FREE CNA Member of a Healthcare Team Practice Test

Question 1

How would you handle a situation where you observe a co-worker not following infection control procedures?

Accepted Answer

Discuss the observation privately with the co-worker and remind them of the correct procedures. Addressing a lapse in infection control practices is crucial for patient safety. The most effective and collegial approach is to discuss the matter privately with the co-worker, providing an opportunity for correction and learning. Public confrontation can create defensiveness, and ignoring the behavior or bypassing direct communication can perpetuate unsafe practices.

Question 2

A nurse aide is assigned to a unit she has never worked on before. What should the nurse aide do at the start of the shift?

Accepted Answer

Ask the charge nurse for the assignment and review each resident's care plan. C (Correct): The assignment comes from the charge nurse, and the care plan is where each resident's specific needs are written. Both come before any hands-on care on an unfamiliar unit. Incorrect: A. Routines differ by unit and by resident. Applying another unit's habits misses individual orders. B. Coworkers are a useful resource, but their memory is not the care plan and it is not the assignment. D. Many residents cannot report their own care needs, and the ones who can should not be responsible for directing staff.

Question 3

A nurse aide is unable to come to work because she is ill. What should the nurse aide do?

Accepted Answer

Call the facility as early as possible and follow the call-off policy. D (Correct): Early notice is what lets the facility find coverage before residents are short-staffed. The call-off policy exists so the message reaches the right person. Incorrect: A. A message relayed through a coworker may not arrive, and it is not the facility's process. B. Waiting until the shift starts leaves no time to cover the assignment. C. An ill nurse aide working among frail residents risks spreading infection to people who cannot fight it off.

Question 4

If a nurse aide observes a family member giving a resident food that is not allowed per dietary restrictions, what is the appropriate response?

Accepted Answer

Politely explain the dietary restrictions to the family member and report the incident to a nurse. If a CNA observes a family member giving a resident food that is not allowed per their dietary restrictions, the appropriate response is to politely explain the importance of the dietary restrictions to the family member and report the incident to a nurse for further guidance and documentation. Confiscating the food without explanation, ignoring the situation, or making exceptions can compromise the resident's health and safety.

Question 5

A nurse aide finds that a mechanical lift on the unit has a frayed sling strap. What should the nurse aide do?

Accepted Answer

Take the lift out of service, label it, and report it to the charge nurse. D (Correct): Damaged equipment comes out of use immediately, and it needs a label so nobody grabs it in a hurry. The charge nurse arranges the repair. Incorrect: A. A frayed strap can fail under load, and care does not make it hold. B. Word of mouth does not reach the next shift or agency staff. C. Swapping the sling may be part of the fix, but that is a maintenance decision and the lift still needs to be checked.

Question 6

A resident's daughter asks the nurse aide to start giving her mother a daily walk in the garden. This is not on the care plan. What should the nurse aide do?

Accepted Answer

Thank the daughter and pass the request to the charge nurse. C (Correct): A family request is useful information, and the nurse is the one who can evaluate it and change the care plan. Passing it along keeps the door open without promising anything. Incorrect: A. Adding activity that is not on the care plan may conflict with the resident's activity orders or tolerance. B. Sending a family member to administration over a care question skips the person who can actually answer it. D. A flat no gives the family nothing and makes the nurse aide the obstacle.

Question 7

The activities director asks the nurse aide to bring a resident to an afternoon music program. The resident's care plan says she is on bed rest. What should the nurse aide do?

Accepted Answer

Tell the activities director the resident is on bed rest and report the request to the charge nurse. A (Correct): Bed rest is an order, and the activities director may not know it. Telling her and reporting to the nurse keeps the resident safe and lets the nurse decide whether the order can be adjusted. Incorrect: B. A brief outing is still out of bed, and the order does not have a time limit built into it. C. Letting the resident tire and return to bed means the order was already broken. D. Speaking for the resident about something she was never asked is dishonest and takes away her choice.

Question 8

A nurse aide finishes bathing a resident and notices the resident's wedding ring is missing from the bedside table. What should the nurse aide do?

Accepted Answer

Search the room and the linens, then report the missing ring to the charge nurse. C (Correct): Checking the immediate area finds many missing items, and reporting starts the facility's process for the ones it does not find. Both happen right away. Incorrect: A. Delaying makes a lost item harder to trace, especially once linens leave the unit. B. Asking the resident is reasonable, but it does not replace a search or a report, and a confused resident may not recall. D. Missing-item reports go through the charge nurse first, not straight to administration.

Question 9

A nurse aide is asked by a resident's family to sign as a witness on the resident's advance directive. What should the nurse aide do?

Accepted Answer

Explain that she cannot witness the document and notify the charge nurse. B (Correct): Witnessing legal documents is outside the nurse aide's role. Telling the nurse gets the family to social services or whoever handles advance directives at the facility. Incorrect: A. Knowing the resident well does not make the nurse aide a legal witness. C. The charge nurse being present does not change what the nurse aide is permitted to sign. D. The physician is not the right route for a witnessing question, and the nurse aide reports through the charge nurse.

Question 10

Two nurse aides disagree about how a resident should be transferred. What is the best way to resolve the disagreement?

Accepted Answer

Check the resident's care plan and ask the charge nurse if it is unclear. A (Correct): The care plan settles most of these disagreements on the spot. When it does not, the charge nurse decides. Incorrect: B. Testing two transfer methods on a resident is unsafe and treats her as a trial. C. Resident preference matters and should be reported, but the safe transfer method is a clinical decision. D. Experience is valuable, but it does not override a written transfer order.

Question 11

A nurse aide is caring for a resident whose care plan she believes is out of date, because the resident now needs more help than the plan describes. What should the nurse aide do?

Accepted Answer

Provide the level of help the resident needs and report the change to the charge nurse. A (Correct): The resident gets the care she needs right now, and the observation goes to the nurse so the plan can be reviewed. Nurse aide observations are a main source of care plan updates. Incorrect: B. Following an outdated plan exactly can leave a resident without help she needs. C. Nurse aides contribute to the care plan. They do not revise it. D. Family may have useful background, but the nurse aide has been observing the resident directly, and that is what the nurse needs.

Question 12

The charge nurse asks the nurse aide to perform a task the nurse aide has not been trained to do. What should the nurse aide do?

Accepted Answer

Tell the charge nurse she has not been trained for the task. B (Correct): Saying plainly that the training is missing gives the charge nurse what she needs to reassign the task or arrange training. It is not a refusal, it is information. Incorrect: A. Learning a task on a live resident is how residents get hurt. C. A flat refusal without a reason leaves the charge nurse guessing and the resident's care undone. D. Handing an untrained task to someone else moves the risk instead of removing it, and the assignment is not the nurse aide's to give.

Question 13

A nurse aide has reported a resident's reddened heel to the charge nurse twice this week, and nothing appears to have changed. What should the nurse aide do next?

Accepted Answer

Follow the facility's chain of command and report the concern. B (Correct): Chain of command exists for exactly this. When a report does not get a response, it moves up to the next level, usually the nurse manager or the director of nursing. Incorrect: A. Applying a dressing is a treatment decision, and it is not the nurse aide's to make. C. Going to the family instead of up the chain does not get the heel treated and breaches the reporting structure. D. Documenting a report and stopping there leaves a worsening pressure area unaddressed.

Question 14

A resident's call light is on. The resident is not one of the nurse aide's assigned residents. What should the nurse aide do?

Accepted Answer

Answer the light and help the resident or find the assigned staff member. D (Correct): A call light is a request for help, and the nearest staff member answers it. If the need is outside her assignment, she finds the right person rather than leaving the resident waiting. Incorrect: A. An announcement puts the resident's need on a loudspeaker and still does not answer the light. B. Assignments organize the work. They do not divide residents into ones who get help and ones who do not. C. Turning off a light without meeting the need makes the resident invisible to everyone.

Question 15

A physician stops the nurse aide in the hallway and gives a verbal order to change a resident's diet. What should the nurse aide do?

Accepted Answer

Tell the physician that the order needs to go to the nurse. D (Correct): Nurse aides do not take orders from physicians. Directing the physician to the nurse keeps the order in the right hands and creates a record of it. Incorrect: A. The care plan is not written or changed by the nurse aide. B. Acting on a verbal order the nurse aide is not authorized to take is outside her scope, whether or not she reports it later. C. Sending a diet change to dietary without a nurse or a written order skips the step that makes it safe.

Question 16

The charge nurse gives the nurse aide an instruction the nurse aide does not fully understand. What should the nurse aide do?

Accepted Answer

Ask the charge nurse to explain the instruction before starting. B (Correct): The person who gave the instruction is the person who can clarify it. Asking takes seconds and prevents the wrong care. Incorrect: A. Doing half of an instruction leaves the resident with half the care and the nurse thinking it was completed. C. A coworker's guess is still a guess. D. A manual explains a procedure in general. It cannot tell the nurse aide what the nurse meant for this resident.

Question 17

A nurse aide is working with a resident when a coworker asks for help with a two-person transfer down the hall. What should the nurse aide do?

Accepted Answer

Finish the resident's care safely, then help the coworker. A (Correct): Reaching a safe stopping point takes moments, and then the two-person transfer gets its second person. Both residents stay safe. Incorrect: B. Sending the coworker away to hunt for someone else wastes time when help is standing right there. C. A two-person transfer cannot be done alone, and refusing leaves a coworker to attempt it or a resident to wait. D. Walking away mid-care can leave a resident partly undressed, wet, or unsafely positioned.

Question 18

A nurse aide is giving the end-of-shift report to the oncoming nurse aide. Which information belongs in that report?

Accepted Answer

Care completed, care still needed, and any changes observed. C (Correct): A handoff exists so the next person can pick up where the last one left off. What was done, what is pending, and what changed is the whole of it. Incorrect: A. Labeling residents as difficult shapes how the next aide treats them before she has met them. B. Confidential information shared by a resident is not passed along unless it affects her care or safety. D. Reporting only the gaps leaves the oncoming aide without the picture of what has already happened.

Question 19

A nurse is planning client care in a long-term care facility. Which member of the healthcare team is legally responsible for delegating tasks to the nurse aide?

Accepted Answer

The licensed nurse. The licensed nurse holds the legal and professional accountability for assessing client acuity, determining staff competency, and delegating appropriate nursing tasks to the nurse aide based on the established care plan. Physicians prescribe medical treatments and orders, but direct nursing delegation and supervision of assistive personnel are performed by licensed nursing staff. Clinical nurse specialists operate in advanced practice roles focused on education and quality improvement rather than routine unit delegation, and facility administrators manage operational and business functions without direct clinical delegation authority. the nurse aide. The physician may prescribe treatments, but they do not delegate tasks to the nurse aide.

Question 20

You are working with a coworker that gets mad at you for taking lunch before him. He gets angry and tells the charge nurse that he saw you walk out of a resident’s room with the resident’s glasses. What is this an example of?

Accepted Answer

Slander. Slander is the act of making false and damaging statements about someone. In this scenario, the coworker is making a false statement about the nurse aide taking a resident's glasses. This is an example of slander, and it can have serious consequences for the nurse aide if the accusation is taken seriously.

CNA Member of a Healthcare Team Practice Test with Answers

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This Member of a Healthcare Team Practice Test Is Built for Real CNA Judgment

Michele J. McCarthy

Molly W.

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