CNA Communication Practice Questions

Communication questions cover how you talk with residents who have hearing, vision or memory loss, and how you respond to strong feelings.

On the D&S Diversified Technologies (Headmaster) California knowledge test, the Communication area has 5 of the 75 questions. Other California testing vendors may group topics differently. Source: California Nurse Aide Candidate Handbook, October 2026 (checked October 23, 2026).

5 free communication practice questions

Choose your answer first, then open the answer to check it.

1. A resident with dementia becomes more confused and restless every late afternoon and evening. What is this called?

A. Aphasia
B. Contracture
C. Sundowning
D. Hypoglycemia

Show the answer to question 1

Answer: C. Sundowning Increased confusion and agitation in the late afternoon and evening in a person with dementia is called sundowning. Source: WisTech Open / Open RN (CC BY 4.0) (verified 2026-10-21).

2. Which approach can help a resident who becomes restless each evening?

A. Loud group games and music right before bedtime.
B. Calm routines and quiet activities late in the day.
C. Bright lights and the TV left on through the night.
D. A different daily schedule each evening.

Show the answer to question 2

Answer: B. Calm routines and quiet activities late in the day. Keep a daily routine, speak calmly, offer calm activities at the end of the day, and reduce noise and activity at night. Source: MedlinePlus, U.S. National Library of Medicine (verified 2026-10-21).

3. A resident with low vision keeps bumping into furniture. Which CNA action helps first?

A. Move the furniture every day so the room feels new and fresh.
B. Put the glasses across the room at night.
C. Make sure clean glasses are worn and paths are clear.
D. Ask the resident to stay in bed all day.

Show the answer to question 3

Answer: C. Make sure clean glasses are worn and paths are clear. Make sure prescribed eyeglasses are worn and clean, and keep the living area free of hazards. Source: WisTech Open / Open RN (CC BY 4.0) (verified 2026-10-21).

4. A new resident is upset because tasks once done alone now need assistance. Which response is most appropriate?

A. Tell the resident there is no reason to feel upset in a safe facility.
B. Listen to the concern and ask which safe parts of the routine the resident wants to do.
C. Explain that all choices now belong to staff because help is needed.
D. Take over the whole routine to avoid discussing the loss.

Show the answer to question 4

Answer: B. Listen to the concern and ask which safe parts of the routine the resident wants to do. Changes in function and setting can be distressing. Listen and support the person’s safe participation and choices within the care plan. Source: WisTech Open / Open RN, CC BY 4.0 (verified 2026-10-21).

5. An older resident with known hearing loss asks the CNA to repeat a routine question. The television is loud. Which approach is most helpful?

A. Leave the television playing and shout while standing behind the resident.
B. Lower the television with permission, face the resident, and speak clearly.
C. Turn toward the door and repeat the question at a faster pace.
D. Keep the television unchanged and speak only to the resident's visitor.

Show the answer to question 5

Answer: B. Lower the television with permission, face the resident, and speak clearly. Reducing background noise and facing the person can make conversation easier. Clear speech supports understanding; shouting is not the recommended substitute. Source: National Institute on Deafness and Other Communication Disorders, National Institutes of Health (verified 2026-10-20).

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Questions are written from public nursing and health sources and checked through AI editorial review. They have not been reviewed by a licensed clinician. How we write and review questions