CNA Dementia Care Practice Test
Practice safe, person-centered nursing assistant responses to confusion, dementia-related communication changes, challenging behavior, and daily care needs. This source-backed guide emphasizes observation, reporting, resident dignity, and CNA role boundaries rather than diagnosis or independent treatment.
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30 questions ready
Start with a quiz
Answer from memory first, then use the existing quiz review flow for anything you miss.
Activities
Quiz30 Questions
Flashcards20 Cards
Study Notes5 Notes
Modules
Learn in sequence
Start with the earlier modules and work forward. Each one builds on the last, so the course gets more advanced as you go.
1
Recognizing Cognitive Change and the CNA Role
Distinguish gradual dementia-related changes from a sudden change in condition, then practice observation and reporting within nursing assistant scope.
Dementia, Sudden Confusion, and Role Boundaries
2 min • Summary
Recognizing Cognitive Change and the CNA Role Practice
Quiz • 10 Questions
Recognizing Cognitive Change and the CNA Role Key Facts
Flashcards • 7 Cards
Sources, Attribution, and Scope
1 min • Summary
2
Communication and Behavior Support
Use calm, simple, person-centered communication and respond safely to distress, hallucinations, repetition, and aggression.
Communication That Reduces Distress
1 min • Summary
Hallucinations, Validation, and Aggression
1 min • Summary
Communication and Behavior Support Practice
Quiz • 10 Questions
Communication and Behavior Support Key Facts
Flashcards • 7 Cards
3
Daily Care, Safety, and Reporting
Apply dementia-support principles to routines, sundowning, toileting, eating, dressing, wandering risk, care refusal, and documentation.
Daily Care, Sundowning, and Safety
2 min • Summary
Daily Care, Safety, and Reporting Practice
Quiz • 10 Questions
Daily Care, Safety, and Reporting Key Facts
Flashcards • 6 Cards
Materials
List of Questions30 questions
- Question 1
- It is an expected part of normal aging
- It is a general term for cognitive losses severe enough to interfere with daily life
- It is any brief episode of forgetfulness
- It is diagnosed by a nursing assistant after observation
- Question 2
- Wait until the next shift because confusion is normal in older adults
- Tell the resident they have dementia
- Keep the resident safe and promptly report the new confusion to the nurse
- Ask the family to diagnose the cause
- Question 3
- A gradual, progressive decline that interferes with daily living
- A predictable improvement every evening
- A sudden one-hour change that never needs reporting
- A single forgotten appointment with no functional effect
- Question 4
- The resident is being difficult
- The resident seems crazy today
- At 0900, the resident asked where the bathroom was four times in ten minutes
- The resident probably has a urinary infection
- Question 5
- Choose a new medication
- Diagnose delirium
- Observe, document as required, and report the change to the nurse
- Change the resident's treatment plan
- Question 6
- The resident is intentionally causing trouble
- The behavior may communicate an unmet need or emotion
- The resident must be restrained
- The behavior proves a new psychiatric diagnosis
- Question 7
- A new increase in confusion and weakness
- A long-standing preference for tea
- Choosing the blue shirt instead of the green shirt
- Enjoying familiar music
- Question 8
- It is the most common type of dementia
- It is a normal stage of aging
- Every person develops the same symptoms at the same time
- A nursing assistant can confirm it with one memory question
- Question 9
- To make an independent medical diagnosis
- To recognize changes and tailor support to familiar preferences
- To replace the resident's care plan
- To decide which prescriptions to stop
- Question 10
- Do not mention it unless the behavior happens for a week
- Report the observation to the nurse and let the nurse determine follow-up
- Ask another resident to monitor it
- Record a diagnosis in the chart
- Question 11
- Give all instructions quickly so care finishes sooner
- Use a calm tone and present one simple idea at a time
- Raise your voice until the resident agrees
- Discuss the resident as if they are not present
- Question 12
- Ask the resident to choose from every outfit in the closet
- Make every decision without speaking to the resident
- Offer two appropriate choices, such as the blue shirt or the black shirt
- Tell the resident choices are no longer allowed
- Question 13
- Allow extra time for the resident to process and respond
- Immediately repeat the question louder
- Answer for the resident
- Ask several new questions at once
- Question 14
- Whether the hearing aids are in place and background noise is reduced
- Whether the resident can be excluded from the conversation
- Whether speaking from another room helps
- Whether every sentence can be made longer
- Question 15
- Laugh to show there is nothing to fear
- Argue until the resident admits the spiders are not real
- Acknowledge the fear, help the resident feel safe, and follow the care plan
- Say that you see the spiders too
- Question 16
- To test the resident's memory under pressure
- To acknowledge the resident's feelings and reduce distress rather than arguing over facts
- To confirm every statement as objectively true
- To avoid communicating with the resident
- Question 17
- Say, 'I already told you; stop asking'
- Ignore every repetition
- Answer calmly, use a familiar cue if appropriate, and redirect to a pleasant activity
- Quiz the resident on the current date
- Question 18
- Force the task to completion
- Pause, reduce stimulation, consider discomfort or another unmet need, and reapproach according to the care plan
- Threaten to report the resident
- Add several staff members to the room without explanation
- Question 19
- Argue with the resident at close range
- Protect safety, get assistance according to facility procedure, and report the behavior
- Punish the resident by withholding care
- Handle the situation alone and keep it secret
- Question 20
- Offer a safe, familiar task such as sorting papers or folding letters
- Correct every inaccurate memory
- Remove all activities to prevent mistakes
- Give an unfamiliar complex assignment
- Question 21
- Increase noise and visitors at dusk
- Keep early evening calm and reduce shadows, clutter, and stimulation
- Serve caffeinated drinks late in the day
- Schedule the most demanding activities at bedtime
- Question 22
- Force the shower because it is scheduled
- Offer an approved alternative or reapproach later, then report and document according to policy
- Threaten loss of privileges
- Record that the shower was completed
- Question 23
- Offer two suitable outfits and cue one step at a time
- Complete every task without inviting participation
- Lay out many outfits and demand an immediate decision
- Change the resident's clothing preference without explanation
- Question 24
- The resident's care plan, usual pattern, requests, and observed changes
- A decision to withhold fluids
- The same schedule for every resident regardless of need
- A new toileting diagnosis made by the nursing assistant
- Question 25
- Continue feeding quickly
- Change the diet texture independently
- Stop according to safety procedure and promptly notify the nurse
- Assume the change is expected and do nothing
- Question 26
- Add patterned dishes and several competing activities
- Use a calm setting and provide assistance according to the resident's diet and care plan
- Choose a new diet without an order
- Withhold the meal until the resident stops moving
- Question 27
- Follow the resident's safety plan and facility procedure, redirect if safe, and get help as needed
- Lock the resident alone in a room
- Apply a restraint without an order
- Ignore the behavior because walking is healthy
- Question 28
- Stop the activity because it is not productive work
- Continue the safe familiar activity if it fits the care plan and resident's ability
- Make the task more complex without checking
- Tell the resident the activity is childish
- Question 29
- Resident was uncooperative again
- Care not done; resident is stubborn
- At 0745, resident stated, 'I do not want a shower'; nurse notified and care reapproached per plan
- Shower completed as scheduled
- Question 30
- Use the same intervention for every resident
- Prioritize speed over communication
- Individualize care, protect dignity and safety, follow the care plan, and report changes
- Treat every behavior as deliberate misconduct
List of Flashcards20 flashcards
- Card 1Recognizing Cognitive Change and the CNA Role
- Card 2Recognizing Cognitive Change and the CNA Role
- Card 3Recognizing Cognitive Change and the CNA Role
- Card 4Recognizing Cognitive Change and the CNA Role
- Card 5Recognizing Cognitive Change and the CNA Role
- Card 6Recognizing Cognitive Change and the CNA Role
- Card 7Recognizing Cognitive Change and the CNA Role
- Card 8Communication and Behavior Support
- Card 9Communication and Behavior Support
- Card 10Communication and Behavior Support
- Card 11Communication and Behavior Support
- Card 12Communication and Behavior Support
- Card 13Communication and Behavior Support
- Card 14Communication and Behavior Support
- Card 15Daily Care, Safety, and Reporting
- Card 16Daily Care, Safety, and Reporting
- Card 17Daily Care, Safety, and Reporting
- Card 18Daily Care, Safety, and Reporting
- Card 19Daily Care, Safety, and Reporting
- Card 20Daily Care, Safety, and Reporting