CNA Client Rights Practice Test

25 practice questions

Choose an answer, then check it under Show answer.

1. Question 1 of 25Medium

   A resident becomes tearful and confides in the nurse aide that her adult child has been using her debit card without permission to pay personal bills. What is the nurse aide's best response?

   1. AA. Advise the resident to confront her child during the next visit
   2. BB. Report the resident's disclosure to the charge nurse immediately
   3. CC. Offer to hold onto the resident's debit card for safekeeping
   4. DD. Tell the resident that family financial matters are private
   Show answer to question 1

   Answer: B. Report the resident's disclosure to the charge nurse immediately

   The nurse aide is a mandated reporter and must promptly inform the charge nurse of any suspected or reported financial exploitation. Dismissing the statement as a private family matter is incorrect because residents are legally protected from financial abuse by family members.

2. Question 2 of 25Easy

   A nurse aide finishes entering a resident's vital signs into an electronic health record at a hallway computer. Before walking away to answer a call light, what must the nurse aide do?

   1. AA. Ask another aide to watch the screen
   2. BB. Minimize the resident's chart window
   3. CC. Log out or lock the computer screen
   4. DD. Turn off the computer monitor
   Show answer to question 2

   Answer: C. Log out or lock the computer screen

   Logging out or locking the computer screen prevents unauthorized individuals from viewing protected health information. Turning off the monitor or minimizing the window leaves the electronic record active and vulnerable to unauthorized access.

3. Question 3 of 25Easy

   A resident's room door is fully open. Before walking inside to deliver fresh water, what should the nurse aide do?

   1. AA. Wave from the hallway until the resident nods.
   2. BB. Knock on the doorframe and identify themselves.
   3. CC. Walk directly to the bedside without speaking.
   4. DD. Close the door completely before saying anything.
   Show answer to question 3

   Answer: B. Knock on the doorframe and identify themselves.

   Even when a room door is open, the space inside remains the resident's private home. Knocking on the doorframe and identifying oneself acknowledges the resident's space before crossing the threshold. Walking directly inside without announcing oneself fails to show proper respect for personal privacy.

4. Question 4 of 25Medium

   A nurse aide overhears a coworker tell a crying resident, 'If you do not stop complaining right now, you will stay in this room all day with no lunch.' What should the nurse aide do?

   1. AA. Tell the coworker to lower their voice so other people cannot hear
   2. BB. Wait until lunchtime to see if the tray is actually withheld
   3. CC. Report the coworker's statement immediately to the charge nurse
   4. DD. Reassure the resident that the coworker was just exaggerating
   Show answer to question 4

   Answer: C. Report the coworker's statement immediately to the charge nurse

   Threatening a resident with punishment or withholding food constitutes verbal and psychological abuse, which must be reported immediately to the supervisor. Asking the coworker to speak quietly enables abusive behavior, and waiting to see if food is withheld leaves the resident exposed to further harm.

5. Question 5 of 25Hard

   An emergency response team assists a resident in a semi-private room. Later that day, the roommate asks the nurse aide, 'What happened to my roommate?' How should the nurse aide respond?

   1. AA. 'Everything is fine, and there is no reason for you to worry.'
   2. BB. 'You will need to ask her family members when they come to visit.'
   3. CC. 'She had a sudden drop in blood pressure, but she is stable now.'
   4. DD. 'I understand your concern, but I cannot share her medical information.'
   Show answer to question 5

   Answer: D. 'I understand your concern, but I cannot share her medical information.'

   The nurse aide must protect the resident's privacy by politely declining to disclose medical facts, even to a concerned roommate who witnessed the event. Acknowledging the roommate's feelings while stating that medical information cannot be shared maintains both empathy and legal compliance. Stating the medical event directly breaches confidentiality, while telling the roommate that everything is fine dismisses their feelings and may provide false reassurance.

6. Question 6 of 25Easy

   A resident has a Do Not Resuscitate (DNR) order in the medical record. This order instructs the healthcare team to:

   1. AA. refrain from performing cardiopulmonary resuscitation if breathing stops.
   2. BB. avoid administering prescribed pain medications and comfort measures.
   3. CC. withhold routine daily hygiene and personal care activities.
   4. DD. transfer the resident to an intensive care unit immediately.
   Show answer to question 6

   Answer: A. refrain from performing cardiopulmonary resuscitation if breathing stops.

   A DNR order specifically directs healthcare staff not to attempt CPR or other resuscitation measures if the resident experiences cardiac or respiratory arrest. It does not mean withholding standard nursing care, pain management, or personal hygiene.

7. Question 7 of 25Medium

   While preparing to assist a resident with a shower, the nurse aide notices the resident is wearing a religious medal on a chain. What should the nurse aide do?

   1. AA. Ask the resident if the medal can be removed or kept dry during the shower.
   2. BB. Remove the medal quickly and place it in the bedside table drawer.
   3. CC. Tell the resident that all personal jewelry is prohibited during care.
   4. DD. Send the medal immediately to the facility safe for protection.
   Show answer to question 7

   Answer: A. Ask the resident if the medal can be removed or kept dry during the shower.

   Religious items hold personal and spiritual value, so the nurse aide should ask the resident how they would like the item handled before beginning care. Removing the medal without asking disrespects the resident's autonomy and spiritual beliefs.

8. Question 8 of 25Medium

   A resident receives several new shirts as a gift from family. To protect these personal items from being lost in the facility laundry, the nurse aide should:

   1. AA. Hang the shirts in the central supply closet for safekeeping
   2. BB. Ensure the shirts are labeled with the resident's name per facility policy
   3. CC. Instruct the family to wash the shirts in the resident's bathroom sink
   4. DD. Fold the shirts and store them inside plastic garbage bags under the bed
   Show answer to question 8

   Answer: B. Ensure the shirts are labeled with the resident's name per facility policy

   Labeling personal clothing with the resident's name ensures that items sent to the laundry department are returned to the proper owner. Instructing family to wash garments in the sink is inappropriate and creates unsanitary conditions while failing to provide proper care for the resident's property.

9. Question 9 of 25Hard

   A nurse aide walks into a room and observes a coworker shove an agitated resident onto a bed. What should the nurse aide do FIRST?

   1. AA. Ask the coworker why they lost patience with the resident
   2. BB. Step in immediately to ensure the resident is safe from further harm
   3. CC. Leave the room to find the director of nursing right away
   4. DD. Document the incident in the resident's medical record
   Show answer to question 9

   Answer: B. Step in immediately to ensure the resident is safe from further harm

   When active physical abuse is witnessed, the immediate priority is always resident safety by intervening directly or separating the resident from the abuser. While reporting the event to a supervisor is legally required, leaving the resident unattended in an active danger zone places them at risk for further injury. Debating the situation with the coworker delays protective action and is not appropriate.

10. Question 10 of 25Easy

    A nurse aide observes a coworker taking cash out of a resident's bedside drawer and placing it into their pocket. What is the nurse aide's required action?

    1. AA. Tell the resident to keep their bedside drawer locked
    2. BB. Call the local police department before notifying facility staff
    3. CC. Wait until the end of the shift to discuss it with the coworker
    4. DD. Report the incident immediately to the charge nurse
    Show answer to question 10

    Answer: D. Report the incident immediately to the charge nurse

    Any observed or suspected theft must be reported immediately through the facility chain of command, beginning with the charge nurse or supervisor. Confronting the coworker delays reporting and may compromise an investigation, while outside authorities are contacted by facility administration according to policy.

11. Question 11 of 25Medium

    A nurse aide enters a resident's room to obtain routine vital signs and finds the resident watching a favorite television program. The resident asks the aide to return during a commercial break. What is the nurse aide's best response?

    1. AA. "Vital signs must be taken at the exact scheduled time."
    2. BB. "You will have to skip vital signs today if you want to watch TV."
    3. CC. "I will come back during the commercial break to take them."
    4. DD. "I can mute the television while I take your vital signs."
    Show answer to question 11

    Answer: C. "I will come back during the commercial break to take them."

    Routine, non-emergency tasks should be flexible to honor the resident's personal routine and preferences. Agreeing to return during a commercial break respects the resident's autonomy without neglecting necessary care. Treating routine vital signs as an inflexible emergency disregards the principles of person-centered care.

12. Question 12 of 25Medium

    A resident with Alzheimer's disease paces the corridor repeatedly but is calm and uninjured. The charge nurse gives the resident a high-dose sedative solely to keep the resident quiet in bed. This action is an example of:

    1. AA. routine sleep assistance
    2. BB. palliative behavior management
    3. CC. a chemical restraint
    4. DD. appropriate fall prevention
    Show answer to question 12

    Answer: C. a chemical restraint

    A chemical restraint is any medication given to discipline a resident or to restrict their freedom of movement rather than to treat an active medical or psychiatric condition. Using sedatives to manage normal wandering or reduce staff supervision violates the resident's right to be free from chemical restraints.

13. Question 13 of 25Hard

    A transgender resident asks to be addressed by a chosen name and pronoun that differ from the legal name on the medical chart. How should the nurse aide respond?

    1. AA. Explain that clinical records require staff to use assigned biological terms.
    2. BB. Address the resident by room number during care to remain neutral.
    3. CC. Use the legal name until formal court documentation is provided to the facility.
    4. DD. Address the resident consistently by the requested name and pronoun.
    Show answer to question 13

    Answer: D. Address the resident consistently by the requested name and pronoun.

    Residents have the right to personal dignity and freedom from discrimination based on gender identity, which includes using their chosen name and pronouns. Requiring legal proof before honoring a resident's identity undermines person-centered care and resident rights.

14. Question 14 of 25Hard

    While a nurse aide is performing catheter care for an exposed resident behind a privacy curtain, another staff member walks in and begins discussing weekend plans. What is the aide's best response?

    1. AA. Uncover the resident more to signal that an active procedure is occurring.
    2. BB. Call the state inspection agency immediately to report staff abuse.
    3. CC. Continue the social conversation while finishing the catheter care.
    4. DD. Ask the coworker to leave and return after personal care is finished.
    Show answer to question 14

    Answer: D. Ask the coworker to leave and return after personal care is finished.

    Protecting resident dignity and privacy requires asking unauthorized staff to step outside whenever intimate care is in progress. Continuing casual conversations while a resident is exposed is unprofessional and violates the resident's right to respectful, private personal care.

15. Question 15 of 25Easy

    A resident wishes to send a letter but does not have postage stamps. What should the nurse aide do to support the resident's rights?

    1. AA. Assist the resident in obtaining postage through the facility
    2. BB. Tell the resident that mail cannot be sent without family help
    3. CC. Offer to pay for the postage using the aide's own cash
    4. DD. Advise the resident that mail services are reserved for emergencies
    Show answer to question 15

    Answer: A. Assist the resident in obtaining postage through the facility

    Federal regulations mandate that long-term care facilities ensure residents have reasonable access to writing materials, postage, and stationery. The aide should help the resident access facility resources or designated accounts to obtain postage. Telling the resident they must rely solely on family ignores the facility's legal obligation to facilitate mail access.

16. Question 16 of 25Hard

    A resident informs the nurse aide that a spiritual advisor is visiting to discuss private end-of-life wishes. The resident asks for complete privacy during the visit. What should the nurse aide do?

    1. AA. Remain in the room near the entrance to ensure the resident remains safe.
    2. BB. Explain that bedroom doors in a care facility must remain open during the daytime.
    3. CC. Ask the spiritual advisor to sign a medical privacy disclosure before entering.
    4. DD. Provide privacy by closing the door and informing staff not to disturb the resident.
    Show answer to question 16

    Answer: D. Provide privacy by closing the door and informing staff not to disturb the resident.

    Residents have the right to private, unmonitored visits with clergy, legal representatives, and family members at any reasonable hour. Remaining in the room or requiring the door to stay open infringes upon the resident's right to confidential conversations.

17. Question 17 of 25Medium

    A resident confides in the nurse aide that a family member took their debit card without permission and refuses to return it. How should the nurse aide recognize this situation?

    1. AA. A potential case of financial exploitation
    2. BB. A private family matter that staff should disregard
    3. CC. A standard practice for managing resident personal funds
    4. DD. A violation of resident medical confidentiality
    Show answer to question 17

    Answer: A. A potential case of financial exploitation

    Unauthorized use or taking of a resident's funds, property, or assets constitutes financial exploitation. Healthcare workers must recognize this as a form of mistreatment and report it rather than dismissing it as a personal family matter.

18. Question 18 of 25Medium

    During morning care, a resident tells the nurse aide that he prefers taking showers in the evening rather than bed baths in the morning. What should the nurse aide do with this information?

    1. AA. Advise the resident that evening staffing does not permit showers
    2. BB. Explain that daily routines cannot be changed once established
    3. CC. Document the request in the roommate's chart for comparison
    4. DD. Report the preference to the nurse so the care plan can be updated
    Show answer to question 18

    Answer: D. Report the preference to the nurse so the care plan can be updated

    Resident rights require facilities to accommodate personal choices and routines whenever possible, and the care plan must reflect individualized preferences. The nurse aide should report the preference to the charge nurse so the schedule and care plan can be modified, rather than dismissing the resident's request based on staffing assumptions.

19. Question 19 of 25Medium

    A male resident has always kept a full beard. The nurse aide notices his beard looks unkempt. What should the nurse aide do?

    1. AA. Shave off the beard to maintain facility infection control standards.
    2. BB. Comb and trim the beard according to the resident's preferences.
    3. CC. Ask the nurse for permission to shave the resident's face completely.
    4. DD. Trim the beard short while the resident is sleeping to avoid resistance.
    Show answer to question 19

    Answer: B. Comb and trim the beard according to the resident's preferences.

    Residents have the right to maintain their personal appearance, including keeping facial hair if they choose. Shaving or drastically altering a resident's beard without consent violates personal rights and bodily autonomy.

20. Question 20 of 25Hard

    A nurse aide physically forces a resident into a wheelchair after the resident repeatedly refuses to get out of bed. Which legal charge could the nurse aide face?

    1. AA. Battery
    2. BB. Neglect
    3. CC. Fraud
    4. DD. Defamation
    Show answer to question 20

    Answer: A. Battery

    Battery is the unlawful, nonconsensual physical contact with another person. Touching or physically forcing a resident to move after they have refused care constitutes battery. Neglect refers to the failure to provide necessary care or services, which differs from active, unauthorized physical force.

21. Question 21 of 25Hard

    A resident's son arrives to visit at 8:30 PM, thirty minutes after the facility's general posted visiting hours have ended. The resident is awake and eager to see him. What is the correct response by the nurse aide?

    1. AA. Welcome the visitor in and notify the nurse while maintaining roommate privacy
    2. BB. Inform the son that facility policy strictly bars all entry after visiting hours
    3. CC. Instruct the visitor to speak with the resident exclusively through the exterior window
    4. DD. Permit the visit only if the son agrees to pay an after-hours facility supervision fee
    Show answer to question 21

    Answer: A. Welcome the visitor in and notify the nurse while maintaining roommate privacy

    Under federal nursing home regulations, immediate family members have 24-hour access to a resident, provided the resident consents and the visit does not disrupt other residents. While facilities may establish public guidelines, strict visiting hours cannot override immediate family access when the resident is willing. Barring the son entirely based on standard visiting hours is incorrect and violates federal resident rights.

22. Question 22 of 25Medium

    A resident wishes to attend an upcoming Resident Council meeting held in the facility's multipurpose room. Which statement accurately reflects the resident's rights regarding this meeting?

    1. AA. The resident must obtain written permission from family before attending
    2. BB. The resident has the right to attend the meeting without facility staff present
    3. CC. The resident must allow assigned nursing staff to sit in and monitor discussions
    4. DD. The resident may only attend if they have filed an active grievance
    Show answer to question 22

    Answer: B. The resident has the right to attend the meeting without facility staff present

    Residents have the right to organize and participate in independent resident groups, such as the Resident Council, without staff interference or monitoring. Staff members and visitors may attend council meetings only when specifically invited by the resident group.

23. Question 23 of 25Medium

    A resident prefers to sleep late every morning and regularly misses the dining room's scheduled breakfast hour. How should the nurse aide handle this situation?

    1. AA. Explain that facility policy requires everyone to eat at set times.
    2. BB. Wake the resident up earlier so they do not miss breakfast.
    3. CC. Notify the nurse and dietary staff so a warm breakfast can be provided later.
    4. DD. Save cold leftovers from the breakfast service on the bedside table.
    Show answer to question 23

    Answer: C. Notify the nurse and dietary staff so a warm breakfast can be provided later.

    Residents have the right to individualized schedules, including when they wake up and when they eat. Coordinating with nursing and dietary allows the facility to honor the resident's sleep preferences while still serving a fresh, safe meal. Forcing the resident to wake up on the facility's schedule violates resident rights to self-determination and personal choice.

24. Question 24 of 25Easy

    The activity department is holding a musical performance in the main lounge. A resident prefers to stay in their room and read a magazine. What should the nurse aide do?

    1. AA. Ask the charge nurse to convince the resident to attend the concert.
    2. BB. Remove the magazine so the resident feels motivated to join the group.
    3. CC. Allow the resident to remain in their room and enjoy their reading.
    4. DD. Transport the resident to the lounge anyway so they can socialize.
    Show answer to question 24

    Answer: C. Allow the resident to remain in their room and enjoy their reading.

    Residents have the right to choose whether or not they wish to participate in organized social activities. Taking the resident to the lounge against their wishes violates their personal choice and autonomy.

25. Question 25 of 25Easy

    A resident tells the nurse aide that her soup is cold and that she is tired of the poor service in the dining room. How should the nurse aide respond?

    1. AA. Explain that the kitchen staff is short-handed today
    2. BB. Tell her that complaining will make her food arrive slower
    3. CC. Advise her to write a formal letter to the administrator
    4. DD. Listen attentively and offer to heat up the soup
    Show answer to question 25

    Answer: D. Listen attentively and offer to heat up the soup

    Nurse aides should actively listen to resident concerns, acknowledge their feelings, and take prompt action to resolve immediate, fixable issues such as warming cold food. Making excuses about staffing deflects responsibility and invalidates the resident's valid concern. Threatening delayed service is coercive and violates the resident's rights.

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