CNA Drill

CNA exam practice question: Communication

CommunicationDifficulty 2/5

How should an aide communicate with a resident who has hearing loss?

  1. AWrite every instruction down instead of speaking at all
  2. BFace the resident and speak clearly at a normal pitch
  3. CShout so that the resident is certain to hear the words
  4. DUse a high-pitched voice to carry over the hearing loss
Show answer and rationale

Correct: B. Facing the resident lets them use lip movement and expression. Shouting distorts speech and raises pitch, which makes high-frequency hearing loss worse rather than better.

  • C — Shouting distorts the sounds and is also undignified in front of others.
  • D — High-frequency hearing is usually the first lost, so raising pitch reduces clarity.
  • A — Writing everything removes normal interaction and is unnecessary for most residents.

Concept being tested

4 of the 60 scored items. Communication and interpersonal skills with residents, families and the care team, including communicating with residents who have sensory or cognitive impairment, and the reporting that connects the aide to the licensed nurse. — 7% of the exam. Study guide for Communication.

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Primary references

  1. Colorado Nurse Aide Written (or Oral) Examination and Skills Evaluation Candidate Handbook — Credentia Services LLC, in partnership with the Colorado Board of Nursing · primary · retrieved 2026-09-22, verified 2026-09-22
  2. 42 CFR Part 483 Subpart D — Requirements That Must Be Met by States and State Agencies, Nurse Aide Training and Competency Evaluation — Office of the Federal Register (eCFR) · government · retrieved 2026-09-22, verified 2026-09-22
Last reviewed: 2026-10-07Reviewed by: Sarah Jenkins, BSN, RN, Nurse aide educator & clinical skills reviewHow we verify facts