Free Indiana CNA Practice Test Online

Correct answer: C. Licensed nurses must have specific competencies and skill sets necessary to care for residents' needs as identified through resident assessments

This is the requirement in 42 CFR 483.35(a)(3). Competencies must match assessed resident needs and the individual plan of care.

• A: The regulation explicitly requires competencies to be specific to each resident's assessed needs and described in the plan of care, not based on general knowledge alone.
• B: Rotation policies are not mentioned in 42 CFR 483.35. The focus is on competency related to specific resident care needs, not department rotation.
• D: Annual refresher training is not the standard specified in the regulation. Competency must be specific to identified resident needs, not limited to BLS.

Correct answer: A. Nurse aides must be able to demonstrate competency in skills and techniques necessary to care for residents' needs as identified through resident assessments and described in the plan of care

This is the requirement in 42 CFR 483.35(c). Competency must be demonstrated through skills and techniques matching assessed resident needs.

• B: While examinations may be part of evaluation, the regulation requires demonstration of competency in actual skills and techniques, not just written knowledge.
• C: The regulation requires that competency be demonstrated before providing care, not just after orientation.
• D: Nurse aides and registered nurses have different scope of practice and competency requirements under the regulation.

Correct answer: C. The individual must be competent to provide nursing and nursing related services, and must have completed a State-approved training and competency evaluation program or been deemed competent

This is the requirement in 42 CFR 483.35(d)(1). Full-time nurse aides beyond 4 months must be competent and have completed training/evaluation or been deemed competent.

• A: Supervision by a licensed nurse does not substitute for the required training and competency evaluation programs specified in the regulation.
• B: Nurse aides and practical nurses are different roles with different requirements. The regulation does not require practical nurse licensure for nurse aides.
• D: Education level alone is not sufficient; the regulation requires competency demonstration through training and evaluation programs.

Correct answer: B. Receive registry verification that the individual has met competency evaluation requirements, with exceptions for those in approved training programs or with recent program completion

This is the requirement in 42 CFR 483.35(d)(4). Facilities must receive registry verification unless the individual is in an approved training program or has recently completed training.

• A: Work history verification alone does not meet the registry verification requirement for competency evaluation.
• C: While prior employer contact may provide information, the regulation specifically requires registry verification of competency evaluation completion.
• D: Personal references do not substitute for the registry verification requirement specified in the regulation.

Correct answer: B. Seek information from every State registry that the facility believes will include information on the individual

This is the requirement in 42 CFR 483.35(d)(5). Facilities must proactively seek information from every relevant State registry.

• A: The regulation requires the facility to conduct this verification directly, not delegate the decision to legal.
• C: The regulation requires checking all relevant State registries, not just the facility's home State, to catch competency issues in any State.
• D: Self-reporting does not fulfill the facility's obligation to conduct independent multi-State registry verification.