Free CNA Practice Test & CNA Training
1. If a patient refuses a treatment and the CNA attempts to perform it anyway, what could the CNA be charged with?
c. Either A or B
d. Neither A nor B
2. A CNA who forgets to lock the wheels on a wheelchair (which results in a subsequent fall) could be charged with:
3. If a CNA observes the nursing supervisor acting in a negligent way, what should she do?
a. Speak with the doctor in charge of the patient.
b. Follow the institution's chain of command to determine who to report the behavior to.
c. Go to the institution's president of nursing to report the behavior.
d. Confront the nursing supervisor directly.
4. If a CNA begins to suspect that a patient is being abused by a family member, what should she do?
a. Report it to the charge nurse.
b. Report it to the police.
c. Ignore it because the nurse and doctor probably suspect it too.
d. Confront the suspected abuser.
5. Who is the most important member of the health care team?
a. The nurse
b. The patient
c. The physician
d. The CNA
6. What is the minimum number of hours of continuing education that a CNA should complete each year?
7. What is the BEST way for a CNA to assist during a code?
a. Administer emergency medications according to the physician's instructions.
b. Document the events.
c. Speak with the family and answer their questions about what is happening.
d. Retrieve emergency equipment, including the code cart or intubation box, and carry out other assigned tasks that fall within a CNA's scope of practice.
8. A patient's daughter is requesting to perform morning care for her mother. The patient is okay with the request, and it has been cleared with the charge nurse. What should the CNA do?
a. Refuse to let the daughter assist.
b. Allow her to perform the morning care and leave the room to provide privacy.
c. Allow her to assist with morning care, but stay in the room to ensure it is being done correctly.
d. Request that the nurse supervise the patient's daughter.
9. When the CNA is informed of an admission, what is her responsibility?
a. Prepare the room, including the linens, gowns, and other necessary equipment.
b. Complete the admissions interview.
c. Make sure the patient's medications have been received from the pharmacy and are correct.
d. Coordinate the patient's care with the rest of the treatment team.
10. Which of the following is NOT a reason for a CNA to refuse an assignment?
a. The CNA feels the task is unethical.
b. Performing the task would cause harm to the CNA.
c. The CNA had a serious disagreement with the patient's family the day before.
d. The assignment is outside the CNA's scope of practice.
Answers and Explanations
1. C: A CNA could be charged with assault if she threatens or tries to touch a patient (provide care) without the patient's consent. It does not matter if she actually touches the patient or provides the treatment; the patient just needs to be afraid that she will do it. Battery refers to the actual act of touching the patient in a threatening manner or in a way that the patient has not consented to. In the situation outlined in the question, the CNA could be charged with both assault and/or battery, depending on the specific circumstances surrounding the incident.
2. D: The CNA could be charged with negligence because she performed a task in a way that was inconsistent with her training. Only a professional with advanced training or one who needs to maintain a license, such as a doctor or nurse, can be charged with malpractice. A CNA can't because they only need to maintain a certification, not a license. Assault and battery do not apply because the CNA is not behaving in a threatening manner.
3. B: The CNA should follow the chain of command when determining who to report the behavior to. It is inappropriate to contact the physician in charge of the patient's care because he does not have any authority to deal with this type of nursing situation. It is inappropriate to go directly to the nursing supervisor or president of nursing without following the guidelines set in place by the institution.
4. A: The CNA should immediately report the suspected abuse to the charge nurse so she can determine how best to proceed. It is possible that the suspicions have already been addressed, which is why it is not appropriate to directly report the suspected abuse to the police or confront the potential abuser. The behavior should not be ignored, however, because of the potential for the patient being harmed.
5. B: The most important member of the health care team is the patient. His or her needs-medical, spiritual, and emotional-are the most important. The patient must ultimately consent to and be actively involved in their plan of care. What the physician, nurse, and CNA need, recommend, or want takes a back seat to the needs and wishes of the patient.
6. B: The CNA should complete a minimum of 12 hours of continuing education each year to keep her skills up to date. Additional continuing education hours may be necessary, depending on the skill level and needs of the CNA. Her employer should provide some of the continuing education credits, but it is ultimately the responsibility of the CNA to maintain her certification.
7. D: During a code, the CNA should promptly retrieve emergency equipment or other supplies according to the needs of the physicians and nurses. That may include blood from the blood bank, needles, syringes, etc. Documenting the events and administering medications is the responsibility of the nurse, and is outside the scope of practice of the CNA. The CNA should not answer medical questions from the family, but may be able to provide comfort or support if necessary.
8. C: In cases where the patient will be going home to be cared for by the family, it is definitely appropriate for family members to begin to assist in the patient's care. The CNA should allow the daughter to participate in her mother's care, but should be available to supervise and assist as necessary.
9. A: The CNA should prepare the room, ensuring that linens, personal protective equipment, and other medical supplies are present. The CNA should also help orient the patient to the unit and take vital signs. The nurse should complete the admission interview and assessment and coordinate all aspects of care. This includes contacting the pharmacy and ensuring the correct medications are received.
10. C - A serious disagreement with the patient's family is not a reason to refuse an assignment. The CNA must find a way to work professionally with her patient and the family. If the disagreement begins to interfere with the care the patient is receiving, the CNA should speak with her nurse supervisor about the steps that will need to be taken. The other answer choices are all valid reasons for refusing an assignment.
Getting CNA training is an excellent way of embarking on an interesting, important and respected medical career. You're probably aware of this already, but just in case you're brand new to the topic, CNA stands for Certified Nursing Assistant, or in some states, Certified Nursing Aide. This career is one of the most important jobs in medicine, even if it isn't quite as well known or glamorous as the roles nurses, physicians and surgeons play. It would not be an exaggeration to say that CNAs are one of the pillars of healthcare in the country, and millions of people have been helped and been restored to health by the care of professional nursing assistants. When a person is in a hospital or nursing home, the health care worker they interact most closely with, and spend the most time with, is almost always the nursing assistant (or assistants) assigned to their case. They depend on these faithful workers to tend to their physical needs, but that's not all. By showing a patient care and devotion, a CNA can often be the source of mental and emotional support. Some patients don't have a close family, and even the ones that do don't get to see them much when they're ill. A CNA's caring touch can be the spark that ignites their passion and drive to get back to full health when they feel like giving up. You can be that person making a huge difference in people's lives, and it all starts with CNA training.
One of the best things about training for a CNA career is that it only takes a few weeks. Unlike nursing school, which can take up to four years, or other medical career schools, which can last from several months to two years, in many cases you can complete your CNA classes in just two weeks if you attend full time. If you can only go part time in the evenings, you can finish in four weeks. Many schools even have weekend only classes if your schedule is very tight. Another factor that makes this career choice even more attractive is that the cost of training is very low. In most cases, it's not more than a thousand dollars, and sometimes it's lower than that. Compare that to the $10,000 to $50,000 it would cost for the training for another medical career, such as a registered nurse. Financial aid is available, too, so you may not have to pay very much at all to become a CNA. In fact, in some areas of the country, if you're unemployed the government will cover all the costs of your training. No matter how you pay for it, it doesn't cost much, and you can be earning a nice income in an important medical career in just a few short weeks. There aren't many training programs you can say that about.
What's even better is that these jobs are in high demand. What does that mean, exactly? It means that if you pass your training, and then pass the certification test, you won't have any trouble finding a job. In fact, you'll almost certainly have lots of job offers, and you'll be able to choose the one you find most appealing. Contrast that with the situation millions of unemployed folks in America are facing right now, which is that they can't find any job offers, and if one came along, they would pretty much be forced to take it out of necessity. But once you train to become a CNA, and get certified, you'll never have to worry about being in that position. America has a rapidly aging population, and the elderly are the biggest consumers of health care, so once you're qualified as a CNA, you'll have job security for life.
So if you've been thinking about training for a CNA career, now is the perfect time to start down the path. You can start school right away in most big cities; if not right away, at the very least in a few months. You can finish school and get your diploma and pass the certification test in as little as two weeks from start to finish, and start working the next day if you want. Or, if you want to be more selective, you can take your time and choose from lots of job offers, after comparing the pay and benefits. With CNA skills, you can work anywhere in the country you choose, so you don't have to stay where you're at if you need a change of scenery, or your spouse suddenly gets transferred. Plus, many healthcare institutions offer tuition assistance to their employees, so if you are interested in becoming a registered or vocational nurse in the future, this job can be a stepping stone to your dream, and it all starts with CNA training.
What is CNA certification? Certification is the government's official approval given to a person, which allows her to start a career as a CNA. Think of it as a license. There are two things a person needs to do in order to become a certified CNA: graduate from an approved training program, and then pass the official certification test. Passing the CNA exam is the final step in qualifying for a new career as a Certified Nursing Assistant, and it is not negotiable. In other words, you absolutely must pass the CNA exam to become certified and be allowed to work as a nurse's aide. Failing the exam means you'll have to retake the test in the future, pay additional testing fees, and possibly pay for more training. Some people wonder why they have to pass a test if they've already graduated from an approved CNA training program; to them it seems like their diploma should be all the proof anyone needs that they're qualified. In theory, that makes sense, but in reality, certification is not a waste of time at all. Yes, a training program may be approved, but that doesn't mean that every teacher in the school is excellent. Some teachers could take bribes, or pass a person to be "nice." Some students may have gotten their diploma by cheating. So, to protect the public, passing the exam is the necessary final step to CNA certification.
What is the test like? Well, there are two parts to the CNA test. There's a written (or oral) exam, and a skills test, which is taken on location in an actual or simulated health care facility. This way, the candidate will demonstrate that he knows both what to do, and how to do it. Head knowledge isn't enough, and in the hectic world of health care, there's no time for on the job training. Nurses and other aides won't have the time, desire or patience to interrupt what they're doing to instruct someone who is supposed to know what he's doing. That's why the skills test is so important. The written test is also important, and it will usually have about 70 multiple choice questions on it, and the candidate will have two hours or so to finish it. These questions will cover all aspects of the duties a CNA is expected to perform, and the information needed to perform them correctly. In many states, the written exam can be taken orally if a person chooses to do so because they have trouble reading, or they're not fluent in English.
The skills test will take place in a setting such as a hospital or a nursing home, or a room set up exactly like a room in such a facility, and the candidate will have to perform five different procedures on actual people in order to pass this portion of the exam. What makes this especially tricky is that a person has no idea which five procedures they're going to asked to demonstrate. During training, a student is expected to master a few dozen skills they will need on the job, such as: feeding a patient who can't feed himself, helping a patient with a bedpan, bathing a patient in bed or in the bathroom, making an unoccupied bed, making a bed with the patient in it, turning a patient to face you, giving an enema, taking a temperature orally, taking a temperature rectally, measuring and recording pulse, measuring and recording blood pressure, dealing with a patient who is confused or has memory loss, cleaning dentures, shaving a male patient, etc.
Of course, since a person should have all these skills (and more) down pat by the time they graduate, it should be no problem demonstrating them. In fact, far more CNA candidates fail the written portion of the exam than fail the skills portion. So it's really important to brush up for the written/oral exam. There are some good study guides and flash card sets available for those who want to prepare as much as they can so they can get started on their CNA career right away. As far as fees, you should double check in your area, but as of this writing, taking both tests will cost around $100 in the state of Texas, for example ($93 for the written & skills tests, or $106 for the oral & skills tests). Should a person fail, they will be charged another fee every time they retake the exams, although the cost is usually lower than the initial testing fee. So there you have it; you've got the information you need, now it's time to get started on your new career, and it all starts with taking a class and passing your CNA certification exam.
CNA classes can be the path out of unemployment, or a boring, dead end job. They can lead to a vital and interesting career helping the people who need it most, our nation's sick and elderly people. Once you have graduated and passed your certification, you'll be taking part in an occupation that our entire medical system depends on in order to function. That isn't hype. It's the truth; if all the CNAs in America disappeared or went on strike tomorrow morning, our entire health care system would be thrown into turmoil. Thousands of people would die, and tens of thousands more would have their suffering made worse. Don't ever let anyone try to tell you that being a CNA isn't an important or satisfying job, because that's nonsense. Actually, there are very few jobs that are as important as what a CNA does. There's no denying that the job can be difficult, stressful and at times, downright unpleasant. But those things pale in comparison to the unbelievable amount of good a CNA can do. All over the US, in hospitals and nursing homes, there are thousands of people whose lives literally depend on the CNA. That's an awesome responsibility, and it leads to a powerful sense of fulfillment. And it all starts with CNA classes.
No matter where you live in America, you should have no trouble finding a program for CNA training. If you live in a fairly large city, you should have more than one school to choose from. If you live in one of America's bigger cities, you probably have several schools to choose from. People in small towns are usually within driving distance of a CNA program, too. These classes are incredibly inexpensive, usually costing not much more than a thousand dollars, if that much. That's because they only take a couple of weeks to complete. A person attending CNA school full time can get their diploma in two weeks. If a person has to work, and can only attend in the evenings, or on the weekends, it will only take four weeks to finish. There are few other careers which can be started after only a few weeks training, which can lead to full time employment right away.
What will you study in CNA classes? Well, you'll learn some basic medical principles and lingo, for one thing. Don't worry; you won't be expected to be an expert in anatomy and physiology. However, you will be taking orders from nurses, in a medical facility, so you'll need to be able to understand what they're saying and what they want you to do. If you have a high school diploma or a GED, you have what it takes to handle this information. The bulk of what you learn, however, will not be theory or principles, but how to perform actual tasks for the benefit of your patients. These will include the proper way of helping a patient to his feet, how to lift a patient with the help of another nurse's aide, how to help a person use a bedpan, how to give a person a bath while he's still in his bed, how to make a bed while a patient is in it, how to shave a patient's face, how to take blood pressure and pulse readings, and how to write them up, how to take a person's temperature orally or rectally, and much more. This is what most of your time in class will be spent on.
Believe it or not, your time in class will fly by, especially if you go full time. Two weeks is not a long time at all, so you'll need to pay attention and take a lot of notes. Then you'll take your certification and exam, and if you worked hard in class and prepped for the test, passing it should be no problem. Then you can start applying for jobs, and you won't have any trouble finding one, no matter where you live, because there aren't nearly enough qualified CNAs in the US as there are job openings for them. And these jobs pay fairly well, too. You won't make as much as a nurse or a lawyer makes, but you'll make a lot more than people in many other jobs. Because of the strong demand, you'll never again have to worry about being unemployed. These are all great aspects of the career, but some would say they're not the greatest. Some CNAs would tell you that the best thing about the job is helping frail and sick people get better, being a shoulder to cry on, or being the only friend in the world a patient has. And you can get started simply by signing up for low cost CNA classes.
Last Updated: 12/18/2017