40 Rights, Communication & Role Practice Questions & Answers

1. 1. A resident tells the nurse aide that she does not want her scheduled shower this morning. What should the aide do?

   • A.Record the shower as given and mention the refusal in the end-of-shift report.
   • B.Wait until the resident is drowsy after lunch, then give the shower while she is calm.
   • C.Explain that the shower schedule is set by the facility and help her into the chair.
   • D.Accept her decision, offer the shower at another time, and tell the nurse about it.✓ Answer

   A resident has the right to refuse care or treatment, so the refusal is honored, an alternative is offered, and the nurse is told so the reason can be explored and documented. Care is never forced, never timed to a moment of drowsiness, and never charted as given when it was not.

   Ref QB-V9PQ7CSource: 42 CFR 483.10(c)(6) — right to request, refuse and/or discontinue treatmentReport a problem with this question

2. 2. A nurse aide is about to give perineal care to a resident in a semi-private room. Which action best protects the resident's personal privacy?

   • A.Leave the door partly open so another aide can be called if she feels weak.
   • B.Work with the curtain open so the resident's call light stays within her reach.
   • C.Close the door and the privacy curtain and cover all but the area being washed.✓ Answer
   • D.Ask the roommate's visitors to look toward the window while the care is done.

   Personal privacy is physical: the door and curtain are closed and the body is draped so only the part being cared for is exposed. Privacy protects the body from view, while confidentiality protects information about the resident, and the two are tested as separate rights.

   Ref QB-BS58FASource: 42 CFR 483.10(h)(1) — personal privacy during treatment and personal careReport a problem with this question

3. 3. A nurse aide takes a photo of a resident at the facility birthday party. Which action by the aide protects the resident's confidentiality?

   • A.Share the photo in a private group chat with the coworkers who care for him.
   • B.Post the photo without the resident's name, since an unnamed photo names no one.
   • C.Crop the resident's face out of the photo and then post it on her own page.
   • D.Delete the photo unless the resident has given written consent for its use.✓ Answer

   A photograph taken in the facility reveals that the person lives there, which is protected health information, so posting or sharing it without written consent breaks confidentiality even when no name appears. Cropping, a private group, or a friends-only setting does not make the disclosure lawful.

   Ref QB-U9BD2BSource: 42 CFR 483.10(h)(2)-(3) and HIPAA Privacy Rule, 45 CFR 164.502Report a problem with this question

4. 4. A resident tells the nurse aide that her wedding ring is missing from her bedside drawer. What should the aide do?

   • A.Report the missing ring to the charge nurse now so the facility can look into it.✓ Answer
   • B.Tell the resident that jewelry is easily misplaced and look again for it tomorrow.
   • C.Search the roommate's closet and drawers before telling anyone the ring is gone.
   • D.Leave a note for the evening shift to look for the ring during bedtime care.

   A resident has the right to keep and use personal possessions, and taking or using a resident's property is misappropriation, which the facility must investigate. The aide reports the loss to the nurse at once and does not search other residents' belongings or delay the report.

   Ref QB-ES78YDSource: 42 CFR 483.10(e)(2) (personal possessions); misappropriation defined at 42 CFR 488.301Report a problem with this question

5. 5. The team is meeting to update a resident's care plan. Which action supports her right to take part in that planning?

   • A.Invite the resident to the meeting and ask which goals and daily routines she wants.✓ Answer
   • B.Hold the meeting with the family and give the resident a copy of the final plan.
   • C.Ask the resident's roommate which morning routines seem to work best for her.
   • D.Let the charge nurse set the goals and tell the resident about them afterward.

   A resident has the right to participate in developing and carrying out her person-centered care plan and to be told in advance of changes to it. Being handed a finished plan, or having a roommate or the nurse speak for her, is notice after the fact rather than participation.

   Ref QB-X9DDJESource: 42 CFR 483.10(c)(2)-(3) — participation in person-centered care planningReport a problem with this question

6. 6. A resident wants to complain about the meals but fears the staff will be angry with him. He asks what the long-term care ombudsman does. Which answer is correct?

   • A.A state inspector who certifies nurse aides and enters findings on the registry.
   • B.An outside advocate who receives residents' complaints and works to resolve them.✓ Answer
   • C.A facility manager who runs care conferences and approves changes to care plans.
   • D.A hospital social worker who arranges transfers and discharge plans for residents.

   The long-term care ombudsman is an advocate from outside the facility who receives and works to resolve residents' complaints and may review a resident's records with consent. A resident may voice a grievance without fear of reprisal, and the ombudsman is an external channel rather than the aide's first stop for a change in condition.

   Ref QB-DSUVSCSource: Older Americans Act §712, Long-Term Care Ombudsman Program (42 U.S.C. 3058g); 42 CFR 483.10(j) grievancesReport a problem with this question

7. 7. A nurse aide shuts a resident alone in her room and props a chair against the door so she will stop walking in the hallway. Which term describes this?

   • A.Neglect, which is failing to give the services a resident needs to avoid harm.
   • B.Defamation, which is a false statement that damages the resident's reputation.
   • C.Misappropriation, which is using a resident's property without her permission.
   • D.Involuntary seclusion, which is a form of abuse in a long-term care facility.✓ Answer

   Separating a resident from others and confining her to an area against her will is involuntary seclusion, which federal rules classify as abuse, and blocking her exit is also false imprisonment. Wandering is managed by supervision and activity, never by confining the resident.

   Ref QB-W923DDSource: 42 CFR 483.5 (definition of involuntary seclusion); 42 CFR 483.12(a)Report a problem with this question

8. 8. A nurse aide sees the most senior aide on the unit slap a resident's hand during feeding. What should she do first?

   • A.Stay with the resident to keep her safe and report to the nurse right away.✓ Answer
   • B.Speak privately with the senior aide and warn her that this must not happen again.
   • C.Write the event in the resident's chart and raise it at the next staff meeting.
   • D.Watch the senior aide over the next few days to be sure of what she is seeing.

   A nurse aide is a mandated reporter, so the resident is protected first and the suspicion goes to the nurse immediately, no matter how senior or well liked the person suspected is. The aide does not investigate, confront the coworker, or wait to see whether it happens again.

   Ref QB-8S38X6Source: 42 CFR 483.12(c)(1) — immediate reporting of alleged abuse (within 2 hours if serious bodily injury)Report a problem with this question

9. 9. The unit is short-staffed, and a nurse tells the aide to fasten a lap belt on a resident who wanders so he stays in his chair. What should the aide do?

   • A.Apply the lap belt and chart it as a safety device rather than as a restraint.
   • B.Seat the resident in a deep reclining chair that he is not able to rise from.
   • C.Ask the nurse for the physician's order and offer to walk with the resident.✓ Answer
   • D.Apply the lap belt and release it every two hours until the staffing improves.

   A resident has the right to be free of any restraint imposed for discipline or staff convenience, and a physical restraint requires a physician's order for a documented medical symptom and must be the least restrictive measure for the least time. Short staffing is never a reason to restrain, and calling a restraint a safety device or a deep chair does not change what it is.

   Ref QB-R99DH7Source: 42 CFR 483.10(e)(1) and 42 CFR 483.12(a)(2) — freedom from restraints imposed for discipline or convenienceReport a problem with this question

10. 10. A resident who had a stroke understands what is said but cannot find words to answer. Which approach should the aide use?

    • A.Ask open-ended questions and wait in silence until he forms a full sentence.
    • B.Ask questions he can answer yes or no, and offer a picture board for choices.✓ Answer
    • C.Finish his sentences for him so that the conversation keeps moving along.
    • D.Speak louder and more slowly, because a stroke usually dulls the hearing.

    In expressive aphasia the resident understands language but cannot produce it, so questions answerable with yes or no and a picture or communication board let him take part without having to find words. Finishing his sentences takes away his voice, and a stroke of this kind does not impair hearing.

    Ref QB-JQ5WXESource: NNAAP Written (Oral) Examination Content Outline, Communication — adapting to speech impairmentReport a problem with this question

11. 11. A resident who wears a hearing aid keeps saying 'What?' during morning care. What should the aide do?

    • A.Check that the hearing aid is on, face the resident, and speak in a normal tone.✓ Answer
    • B.Stop speaking and write out every instruction, since the aid no longer helps.
    • C.Raise her voice and shout each word again toward the resident's better ear.
    • D.Take the hearing aid out and speak straight into the ear so the words carry.

    Shouting distorts speech and raises the pitch that hearing loss affects most, so the aide first makes sure the aid is switched on and working, then faces the resident in good light and speaks clearly in a normal tone. Removing the aid or giving up on speech takes away the resident's usable hearing instead of supporting it.

    Ref QB-28YQCESource: NNAAP Written (Oral) Examination Content Outline, Communication — hearing impairmentReport a problem with this question

12. 12. A nurse aide brings a lunch tray into the room of a resident who is blind. Which action is correct?

    • A.Move quietly so the resident is not startled, and touch her arm before speaking.
    • B.Cut the food, feed the resident, and read the menu aloud after the meal ends.
    • C.Rearrange the furniture so that the path to the bathroom is shorter for her.
    • D.State her own name on entering, describe where the foods are, and say goodbye.✓ Answer

    A resident who cannot see relies on sound and on a room that stays the same, so the aide announces herself on entering, describes the tray using clock positions, and says when she is leaving. Touching first startles the resident, moving furniture removes her learned map of the room, and feeding a person who can eat takes away her independence.

    Ref QB-KQG85GSource: NNAAP Written (Oral) Examination Content Outline, Communication — visual impairmentReport a problem with this question

13. 13. At 4 p.m. a resident with dementia puts on her coat and says she must go home to cook supper for her children. What is the best response?

    • A.Tell her that supper is already cooked and that her family has called to cancel.
    • B.Ask about her children and walk with her toward the dining room for a snack.✓ Answer
    • C.Explain that her children are grown and that this facility is now her home.
    • D.Hang her coat in the closet and ask her to sit down until the feeling passes.

    A resident living in an earlier time cannot be argued back into the present, so the aide accepts the feeling behind the statement, asks about the children, and redirects her to a pleasant activity. Correcting her causes distress, inventing a phone call is dishonest, and taking her coat away provokes a struggle.

    Ref QB-38B3JFSource: NNAAP Written (Oral) Examination Content Outline, Communication — residents with cognitive impairmentReport a problem with this question

14. 14. Which entry in a resident's record is an objective observation by the nurse aide?

    • A.The resident seemed depressed and did not enjoy the food served at lunch.
    • B.The resident says she feels sick to her stomach and wants no lunch today.
    • C.The resident refused lunch because she is angry with her roommate today.
    • D.The resident ate half of the lunch tray and drank 120 mL of milk.✓ Answer

    An objective entry records what the aide can see, hear or measure, such as the amount eaten and the millilitres taken, while wording like seemed depressed is an opinion and a stated cause is an assumption. What the resident reports about herself is subjective and belongs in the record in her own words inside quotation marks.

    Ref QB-MQUJAHSource: NNAAP Content Outline, Data Collection and Reporting; 42 CFR 483.70(i) accurate medical recordsReport a problem with this question

15. 15. The unit is busy and a coworker asks the aide to chart turns that are not yet done, so the records are finished before break. What should the aide do?

    • A.Enter the turns under the coworker's name and note that she performed them.
    • B.Record the turns in pencil so the entries can be changed if care is delayed.
    • C.Chart each turn after performing it, and let the coworker chart her own care.✓ Answer
    • D.Chart the turns now and carry them out before the end of the shift as planned.

    The medical record is a legal document, so an aide charts only care she gave herself and only after she has given it; an entry written in advance is false even if the care is done later. Charting for another worker or in pencil makes the record unreliable and can be treated as falsification.

    Ref QB-48PDQGSource: 42 CFR 483.70(i)(1) — complete and accurately documented medical records; NNAAP Content OutlineReport a problem with this question

16. 16. A resident points to a cup of pills on the medication cart and asks the nurse aide to hand it to her. What should the aide do?

    • A.Set the cup on the overbed table so that she can take them when she wishes.
    • B.Tell her the nurse will bring her medicine and let the nurse know she asked.✓ Answer
    • C.Hand her the cup, because the nurse has already poured out the correct pills.
    • D.Crush the pills into applesauce and give them, since she swallows poorly.

    Giving, handing or leaving medication is administration, which is outside the nurse aide's scope unless the aide holds a separate medication aide certification, so the request goes to the licensed nurse. Crushing a tablet also changes how the drug is released and is a nursing decision, not an aide's.

    Ref QB-NQ7WFJSource: 42 CFR 483.35 (nursing services) and state nurse practice acts — medication administration is a licensed functionReport a problem with this question

17. 17. A nurse delegates to the aide a task that the aide has never been trained to perform. What should the aide do?

    • A.Look the steps up in the facility procedure manual and do the task alone.
    • B.Perform the task and ask an experienced aide to watch her and correct her.
    • C.Tell the nurse she has not been trained for it and ask to be taught first.✓ Answer
    • D.Perform the task as described, since the nurse is responsible for delegating.

    A nurse may delegate only a task that is within the aide's training and scope, and the aide stays accountable for performing it correctly, so an untrained task is declined and returned to the nurse until training is given. Learning from a manual or from another aide on the spot does not replace documented training and competency.

    Ref QB-582RVHSource: 42 CFR 483.35(c)-(d) — nurse aide competency; 42 CFR 483.152 training and competency evaluationReport a problem with this question

18. 18. A resident's daughter asks the nurse aide what the doctor found in her mother's test results. What should the aide do?

    • A.Read the results out of the chart, since the daughter visits her mother daily.
    • B.Say the nurse can discuss results, and pass the daughter's question along to her.✓ Answer
    • C.Say that results are private and that no family member may ever be told them.
    • D.Give a general idea of the findings and suggest asking the doctor about them.

    Interpreting test results is outside the aide's scope, and health information may be shared only with people the resident has authorised, so the aide refers the question to the licensed nurse. Saying that no family member may ever be told is also wrong, because the resident herself decides who receives her information.

    Ref QB-PQJ8NKSource: 42 CFR 483.10(h) confidentiality and 483.10(g) access to information; scope per 42 CFR 483.35Report a problem with this question

19. 19. A resident keeps a religious statue and prayer beads on her bedside table and prays before breakfast each day. How should the aide support this?

    • A.Ask the chaplain to keep the items and bring them at set prayer times.
    • B.Join the resident in her prayers so that she does not feel alone in them.
    • C.Move the items into the closet during care and put them back afterward.
    • D.Leave the items where she keeps them and give her care after she has prayed.✓ Answer

    Religious articles are the resident's personal property and her practice is part of her routine, so the aide leaves the items untouched and plans care around the time she prays. Handling or storing the items without permission and taking part in the prayers both impose the aide's judgement on the resident's beliefs.

    Ref QB-68D33KSource: 42 CFR 483.10(f)(2)-(3) self-determination and choice of activities; 483.10(e)(2) personal possessionsReport a problem with this question

20. 20. Using Maslow's hierarchy of needs, which resident need should the nurse aide meet first?

    • A.A chaplain visit for a resident who says that she has been feeling lonely.
    • B.Drinking water within reach for a resident who says she is thirsty.✓ Answer
    • C.A card group for a resident who wants to make friends on the unit.
    • D.Praise for a resident who dressed himself without any help this morning.

    Maslow places physical needs such as water, food, air and elimination at the base of the hierarchy, and they are met before needs for belonging or esteem. Thirst is a physical need, while a chaplain visit, a card group and praise address belonging and self-esteem higher up the pyramid.

    Ref QB-U83265Source: Maslow's hierarchy of needs; NNAAP Content Outline, Emotional and Mental Health NeedsReport a problem with this question

21. 21. A dying resident holds the nurse aide's hand and says that she is frightened. What is the best response by the aide?

    • A.Sit down beside her, hold her hand, and listen to what is frightening her.✓ Answer
    • B.Describe what usually happens in the last hours so she knows what to expect.
    • C.Finish the care quickly and leave the room so that she is able to rest.
    • D.Tell her there is nothing to fear and that she will be feeling better soon.

    Presence and active listening are the therapeutic response, because they let the resident express fear and show she is not alone; touch and silence carry as much meaning as words. False reassurance closes the conversation, leaving the room abandons her, and describing the course of dying is outside the aide's role.

    Ref QB-CR87R5Source: NNAAP Content Outline, Emotional and Mental Health Needs; Communication — therapeutic responseReport a problem with this question

22. 22. A resident with a terminal illness snaps at the aide, saying the staff are useless and the food is always cold. Which stage of grief does this suggest?

    • A.Acceptance, in which the resident grows calm and settles unfinished business.
    • B.Bargaining, in which the resident promises change in return for more time.
    • C.Denial, in which the resident insists that the diagnosis is a laboratory error.
    • D.Anger, in which the feeling is often aimed at the staff rather than the illness.✓ Answer

    In the anger stage described by Kubler-Ross the person turns the unfairness of the loss outward, so complaints about staff and food are usually about dying rather than about the meal. The aide does not take the outburst personally, stays calm, listens, and reports the change to the nurse.

    Ref QB-V8ECB6Source: Kubler-Ross five stages of grief (denial, anger, bargaining, depression, acceptance); NNAAP Content OutlineReport a problem with this question

23. 23. A resident's roommate asks the nurse aide, "What's wrong with her? Why does she get so many treatments?" What should the aide do?

    • A.Politely explain that the information is confidential✓ Answer
    • B.Tell the roommate to ask the resident's family
    • C.Give a brief summary since roommates share the room
    • D.Whisper the diagnosis so no one else can overhear

    A resident's health information may be shared only with staff involved in her care, never with roommates, friends, or visitors, because residents have a legal right to confidentiality of their medical records and condition. The aide should decline politely; sharing quietly or redirecting to the family would still expose protected information.

    Ref QB-DRKHW6Source: 42 CFR §483.10(h) (privacy and confidentiality); Credentia 2024 NNAAP Content Outline — Client RightsReport a problem with this question

24. 24. An alert resident chooses a bright dress that her daughter has said looks "silly." What should the nurse aide do?

    • A.Suggest wearing it only when the family is away
    • B.Pick a different outfit that the family prefers
    • C.Ask the nurse to decide what she should wear today
    • D.Help her put on the dress that she picked out✓ Answer

    Residents have the right of self-determination, which includes choosing their own clothing; an alert resident's choice stands even when family members disagree. The family, the nurse, and the aide do not decide personal preferences for a resident who can decide for herself.

    Ref QB-W8SPG7Source: 42 CFR §483.10(f) (self-determination and choice); Credentia 2024 NNAAP Content Outline — Client RightsReport a problem with this question

25. 25. A resident's son asks the nurse aide to keep both full side rails up at all times so his father cannot get out of bed. What should the aide do?

    • A.Raise the rails only during the night shift hours
    • B.Tell the nurse; rails used this way require an order✓ Answer
    • C.Ask the resident's doctor directly to approve it
    • D.Raise the rails whenever the son is there visiting

    Full side rails that keep a resident from getting out of bed act as a physical restraint, and restraints may be used only with a doctor's order for a medical reason — never for convenience or at a family's request. The aide's correct action is to pass the request to the nurse; aides never apply restraints on their own and do not take orders from families or contact the doctor directly.

    Ref QB-ERXU38Source: 42 CFR §483.10(e)(1) and §483.12(a)(2) (freedom from restraints; restraints only per physician order); Credentia 2024 NNAAP Content Outline — Client RightsReport a problem with this question

26. 26. While tidying a resident's bedside table, the nurse aide finds a stack of old greeting cards. What should the aide do?

    • A.Put them away in the facility's storage room
    • B.Ask the resident what she wants done with them✓ Answer
    • C.Mail them to the family for safekeeping at home
    • D.Discard them to keep the bedside area clean

    Residents have the right to keep and control their personal possessions, and even items that look like clutter may have great sentimental value. The aide must never discard, move, or send away a resident's belongings without the resident's permission — doing so violates the right to personal property.

    Ref QB-X852P8Source: 42 CFR §483.10(i) (right to retain and use personal possessions); Credentia 2024 NNAAP Content Outline — Client RightsReport a problem with this question

27. 27. A resident's door is open, and the aide can see the resident sitting in a chair. Before entering to give care, the aide should:

    • A.Walk in quietly so the resident is not startled
    • B.Knock on the door and wait for permission to enter✓ Answer
    • C.Call out from the hallway and then walk right in
    • D.Enter directly, since the door is already open

    The resident's room is her home, and the right to privacy means staff knock and wait to be acknowledged before entering — even when the door is open. Walking in unannounced or announcing while already entering treats the space as staff territory rather than the resident's private living area.

    Ref QB-FRA799Source: 42 CFR §483.10(e)(3) and §483.10(h) (right to privacy in accommodations); Credentia 2024 NNAAP Content Outline — Client RightsReport a problem with this question

28. 28. A nurse aide enters a room and finds two alert residents, both consenting adults, in an intimate embrace. What should the aide do?

    • A.Leave quietly and provide privacy for the residents✓ Answer
    • B.Separate them and take one resident back to his room
    • C.Tell them this behavior is not allowed in the facility
    • D.Report the behavior to both families right away

    Consenting, mentally competent adults keep the right to sexual expression and private relationships after moving into a facility, so the aide's duty is to protect their privacy and dignity by leaving quietly. Scolding, separating them, or notifying families violates their rights to dignity, privacy, and confidentiality.

    Ref QB-Q8NPFYSource: 42 CFR §483.10(a)-(b) and §483.10(h) (dignity, self-determination, privacy); Credentia 2024 NNAAP Content Outline — Client RightsReport a problem with this question

29. 29. When entering the room of a resident who is blind, the nurse aide should first:

    • A.Speak very loudly, since the resident cannot see her
    • B.Touch the resident's shoulder to announce her arrival
    • C.Turn on all the lights so the resident feels safe
    • D.Give her own name and explain why she has come✓ Answer

    A resident who cannot see relies on hearing to know who is present, so the aide identifies herself by name and states her purpose as soon as she enters. Touching before speaking startles the resident, and raising the voice is unnecessary — blindness does not affect hearing.

    Ref QB-8RTU2ZSource: Standard nurse aide curriculum for visually impaired residents (identify self on entering, explain care); Credentia 2024 NNAAP Content Outline — CommunicationReport a problem with this question

30. 30. Which action is BEST when speaking with a resident who is hard of hearing?

    • A.Use long, detailed sentences to give more context
    • B.Shout each word so the resident is sure to hear it
    • C.Face the resident and speak slowly and clearly✓ Answer
    • D.Speak into the resident's ear from behind him

    Facing the resident in good light lets him read lips and facial expressions, and clear, unhurried speech in a normal or slightly lower pitch is easiest to understand. Shouting distorts sounds and can seem angry, speaking from behind removes visual cues, and long sentences are harder to follow than short, simple ones.

    Ref QB-XA37P8Source: Standard nurse aide curriculum for hearing-impaired residents (face resident, do not shout); Credentia 2024 NNAAP Content Outline — CommunicationReport a problem with this question

31. 31. A resident is angry and shouting at the nurse aide about waiting too long for help. The aide should:

    • A.Explain firmly that shouting is not acceptable
    • B.Ask the nurse to assign a different aide instead
    • C.Leave the room until the resident stops shouting
    • D.Stay calm and listen in a quiet, steady voice✓ Answer

    The therapeutic response to an angry resident is to stay calm, listen, and speak in a low, even, reassuring tone, because matching anger with correction or abandonment escalates the situation and dismisses a legitimate grievance. Scolding, walking out, or asking to be reassigned all punish the resident for expressing frustration.

    Ref QB-ETVZ38Source: Standard nurse aide curriculum for communicating with angry/agitated residents; Credentia 2024 NNAAP Content Outline — CommunicationReport a problem with this question

32. 32. A resident speaks very little English, and her teenage grandson offers to translate a discussion about her care. What is the BEST practice?

    • A.Let him translate only the simple parts of it
    • B.Let him translate; the family knows her best
    • C.Tell the nurse so an interpreter can be arranged✓ Answer
    • D.Use gestures instead and skip the discussion

    Care discussions should go through a qualified interpreter, because family members — especially minors — may translate inaccurately, filter information, and hearing the details violates the resident's confidentiality. The aide's role is to report the language need to the nurse so proper interpreter services are arranged.

    Ref QB-WAQUG7Source: Language access standard of care (Section 1557 ACA: qualified interpreters, not family/minors) with confidentiality per 42 CFR §483.10(h); Credentia 2024 NNAAP Content Outline — CommunicationReport a problem with this question

33. 33. A call light comes on for a resident who is not on the nurse aide's assignment. The aide should:

    • A.Turn the light off and mention it to the nurse
    • B.Answer the light promptly and see what is needed✓ Answer
    • C.Finish all of her own assigned residents first
    • D.Find the aide who is assigned to that resident

    Call lights are answered promptly by whoever is available, regardless of assignment, because the resident may have an urgent need such as falling or pain. Searching for the assigned aide, finishing other tasks first, or silencing the light delays help and puts the resident at risk.

    Ref QB-DTHPW6Source: Standard nurse aide curriculum: answer all call lights promptly (resident safety); Credentia 2024 NNAAP Content Outline — Communication / Member of the Health Care TeamReport a problem with this question

34. 34. The care plan says a resident walks to lunch with a walker, but today she seems much weaker and unsteady. The aide should:

    • A.Report the change to the nurse before walking her✓ Answer
    • B.Let her rest in bed and skip going to lunch today
    • C.Take her in a wheelchair and note the change later
    • D.Walk her anyway, because the care plan requires it

    A change in a resident's condition must be reported to the nurse before care continues, because only the nurse can assess the resident and change the care plan. Following the plan despite new weakness risks a fall, while switching to a wheelchair or keeping her in bed changes the plan on the aide's own judgment, which is outside her scope.

    Ref QB-ZASUZASource: Standard nurse aide curriculum: follow the care plan and report changes in condition to the licensed nurse; Credentia 2024 NNAAP Content Outline — Member of the Health Care TeamReport a problem with this question

35. 35. While bathing a resident, the aide sees a red area on the resident's heel that does not fade after the pressure is removed. The aide should:

    • A.Note it in the chart at the end of the shift
    • B.Cover the heel with a bandage from the cart
    • C.Report the finding to the nurse right away✓ Answer
    • D.Massage the area to bring the blood back to it

    Redness that does not blanch or fade is the first sign of a pressure injury and must be reported to the nurse immediately so treatment can start before the skin breaks down. Massaging a reddened pressure area damages fragile tissue further, waiting until end of shift delays care, and applying dressings is a nursing task outside the aide's scope.

    Ref QB-GTKPEASource: Standard of care for pressure injury prevention (non-blanchable erythema = Stage 1; report immediately, never massage); Credentia 2024 NNAAP Content Outline — Member of the Health Care TeamReport a problem with this question

36. 36. During a very busy shift, when should the nurse aide record the care she gives?

    • A.Right after each care task has been completed✓ Answer
    • B.Whenever the nurse asks to see the records
    • C.From memory at the very end of the shift
    • D.At the start of the shift, to save time later

    Care is documented immediately after it is given — never before — because charting care that has not yet happened falsifies the record, and waiting until the end of the shift leads to forgotten or inaccurate entries. Timely documentation keeps the record legally accurate and lets the rest of the team rely on it.

    Ref QB-YAEHU9Source: Standard nurse aide curriculum: document care after it is given, never before; timely and accurate charting; Credentia 2024 NNAAP Content Outline — Member of the Health Care TeamReport a problem with this question

37. 37. A nurse aide finds a resident lying on the floor beside the bed. What should the aide do FIRST?

    • A.Stay with the resident and call for the nurse✓ Answer
    • B.Ask the roommate to describe what happened first
    • C.Fill out an incident report about the fall first
    • D.Help the resident back into the bed quickly

    After a fall, the resident's immediate safety comes first: the aide stays with her and summons the nurse, who must assess for injury before the resident is moved. Moving her back to bed could worsen an unseen fracture or head injury, and paperwork or questioning witnesses comes only after the resident is safe and assessed.

    Ref QB-FT8C99Source: Standard nurse aide curriculum: falls — do not move the resident; ensure safety, stay, and call the nurse first; Credentia 2024 NNAAP Content Outline — Member of the Health Care TeamReport a problem with this question

38. 38. In a crowded elevator, a coworker begins telling the nurse aide about a resident's new diagnosis. The aide should:

    • A.Suggest they discuss it later in a private place✓ Answer
    • B.Listen quietly, since the coworker brought it up
    • C.Use only the resident's room number, not the name
    • D.Keep talking softly so the other people cannot hear

    Protected health information may not be discussed where it can be overheard — elevators, hallways, cafeterias — so the correct action is to stop the conversation and move it to a private setting. Speaking softly or using a room number instead of a name still risks disclosure, because bystanders can often identify the resident from context.

    Ref QB-TANUY3Source: HIPAA Privacy Rule, 45 CFR §164.502 (permitted uses/disclosures of PHI); Credentia 2024 NNAAP Content Outline — Legal and Ethical BehaviorReport a problem with this question

39. 39. A grateful family member offers the nurse aide $20 for taking such good care of her mother. The aide should:

    • A.Take it and put it in the unit's coffee fund
    • B.Accept it so the family member does not feel hurt
    • C.Politely decline and explain she cannot accept it✓ Answer
    • D.Accept it only if the nurse gives her permission

    Professional ethics and facility policy prohibit aides from accepting money, tips, or gifts from residents or families, because doing so blurs professional boundaries and can pressure families or create the appearance of favoritism. The aide declines politely; no supervisor's permission or shared use of the money makes it acceptable.

    Ref QB-ATFPD3Source: Standard nurse aide curriculum: professional boundaries — never accept gifts or tips; Credentia 2024 NNAAP Content Outline — Legal and Ethical BehaviorReport a problem with this question

40. 40. A resident tells the nurse aide, "My nephew makes me sign my checks over to him every month." What should the aide do?

    • A.Advise the resident to hide her checkbook well
    • B.Wait until there is proof before telling anyone
    • C.Report the resident's words to the nurse at once✓ Answer
    • D.Ask the nephew about it at his next visit

    What the resident describes suggests financial abuse (misappropriation of her funds), and the aide is a mandated reporter who must report any suspicion of abuse to the nurse or supervisor immediately. The aide reports suspicion only — she never investigates, confronts the suspected abuser, or waits to gather proof herself.

    Ref QB-WYURH7Source: 42 CFR §483.12 (freedom from abuse, neglect, exploitation; mandatory reporting of suspicion); Credentia 2024 NNAAP Content Outline — Legal and Ethical BehaviorReport a problem with this question

Practice questions based on the NNAAP written content outline. Not affiliated with Credentia/Pearson VUE or any state nurse-aide registry, and not medical advice. Requirements vary by state. About CNA testing →