Administering medication to a resident. (Correct answer)
- Measuring and recording a resident's vital signs.
- Transferring a resident from a bed to a wheelchair.
Correct answer: Administering medication to a resident.
Medication administration requires a nursing license (RN or LPN/LVN) due to the knowledge needed for assessment, dosage calculation, and understanding of side effects. Performing tasks outside one's scope of practice is illegal and dangerous.
Question 2: A resident offers a CNA a $20 bill as a "thank you" for good care. What is the CNA's most appropriate action?
- Accept the money, as it would be rude to refuse a gift.
- Politely refuse the gift, explaining that it is against facility policy. (Correct answer)
- Take the money and share it with the other CNAs on the unit.
- Tell the resident to give it to the charge nurse instead.
Correct answer: Politely refuse the gift, explaining that it is against facility policy.
Accepting gifts or money from residents is unethical and against the policy of most healthcare facilities. It can blur professional boundaries and could be considered financial exploitation.
Question 3: The Health Insurance Portability and Accountability Act (HIPAA) is a law that protects a resident's:
- Right to vote in elections.
- Financial assets from theft.
- Private health information from unauthorized disclosure. (Correct answer)
- Right to be free from physical restraints.
Correct answer: Private health information from unauthorized disclosure.
HIPAA's main purpose is to protect the confidentiality and security of a patient's or resident's personal health information (PHI). CNAs must not discuss residents' information with anyone not directly involved in their care.
Question 4: A CNA witnesses a coworker shouting at and roughly handling a resident. The CNA's first and most important responsibility is to:
- Confront the coworker and tell them to stop immediately.
- Immediately ensure the resident's safety and then report the incident to the charge nurse. (Correct answer)
- Pretend they didn't see anything to avoid causing trouble.
- Discuss the incident with other CNAs in the break room.
Correct answer: Immediately ensure the resident's safety and then report the incident to the charge nurse.
The immediate priority is to protect the resident from harm. After ensuring the resident is safe, the CNA has a legal and ethical duty to report the suspected abuse to their supervisor immediately, following the facility's chain of command.
Question 5: The term "scope of practice" for a CNA refers to:
- The number of residents they are assigned to care for.
- The specific tasks and duties they are legally and educationally prepared to perform. (Correct answer)
- The physical layout of the unit where they work.
- The list of continuing education courses they must take.
Correct answer: The specific tasks and duties they are legally and educationally prepared to perform.
A CNA's scope of practice is defined by state regulations and facility policies. It outlines the range of functions and responsibilities a CNA is authorized to perform after completing their training and passing their certification exam.
Question 6: A resident refuses to take a bath. The CNA should:
- Force the resident to take a bath for their own good.
- Document the refusal and report it to the nurse. (Correct answer)
- Tell the resident they won't get their dinner if they don't bathe.
- Skip the bath and not mention it to anyone.
Correct answer: Document the refusal and report it to the nurse.
Residents have the right to refuse care. The CNA must respect this right, but must also ensure proper communication and documentation by reporting the refusal to the nurse.
Which of the following tasks is outside the scope of practice for a Certified Nurse Aide (CNA)?