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Role of the Nurse Aide · NC Nurse Aide I

Legal and Ethical Behavior study guide

Practice scope, honest documentation, reporting concerns, and North Carolina testing or renewal rules. Check dated policy details against the linked official pages.

5 original questionsAnswers and sources includedFree to read

Practice set

Questions and answers

Choose an answer first, then compare your reasoning with the explanation.

Question 1Scope of practice

Which task is outside the usual CNA role unless specially allowed by state law and facility policy?

  1. Taking a pulse
  2. Helping with bathing
  3. Giving an injection
  4. Reporting intake

Correct answer: C. Giving an injection

Nurse aides perform assigned nursing-related tasks; medication administration and injections generally require licensed or specially authorized personnel.

Remember: If it requires nursing judgment or medication administration, stop and ask.

Source: 42 CFR 483.35 nursing services

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Question 2Abuse reporting

A nurse aide suspects neglect but is not completely sure. What should the aide do?

  1. Report the concern according to policy
  2. Wait until there is proof beyond doubt
  3. Post about it online
  4. Ask the resident to keep it secret

Correct answer: A. Report the concern according to policy

Suspected abuse, neglect, exploitation, mistreatment, and misappropriation must be reported through required procedures.

Remember: Suspicion is enough to report through the chain of command.

Source: 42 CFR 483.12 freedom from abuse, neglect, and exploitation

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Question 3Documentation

A nurse aide forgot to turn a resident at 10:00. What is the ethical documentation action?

  1. Chart that it was done
  2. Leave all records blank forever
  3. Tell the nurse and document honestly according to policy
  4. Ask another aide to sign it

Correct answer: C. Tell the nurse and document honestly according to policy

Documentation must be truthful and care omissions should be reported so resident safety can be addressed.

Remember: Never chart care that was not provided.

Source: 42 CFR 483.35 nursing services

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Question 4NC attempt window

In North Carolina, what happens if a candidate fails the knowledge or skills portion three times within two years of completing training?

  1. They keep testing without retraining
  2. They must complete a new state-approved training program before retesting
  3. They are automatically listed
  4. They only retake the oral reading section

Correct answer: B. They must complete a new state-approved training program before retesting

NC score reporting states that after three failed attempts within two years of program completion, the candidate must complete state-approved training again before retesting.

Remember: NC uses a three-attempt and two-year eligibility boundary.

Source: NC Credentia eligibility criteria

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Question 5NC renewal

Which work pattern can renew a North Carolina Nurse Aide I listing?

  1. At least 8 hours of paid nurse aide work supervised by an RN during the 24-month listing period
  2. Any unpaid volunteer shift
  3. One hour of unsupervised private work
  4. Posting a resume online

Correct answer: A. At least 8 hours of paid nurse aide work supervised by an RN during the 24-month listing period

N.C. DHSR says renewal requires at least 8 hours of paid nurse aide work during the 24-month listing period, with duties supervised by a registered nurse.

Remember: For NC renewal: paid, nurse aide duties, RN-supervised, at least 8 hours.

Source: N.C. Nurse Aide I Registry

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