Member of the Health Care Team

6% of the CNA exam · blueprint NNAAP Written (Oral) Examination Content Outline, effective April 2024

Short answer

Four of the 60 scored items. This area is about the boundaries of the nurse aide role: working under the supervision of a licensed nurse, what may and may not be delegated, the reporting relationships that make delegation safe, and the rule that a trainee performs no service they have not been trained in and found proficient at.

Why it matters on this exam

Four items directly, but scope-of-practice reasoning decides the keyed answer in far more than four. Whenever a question ends with an action, the boundary of the role is usually what separates the right answer from the plausible one.

Key concepts

Supervision. Section 483.152(a)(4)(ii): trainees providing services to residents are under the general supervision of a licensed nurse or a registered nurse. In practice the aide works to the nurse's direction and reports back.
Proficiency before practice. Section 483.152(a)(4)(i): students do not perform any services for which they have not trained and been found proficient by the instructor. "I was asked to" is not a defence, and the exam tests that.
Observe and report, do not assess. The aide gathers data — vital signs, intake and output, changes in condition — and reports it. Interpreting it and deciding on care is the licensed nurse's work.
Who trains and supervises. Training is by, or under the general supervision of, an RN with at least two years' experience, one of which is in long-term care. In a facility-based programme the director of nursing may supervise but may not do the actual training.
The skills evaluator. Under 483.154(c)(4)(ii) the skills demonstration is administered and evaluated by a registered nurse with at least one year's experience caring for the elderly or chronically ill of any age.
Teamwork and handover. Communicating changes at shift change, and knowing which team member to escalate to.

Common mistakes

Accepting a task outside the role because a colleague or a family member asked. The rule is about training and proficiency, not about who is asking.
Recording an observation without reporting it. Charting is not the same as escalating, and an abnormal finding needs both.

Worked example

A resident's family asks an aide to adjust the flow on an oxygen regulator. The aide has not been trained in it and it is not within the role. The correct answer is to decline the task politely and inform the licensed nurse — both halves matter. Section 483.152(a)(4)(i) bars performing untrained services, and the reporting duty is what turns a refusal into safe care rather than an unmet need.

Original practice questions

Member of the Health Care TeamDifficulty 3/5

A family member asks an aide to perform a task the aide has not been trained in. What should the aide do?

AAsk another aide to perform the task on the family's behalf
BDecline the task and inform the licensed nurse of the request
CAttempt the task carefully because the family has requested it
DDecline the task and take no further action about the request

Show answer and rationale

Correct: B. Section 483.152(a)(4)(i) bars performing services one has not been trained in and found proficient at. Declining is half the answer; reporting is what turns a refusal into safe care.

C — Who asks does not change the training and proficiency requirement.
D — Declining silently leaves the underlying need unmet and the nurse unaware.
A — Passing an untrained task to a colleague does not make it appropriately delegated.

Member of the Health Care TeamDifficulty 2/5

Who administers and evaluates the skills demonstration under federal rule?

AThe director of nursing at the facility where the candidate is employed
BAny certified nurse aide with at least three years of continuous experience
CA registered nurse with at least one year caring for the elderly or chronically ill
DA licensed practical nurse with at least two years in long-term care nursing

Show answer and rationale

Correct: C. Section 483.154(c)(4)(ii) sets exactly this requirement. It is distinct from the trainer requirement at 483.152(a)(5)(i), which is an RN with two years' experience including one in long-term care.

D — The rule names a registered nurse for the skills evaluation, not an LPN.
A — A facility director of nursing is barred from performing the actual training.
B — Experience as a nurse aide does not qualify a person to evaluate the demonstration.

All 2 Member of the Health Care Team questions →

Tools for this topic

CNA skills evaluation checklist — The preparation the candidate handbook expects, and the federal entitlements most candidates do not know they have — including the right to choose an oral examination and the rule that an employing facility may not charge you.

4 flashcards for Member of the Health Care Team

Practice this topic

Blueprint-mapped questions with full rationales for every choice.

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Primary references

The 2024 National Nurse Aide Assessment Program (NNAAP) Written (Oral) Examination Content Outline — Credentia Nurse Aide LLC · primary · retrieved 2026-09-22, verified 2026-09-22
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: 2026-09-22Next review by: 2026-11-06Draft — pending editorial reviewHow we verify facts