CNA Practice Exam (2026) is a focused set of CNA practice test questions in a four-choice format with a “Show Answer” toggle for review. Each item includes the correct answer plus a short explanation and official citations where available, so you can verify the underlying rule quickly. Work through full runs, note what you miss, and cycle those topics again until the wording feels automatic.
FAQ
Where can I take a free CNA practice test with answers?
Use a question set that makes you commit to an answer before revealing “Show Answer.” After each item, read the explanation, then use any citation to confirm the skill rule or safety point before moving on.
What should I expect on a CNA state exam practice test?
Expect common written topics such as infection control, safety, resident rights, basic care skills, and measurement/recording. Practice with scenario-style questions so you learn how rules show up in exam wording.
Can I download a CNA practice test PDF with answers?
A PDF can help for offline review, but don’t treat it like a cheat sheet. Answer first, then check the explanation. If the PDF includes references, verify the exact wording so you don’t memorize a bad key.
Is the CNA exam hard?
It’s very manageable if you focus on safety logic and consistent routines. Most misses come from rushed reading and small rule details. Train by explaining why the wrong options are unsafe or out of scope.
How many questions can you miss on the CNA written exam?
That depends on the test vendor and your state’s passing standard, so don’t chase a single number. Use practice sets to find weak areas, then retake those topics until your errors stop repeating.
CNA Practice Exam – 2026 FREE
Q1. Before helping a resident walk with a gait belt, which action should the CNA take first?
Correct Answer: B
Explanation: Non-skid shoes reduce fall risk during ambulation. The belt should be snug with only two fingers fitting underneath and the knot in front or at the side as facility policy allows.
Citation: Pearson VUE NNAAP Candidate Handbook (), Ambulation with Transfer/Gait Belt skill; OBRA safety practices.
Explanation: Non-skid shoes reduce fall risk during ambulation. The belt should be snug with only two fingers fitting underneath and the knot in front or at the side as facility policy allows.
Citation: Pearson VUE NNAAP Candidate Handbook (), Ambulation with Transfer/Gait Belt skill; OBRA safety practices.
Q2. Hand hygiene is required before and after every resident contact. When hands are visibly soiled, the CNA must:
Correct Answer: C
Explanation: Alcohol rubs are ineffective on visibly soiled hands; soap and water for at least 20 seconds is required to remove dirt and organisms.
Citation: CDC Hand Hygiene in Healthcare Settings; Prometric Nurse Aide CIB (), Handwashing skill.
Explanation: Alcohol rubs are ineffective on visibly soiled hands; soap and water for at least 20 seconds is required to remove dirt and organisms.
Citation: CDC Hand Hygiene in Healthcare Settings; Prometric Nurse Aide CIB (), Handwashing skill.
Q3. A resident on contact precautions needs toileting assistance. Which PPE sequence for donning is correct?
Correct Answer: A
Explanation: For contact precautions, don gown first, then gloves over gown cuffs to prevent contamination.
Citation: CDC Transmission-Based Precautions; Pearson VUE NNAAP () Infection Control guidelines.
Explanation: For contact precautions, don gown first, then gloves over gown cuffs to prevent contamination.
Citation: CDC Transmission-Based Precautions; Pearson VUE NNAAP () Infection Control guidelines.
Q4. The CNA finds a resident on the floor. What is the CNA’s first action?
Correct Answer: B
Explanation: Assess for responsiveness, airway, and breathing first. Do not move the resident until help arrives and injuries are assessed.
Citation: Prometric Nurse Aide CIB () Safety & Emergency; OBRA resident safety standards.
Explanation: Assess for responsiveness, airway, and breathing first. Do not move the resident until help arrives and injuries are assessed.
Citation: Prometric Nurse Aide CIB () Safety & Emergency; OBRA resident safety standards.
Q5. When making an occupied bed, which step maintains resident safety and infection control?
Correct Answer: C
Explanation: Adjusting bed height prevents back strain; keeping one rail up prevents falls while turning the resident. Gloves must be used if linens are soiled.
Citation: Pearson VUE NNAAP () Bedmaking and Safety skills checklist.
Explanation: Adjusting bed height prevents back strain; keeping one rail up prevents falls while turning the resident. Gloves must be used if linens are soiled.
Citation: Pearson VUE NNAAP () Bedmaking and Safety skills checklist.
Q6. When providing perineal care for a female resident, the CNA should clean in which direction?
Correct Answer: B
Explanation: Cleaning from front to back prevents the transfer of bacteria from the anal area to the urethra, which helps prevent urinary tract infections.
Citation: Pearson VUE NNAAP () Perineal Care skill; OBRA infection control guidelines.
Explanation: Cleaning from front to back prevents the transfer of bacteria from the anal area to the urethra, which helps prevent urinary tract infections.
Citation: Pearson VUE NNAAP () Perineal Care skill; OBRA infection control guidelines.
Q7. A resident refuses their scheduled bath. What should the CNA do first?
Correct Answer: C
Explanation: Residents have the right to refuse care under OBRA. CNAs should respect the choice, attempt later, and report to the nurse.
Citation: OBRA Resident Rights; Pearson VUE NNAAP Candidate Handbook ().
Explanation: Residents have the right to refuse care under OBRA. CNAs should respect the choice, attempt later, and report to the nurse.
Citation: OBRA Resident Rights; Pearson VUE NNAAP Candidate Handbook ().
Q8. When measuring a resident’s radial pulse, the CNA should count beats for how long if the pulse is regular?
Correct Answer: C
Explanation: A 30-second count multiplied by two is accurate for a regular pulse; a full 60-second count is used only when irregular.
Citation: Prometric Nurse Aide CIB (), Measuring and Recording Pulse.
Explanation: A 30-second count multiplied by two is accurate for a regular pulse; a full 60-second count is used only when irregular.
Citation: Prometric Nurse Aide CIB (), Measuring and Recording Pulse.
Q9. When communicating with a resident who is hard of hearing, the CNA should:
Correct Answer: B
Explanation: Facing the resident and speaking slowly helps with lip reading and comprehension. Shouting can distort sound.
Citation: OBRA Communication Standards; Pearson VUE NNAAP () Communication section.
Explanation: Facing the resident and speaking slowly helps with lip reading and comprehension. Shouting can distort sound.
Citation: OBRA Communication Standards; Pearson VUE NNAAP () Communication section.
Q10. A CNA is helping a resident eat and notices the resident begins coughing and turning red. What should the CNA do first?
Correct Answer: C
Explanation: If the person can speak or cough, encourage coughing. Abdominal thrusts are performed only if the airway becomes completely blocked.
Citation: American Red Cross First Aid & Choking Procedures (); NNAAP Emergency Response guidelines.
Explanation: If the person can speak or cough, encourage coughing. Abdominal thrusts are performed only if the airway becomes completely blocked.
Citation: American Red Cross First Aid & Choking Procedures (); NNAAP Emergency Response guidelines.
Q11. What is the single most effective way for a nursing assistant to prevent the spread of infection in a healthcare setting?
Correct Answer: A
Explanation: Proper hand hygiene is the most important infection control measure. CNAs should wash hands with soap and water for at least 20 seconds before and after resident contact, after removing gloves, and after contact with bodily fluids.
Citation: CDC Hand Hygiene Guidelines; Pearson VUE NNAAP , Infection Control Skills.
Explanation: Proper hand hygiene is the most important infection control measure. CNAs should wash hands with soap and water for at least 20 seconds before and after resident contact, after removing gloves, and after contact with bodily fluids.
Citation: CDC Hand Hygiene Guidelines; Pearson VUE NNAAP , Infection Control Skills.
Q12. While walking with a resident, the resident becomes lightheaded and starts to fall. What should the CNA do immediately?
Correct Answer: B
Explanation: The CNA should ease the resident safely to the floor, protecting their head, and call for help. Trying to hold them upright or leaving them unattended could cause injury.
Citation: Prometric Nurse Aide CIB , Safety & Emergency Procedures.
Explanation: The CNA should ease the resident safely to the floor, protecting their head, and call for help. Trying to hold them upright or leaving them unattended could cause injury.
Citation: Prometric Nurse Aide CIB , Safety & Emergency Procedures.
Q13. A resident has weakness on the right side due to a stroke. When helping this resident get dressed, which technique should the CNA use?
Correct Answer: B
Explanation: Dress the affected (weak) side first to reduce strain and make dressing easier. Undress the strong side first when removing clothing.
Citation: Pearson VUE NNAAP , Dressing Resident with Affected Arm Skill.
Explanation: Dress the affected (weak) side first to reduce strain and make dressing easier. Undress the strong side first when removing clothing.
Citation: Pearson VUE NNAAP , Dressing Resident with Affected Arm Skill.
Q14. What is the proper body mechanics technique when a CNA lifts or transfers a heavy object?
Correct Answer: A
Explanation: Use a wide base of support, bend at the knees, keep the back straight, and lift with the legs while holding the object close to the body.
Citation: OBRA Body Mechanics Guidelines; Prometric Safety Standards.
Explanation: Use a wide base of support, bend at the knees, keep the back straight, and lift with the legs while holding the object close to the body.
Citation: OBRA Body Mechanics Guidelines; Prometric Safety Standards.
Q15. A resident has difficulty swallowing (dysphagia). How should the CNA position the resident during meals to prevent aspiration?
Correct Answer: A
Explanation: Keeping the resident upright helps food move safely down the esophagus and reduces choking risk. Never feed in a reclined or flat position.
Citation: CDC Dysphagia Feeding Guidelines; NNAAP , Feeding Skill.
Explanation: Keeping the resident upright helps food move safely down the esophagus and reduces choking risk. Never feed in a reclined or flat position.
Citation: CDC Dysphagia Feeding Guidelines; NNAAP , Feeding Skill.
Q16. Which of the following blood pressure readings should be reported to the nurse immediately as abnormally low?
Correct Answer: C
Explanation: 90/50 mmHg is hypotensive and can cause dizziness or fainting. CNAs must report any blood pressure below 90/60 mmHg to the nurse.
Citation: American Heart Association; NNAAP , Vital Signs Skill.
Explanation: 90/50 mmHg is hypotensive and can cause dizziness or fainting. CNAs must report any blood pressure below 90/60 mmHg to the nurse.
Citation: American Heart Association; NNAAP , Vital Signs Skill.
Q17. A resident is coughing weakly, cannot speak, and is clutching their throat. What should the CNA do first?
Correct Answer: A
Explanation: These are signs of a complete airway obstruction. The CNA should perform abdominal thrusts immediately to clear the airway and call for help.
Citation: American Red Cross, Adult Choking Response ; Prometric Emergency Procedures.
Explanation: These are signs of a complete airway obstruction. The CNA should perform abdominal thrusts immediately to clear the airway and call for help.
Citation: American Red Cross, Adult Choking Response ; Prometric Emergency Procedures.
Q18. A resident with Alzheimer’s repeatedly asks to “go home.” What is the best CNA response?
Correct Answer: C
Explanation: Use validation therapy — acknowledge feelings and redirect with empathy rather than arguing or correcting. This reduces agitation and maintains dignity.
Citation: Alzheimer’s Association, Dementia Care Training; OBRA Resident Rights.
Explanation: Use validation therapy — acknowledge feelings and redirect with empathy rather than arguing or correcting. This reduces agitation and maintains dignity.
Citation: Alzheimer’s Association, Dementia Care Training; OBRA Resident Rights.
Q19. A resident’s religion prohibits eating pork. The kitchen delivers a meal that includes bacon. What should the CNA do?
Correct Answer: A
Explanation: CNAs must respect religious and cultural dietary restrictions and notify dietary services to provide a suitable alternative.
Citation: OBRA Resident Rights; Pearson VUE NNAAP , Cultural Sensitivity Section.
Explanation: CNAs must respect religious and cultural dietary restrictions and notify dietary services to provide a suitable alternative.
Citation: OBRA Resident Rights; Pearson VUE NNAAP , Cultural Sensitivity Section.
Q20. When communicating with a resident who is hard of hearing, what approach helps most?
Correct Answer: A
Explanation: Maintain eye contact, good lighting, and speak slowly and clearly. Shouting distorts sound and covering your mouth blocks lip-reading.
Citation: CDC Communication Aids for Hearing Impairment; OBRA Communication Standards.
Explanation: Maintain eye contact, good lighting, and speak slowly and clearly. Shouting distorts sound and covering your mouth blocks lip-reading.
Citation: CDC Communication Aids for Hearing Impairment; OBRA Communication Standards.
Q21. A resident refuses their scheduled bath. What should the CNA do?
Correct Answer: A
Explanation: Residents have the right to refuse care. The CNA should offer the bath later and inform the nurse so it’s documented.
Citation: OBRA 1987 Resident Rights Act; NNAAP , Patient Autonomy.
Explanation: Residents have the right to refuse care. The CNA should offer the bath later and inform the nurse so it’s documented.
Citation: OBRA 1987 Resident Rights Act; NNAAP , Patient Autonomy.
Q22. The CNA suspects a resident has been abused by another staff member. What is the CNA’s obligation?
Correct Answer: A
Explanation: CNAs are mandatory reporters and must report any suspicion of abuse immediately following facility policy.
Citation: OBRA 1987, Right to Freedom from Abuse; Pearson VUE NNAAP .
Explanation: CNAs are mandatory reporters and must report any suspicion of abuse immediately following facility policy.
Citation: OBRA 1987, Right to Freedom from Abuse; Pearson VUE NNAAP .
Q23. A diabetic resident shows excessive thirst, frequent urination, and fruity-smelling breath. What should the CNA do first?
Correct Answer: B
Explanation: These are signs of hyperglycemia. The CNA should report immediately so medical treatment can be provided. Never give sugar unless hypoglycemia is confirmed.
Citation: Prometric Nurse Aide CIB ; American Diabetes Association Guidelines.
Explanation: These are signs of hyperglycemia. The CNA should report immediately so medical treatment can be provided. Never give sugar unless hypoglycemia is confirmed.
Citation: Prometric Nurse Aide CIB ; American Diabetes Association Guidelines.
Q24. Why are passive range-of-motion (PROM) exercises performed for residents on bed rest?
Correct Answer: A
Explanation: PROM keeps joints flexible and prevents contractures and stiffness for residents who cannot move independently.
Citation: Pearson VUE NNAAP , Range of Motion Skill; OBRA Rehabilitation Principles.
Explanation: PROM keeps joints flexible and prevents contractures and stiffness for residents who cannot move independently.
Citation: Pearson VUE NNAAP , Range of Motion Skill; OBRA Rehabilitation Principles.
Q25. A resident has a Do Not Resuscitate (DNR) order and is found without a pulse or breathing. What should the CNA do?
Correct Answer: B
Explanation: A DNR means resuscitation should not be started. The CNA should notify the nurse at once and respect the resident’s documented wishes.
Citation: OBRA 1987; Prometric CNA End-of-Life Care Standards .
Explanation: A DNR means resuscitation should not be started. The CNA should notify the nurse at once and respect the resident’s documented wishes.
Citation: OBRA 1987; Prometric CNA End-of-Life Care Standards .
Q26. When assisting a resident with ambulation using a gait belt, where should the CNA position themselves?
Correct Answer: B
Explanation: When assisting with a gait belt, the CNA should stand slightly behind and on the resident’s weaker side to provide support in case of imbalance.
Citation: Pearson VUE NNAAP , Ambulation Skill Checklist.
Explanation: When assisting with a gait belt, the CNA should stand slightly behind and on the resident’s weaker side to provide support in case of imbalance.
Citation: Pearson VUE NNAAP , Ambulation Skill Checklist.
Q27. A CNA spills urine on the floor. What is the correct first action?
Correct Answer: C
Explanation: Spills of bodily fluids must be cleaned immediately while wearing gloves and using appropriate disinfectant to reduce infection risk and fall hazards.
Citation: CDC Standard Precautions; OBRA Infection Control Procedures.
Explanation: Spills of bodily fluids must be cleaned immediately while wearing gloves and using appropriate disinfectant to reduce infection risk and fall hazards.
Citation: CDC Standard Precautions; OBRA Infection Control Procedures.
Q28. When transferring a resident from bed to wheelchair, what should the CNA do before moving the resident?
Correct Answer: A
Explanation: Locking the wheelchair wheels before any transfer prevents movement that could lead to falls or injury.
Citation: Prometric Nurse Aide CIB , Wheelchair Transfer Safety Guidelines.
Explanation: Locking the wheelchair wheels before any transfer prevents movement that could lead to falls or injury.
Citation: Prometric Nurse Aide CIB , Wheelchair Transfer Safety Guidelines.
Q29. A resident complains of shortness of breath. What is the CNA’s immediate action?
Correct Answer: A
Explanation: Sitting upright allows easier breathing by expanding lung capacity. The CNA must immediately alert the nurse after positioning the resident safely.
Citation: NNAAP , Emergency Response Procedures.
Explanation: Sitting upright allows easier breathing by expanding lung capacity. The CNA must immediately alert the nurse after positioning the resident safely.
Citation: NNAAP , Emergency Response Procedures.
Q30. The CNA finds a used disposable razor left in the resident’s sink. What should be done?
Correct Answer: A
Explanation: Used razors are biohazardous sharps and must be discarded immediately into an approved sharps container using standard precautions.
Citation: CDC Bloodborne Pathogen Standard; OSHA Sharps Disposal Policy.
Explanation: Used razors are biohazardous sharps and must be discarded immediately into an approved sharps container using standard precautions.
Citation: CDC Bloodborne Pathogen Standard; OSHA Sharps Disposal Policy.
Q31. A CNA observes another aide shouting at a resident. What should the CNA do?
Correct Answer: A
Explanation: Verbal abuse is never acceptable. CNAs are legally required to report any suspected or witnessed abuse immediately.
Citation: OBRA Resident Rights Act ; Mandated Reporter Policy.
Explanation: Verbal abuse is never acceptable. CNAs are legally required to report any suspected or witnessed abuse immediately.
Citation: OBRA Resident Rights Act ; Mandated Reporter Policy.
Q32. Which action demonstrates respect for a resident’s privacy during care?
Correct Answer: A
Explanation: Closing curtains and doors preserves dignity and privacy, as required under OBRA standards.
Citation: OBRA 1987, Resident Privacy and Dignity Requirements.
Explanation: Closing curtains and doors preserves dignity and privacy, as required under OBRA standards.
Citation: OBRA 1987, Resident Privacy and Dignity Requirements.
Q33. A CNA notes that a resident’s tray is untouched after lunch. What should the CNA do first?
Correct Answer: A
Explanation: The CNA should observe and communicate with the resident to determine the reason before reporting to the nurse. It may relate to illness, dentures, or food preference.
Citation: Pearson VUE NNAAP , Nutrition and Feeding Guidelines.
Explanation: The CNA should observe and communicate with the resident to determine the reason before reporting to the nurse. It may relate to illness, dentures, or food preference.
Citation: Pearson VUE NNAAP , Nutrition and Feeding Guidelines.
Q34. The CNA notices a resident’s call light has been on for several minutes. What should the CNA do?
Correct Answer: A
Explanation: Quick response to call lights demonstrates respect and ensures safety. Delays can lead to falls or unmet needs.
Citation: OBRA Resident Care Quality Standards; Prometric Ethics Section.
Explanation: Quick response to call lights demonstrates respect and ensures safety. Delays can lead to falls or unmet needs.
Citation: OBRA Resident Care Quality Standards; Prometric Ethics Section.
Q35. What is the normal range for an adult’s oral temperature?
Correct Answer: A
Explanation: The normal oral temperature range for adults is approximately 97.6°F–99.6°F. Any reading outside this range should be reported.
Citation: CDC Vital Signs ; NNAAP Measurement Skill Guidelines.
Explanation: The normal oral temperature range for adults is approximately 97.6°F–99.6°F. Any reading outside this range should be reported.
Citation: CDC Vital Signs ; NNAAP Measurement Skill Guidelines.
Q36. When collecting a urine specimen from a resident, what must the CNA do to ensure accuracy?
Correct Answer: A
Explanation: Proper labeling with the resident’s name, date, and time ensures accurate test results and prevents specimen mix-ups.
Citation: Pearson VUE NNAAP , Urine Collection Skill Procedure.
Explanation: Proper labeling with the resident’s name, date, and time ensures accurate test results and prevents specimen mix-ups.
Citation: Pearson VUE NNAAP , Urine Collection Skill Procedure.
Q37. When performing mouth care for an unconscious resident, the CNA should:
Correct Answer: A
Explanation: Positioning the head to the side prevents fluid from entering the airway and reduces aspiration risk during mouth care.
Citation: Prometric Nurse Aide CIB , Unconscious Mouth Care Guidelines.
Explanation: Positioning the head to the side prevents fluid from entering the airway and reduces aspiration risk during mouth care.
Citation: Prometric Nurse Aide CIB , Unconscious Mouth Care Guidelines.
Q38. Which action helps prevent pressure ulcers in bed-bound residents?
Correct Answer: A
Explanation: Frequent repositioning relieves pressure, improves circulation, and prevents skin breakdown in immobile residents.
Citation: OBRA , Skin Integrity and Pressure Injury Prevention.
Explanation: Frequent repositioning relieves pressure, improves circulation, and prevents skin breakdown in immobile residents.
Citation: OBRA , Skin Integrity and Pressure Injury Prevention.
Q39. When recording a resident’s weight, the CNA should:
Correct Answer: A
Explanation: Using the same scale, time of day, and similar clothing ensures accurate, consistent weight tracking.
Citation: Pearson VUE NNAAP , Measuring and Recording Weight Skill.
Explanation: Using the same scale, time of day, and similar clothing ensures accurate, consistent weight tracking.
Citation: Pearson VUE NNAAP , Measuring and Recording Weight Skill.
Q40. Before performing any skill, the CNA should:
Correct Answer: A
Explanation: The CNA must wash hands and introduce themselves, explain the procedure, and obtain consent to promote trust and infection control.
Citation: NNAAP Candidate Handbook, Standard Opening Procedures.
Explanation: The CNA must wash hands and introduce themselves, explain the procedure, and obtain consent to promote trust and infection control.
Citation: NNAAP Candidate Handbook, Standard Opening Procedures.
Q41. A resident with COPD (chronic obstructive pulmonary disease) becomes short of breath. What is the best position?
Correct Answer: A
Explanation: Sitting upright leaning slightly forward opens the airway and allows the lungs to expand more effectively.
Citation: American Lung Association; Prometric CNA Respiratory Care .
Explanation: Sitting upright leaning slightly forward opens the airway and allows the lungs to expand more effectively.
Citation: American Lung Association; Prometric CNA Respiratory Care .
Q42. Which type of isolation precaution is used for a resident with tuberculosis (TB)?
Correct Answer: A
Explanation: TB is transmitted through airborne particles; CNAs must use airborne precautions and ensure the resident is in a negative-pressure room.
Citation: CDC Tuberculosis Infection Control .
Explanation: TB is transmitted through airborne particles; CNAs must use airborne precautions and ensure the resident is in a negative-pressure room.
Citation: CDC Tuberculosis Infection Control .
Q43. What is the normal adult resting pulse range?
Correct Answer: A
Explanation: The normal adult resting heart rate ranges from 60 to 100 bpm; outside this range should be reported.
Citation: AHA Vital Sign Norms ; NNAAP Measuring Pulse Skill.
Explanation: The normal adult resting heart rate ranges from 60 to 100 bpm; outside this range should be reported.
Citation: AHA Vital Sign Norms ; NNAAP Measuring Pulse Skill.
Q44. A CNA observes that a resident’s hands shake while feeding. What should the CNA do?
Correct Answer: A
Explanation: CNAs should promote independence by offering adaptive equipment or assistance while maintaining dignity.
Citation: OBRA 1987, Promoting Independence in ADLs.
Explanation: CNAs should promote independence by offering adaptive equipment or assistance while maintaining dignity.
Citation: OBRA 1987, Promoting Independence in ADLs.
Q45. When assisting a resident with partial blindness, the CNA should:
Correct Answer: A
Explanation: CNAs should communicate each step clearly and maintain consistency in room setup to help orient the resident safely.
Citation: Pearson VUE NNAAP , Sensory Impairment Communication Guidelines.
Explanation: CNAs should communicate each step clearly and maintain consistency in room setup to help orient the resident safely.
Citation: Pearson VUE NNAAP , Sensory Impairment Communication Guidelines.
Q46. What is the first step after accidentally pricking yourself with a contaminated needle?
Correct Answer: A
Explanation: Immediate washing reduces infection risk; reporting ensures post-exposure evaluation and documentation.
Citation: OSHA Bloodborne Pathogens Standard .
Explanation: Immediate washing reduces infection risk; reporting ensures post-exposure evaluation and documentation.
Citation: OSHA Bloodborne Pathogens Standard .
Q47. The CNA notices a resident’s right arm is red and swollen around an IV site. What should the CNA do?
Correct Answer: A
Explanation: Redness and swelling at an IV site may indicate infection or infiltration; the CNA must report this observation immediately.
Citation: Prometric Nurse Aide CIB , Observational Reporting Standards.
Explanation: Redness and swelling at an IV site may indicate infection or infiltration; the CNA must report this observation immediately.
Citation: Prometric Nurse Aide CIB , Observational Reporting Standards.
Q48. A resident with Parkinson’s disease walks slowly with small steps and has poor balance. What should the CNA do?
Correct Answer: A
Explanation: Parkinson’s affects mobility and balance. The CNA should provide patient assistance using a gait belt and allow adequate time for safe movement.
Citation: NNAAP , Neurological Disorders Mobility Care.
Explanation: Parkinson’s affects mobility and balance. The CNA should provide patient assistance using a gait belt and allow adequate time for safe movement.
Citation: NNAAP , Neurological Disorders Mobility Care.
Q49. A resident begins to have a seizure while in bed. What is the CNA’s first action?
Correct Answer: A
Explanation: During a seizure, protect the resident from injury by padding the area and turning their head to the side if possible; never restrain or insert anything in their mouth.
Citation: Epilepsy Foundation CNA Safety Standards .
Explanation: During a seizure, protect the resident from injury by padding the area and turning their head to the side if possible; never restrain or insert anything in their mouth.
Citation: Epilepsy Foundation CNA Safety Standards .
Q50. Which of the following tasks is outside the CNA’s scope of practice?
Correct Answer: A
Explanation: CNAs do not administer medications. They perform personal care, observation, and reporting duties under a nurse’s supervision.
Citation: OBRA 1987 CNA Scope of Practice; Pearson VUE NNAAP Candidate Handbook.
Explanation: CNAs do not administer medications. They perform personal care, observation, and reporting duties under a nurse’s supervision.
Citation: OBRA 1987 CNA Scope of Practice; Pearson VUE NNAAP Candidate Handbook.
Q51. Before feeding a resident, what should the CNA always check first?
Correct Answer: A
Explanation: Always confirm the resident’s identity and the diet card to ensure they receive the correct meal and texture per their care plan.
Citation: Pearson VUE NNAAP , Feeding Skill Guidelines.
Explanation: Always confirm the resident’s identity and the diet card to ensure they receive the correct meal and texture per their care plan.
Citation: Pearson VUE NNAAP , Feeding Skill Guidelines.
Q52. When assisting with perineal care, the CNA should clean in which direction?
Correct Answer: A
Explanation: Cleaning from front to back prevents the transfer of bacteria from the anal area to the urinary tract, reducing infection risk.
Citation: CDC Infection Prevention for Long-Term Care, .
Explanation: Cleaning from front to back prevents the transfer of bacteria from the anal area to the urinary tract, reducing infection risk.
Citation: CDC Infection Prevention for Long-Term Care, .
Q53. When documenting on a resident’s chart, the CNA should:
Correct Answer: A
Explanation: Documentation should be done promptly, accurately, and objectively after providing care—never include personal opinions or alter records.
Citation: OBRA 1987, CNA Legal and Ethical Standards; NNAAP Documentation Guidelines .
Explanation: Documentation should be done promptly, accurately, and objectively after providing care—never include personal opinions or alter records.
Citation: OBRA 1987, CNA Legal and Ethical Standards; NNAAP Documentation Guidelines .
Q54. When applying a restraint, what is the CNA’s primary responsibility?
Correct Answer: A
Explanation: Restraints require a doctor’s order and must allow movement and circulation; CNAs check the resident at least every 15 minutes.
Citation: OBRA Restraint Regulations; Prometric CNA Safety Standards .
Explanation: Restraints require a doctor’s order and must allow movement and circulation; CNAs check the resident at least every 15 minutes.
Citation: OBRA Restraint Regulations; Prometric CNA Safety Standards .
Q55. Which statement best describes the CNA’s role in the nursing process?
Correct Answer: A
Explanation: CNAs assist in the nursing process by observing, reporting, and recording information that supports the nurse’s assessment.
Citation: OBRA 1987, Role of the Nursing Assistant; Pearson VUE NNAAP Handbook .
Explanation: CNAs assist in the nursing process by observing, reporting, and recording information that supports the nurse’s assessment.
Citation: OBRA 1987, Role of the Nursing Assistant; Pearson VUE NNAAP Handbook .
Q56. When measuring a resident’s pulse, the CNA should count the beats for:
Correct Answer: A
Explanation: Counting for a full minute ensures accuracy, especially if the pulse is irregular or slow.
Citation: NNAAP Skill: Measure and Record Pulse, .
Explanation: Counting for a full minute ensures accuracy, especially if the pulse is irregular or slow.
Citation: NNAAP Skill: Measure and Record Pulse, .
Q57. What is the proper way to remove a soiled gown from a resident with an IV?
Correct Answer: A
Explanation: Always remove the gown from the unaffected arm first and re-dress the affected (IV) arm last to prevent pulling or dislodging the tubing.
Citation: Pearson VUE NNAAP , Dressing Resident with IV Skill.
Explanation: Always remove the gown from the unaffected arm first and re-dress the affected (IV) arm last to prevent pulling or dislodging the tubing.
Citation: Pearson VUE NNAAP , Dressing Resident with IV Skill.
Q58. When using a fire extinguisher, the correct order of operation is:
Correct Answer: A
Explanation: The PASS method—Pull the pin, Aim at the base, Squeeze the handle, Sweep side to side—is the correct fire extinguisher procedure.
Citation: OSHA Fire Safety Guidelines .
Explanation: The PASS method—Pull the pin, Aim at the base, Squeeze the handle, Sweep side to side—is the correct fire extinguisher procedure.
Citation: OSHA Fire Safety Guidelines .
Q59. A resident’s care plan requires “NPO.” What does this mean?
Correct Answer: A
Explanation: “NPO” is a medical abbreviation for “nothing by mouth,” meaning the resident should not eat or drink anything until ordered otherwise.
Citation: Pearson VUE NNAAP , Abbreviations and Terminology Section.
Explanation: “NPO” is a medical abbreviation for “nothing by mouth,” meaning the resident should not eat or drink anything until ordered otherwise.
Citation: Pearson VUE NNAAP , Abbreviations and Terminology Section.
Q60. A CNA discovers a small fire in a resident’s trash can. What is the first action?
Correct Answer: A
Explanation: Follow RACE protocol—Rescue anyone in danger, Activate the alarm, Contain the fire, Extinguish if safe. The resident’s safety comes first.
Citation: OSHA Fire Safety Procedures; NNAAP .
Explanation: Follow RACE protocol—Rescue anyone in danger, Activate the alarm, Contain the fire, Extinguish if safe. The resident’s safety comes first.
Citation: OSHA Fire Safety Procedures; NNAAP .
Q61. The CNA is repositioning a resident who has a pressure ulcer on their coccyx. Which position should be avoided?
Correct Answer: A
Explanation: Lying flat on the back increases pressure on the coccyx and worsens ulcers. Use lateral or 30-degree positioning instead.
Citation: NPUAP Pressure Injury Prevention Protocol .
Explanation: Lying flat on the back increases pressure on the coccyx and worsens ulcers. Use lateral or 30-degree positioning instead.
Citation: NPUAP Pressure Injury Prevention Protocol .
Q62. When performing catheter care, where should the CNA clean?
Correct Answer: A
Explanation: Clean four inches down the catheter from the meatus, moving away from the body, using a clean section of the cloth each time.
Citation: Pearson VUE NNAAP Catheter Care Skill .
Explanation: Clean four inches down the catheter from the meatus, moving away from the body, using a clean section of the cloth each time.
Citation: Pearson VUE NNAAP Catheter Care Skill .
Q63. A resident begins to vomit while lying down. What should the CNA do immediately?
Correct Answer: A
Explanation: Turning the head prevents aspiration by allowing vomitus to drain safely from the mouth.
Citation: Prometric Emergency Response Guidelines .
Explanation: Turning the head prevents aspiration by allowing vomitus to drain safely from the mouth.
Citation: Prometric Emergency Response Guidelines .
Q64. The CNA is assisting a resident with dementia during mealtime. What’s the best communication approach?
Correct Answer: A
Explanation: Dementia care requires calm, simple directions and reassurance to reduce confusion and frustration.
Citation: Alzheimer’s Association Dementia Care Guidelines .
Explanation: Dementia care requires calm, simple directions and reassurance to reduce confusion and frustration.
Citation: Alzheimer’s Association Dementia Care Guidelines .
Q65. Which vital sign change must the CNA report immediately?
Correct Answer: A
Explanation: A sudden drop in blood pressure may indicate internal bleeding, shock, or cardiac distress and must be reported at once.
Citation: NNAAP Vital Sign Standards .
Explanation: A sudden drop in blood pressure may indicate internal bleeding, shock, or cardiac distress and must be reported at once.
Citation: NNAAP Vital Sign Standards .
Q66. Which of the following is the best example of maintaining a resident’s dignity?
Correct Answer: A
Explanation: Providing privacy, respect, and choice promotes dignity in care. Privacy curtains are required during personal care.
Citation: OBRA 1987 Resident Rights, Section on Privacy.
Explanation: Providing privacy, respect, and choice promotes dignity in care. Privacy curtains are required during personal care.
Citation: OBRA 1987 Resident Rights, Section on Privacy.
Q67. If a resident with diabetes refuses their meal, what should the CNA do?
Correct Answer: A
Explanation: Meal refusal in diabetic residents must be reported to prevent hypoglycemia or other complications.
Citation: ADA Long-Term Care Guidelines .
Explanation: Meal refusal in diabetic residents must be reported to prevent hypoglycemia or other complications.
Citation: ADA Long-Term Care Guidelines .
Q68. The CNA finds a resident crying and withdrawn. What is the best initial response?
Correct Answer: A
Explanation: Providing emotional support through presence and listening builds trust and may reveal important emotional or physical concerns.
Citation: OBRA 1987, Psychosocial Care Requirements.
Explanation: Providing emotional support through presence and listening builds trust and may reveal important emotional or physical concerns.
Citation: OBRA 1987, Psychosocial Care Requirements.
Q69. During hand hygiene, how long should the CNA scrub their hands?
Correct Answer: A
Explanation: The CDC recommends scrubbing hands with soap and water for at least 20 seconds to remove pathogens.
Citation: CDC Hand Hygiene Guidelines .
Explanation: The CDC recommends scrubbing hands with soap and water for at least 20 seconds to remove pathogens.
Citation: CDC Hand Hygiene Guidelines .
Q70. What is the main purpose of standard precautions?
Correct Answer: A
Explanation: Standard precautions assume all bodily fluids may contain infectious agents and apply to every resident, every time.
Citation: CDC Infection Control Standards, .
Explanation: Standard precautions assume all bodily fluids may contain infectious agents and apply to every resident, every time.
Citation: CDC Infection Control Standards, .
Q71. The CNA is transferring a resident from bed to wheelchair. What must be done first?
Correct Answer: A
Explanation: Wheelchair brakes must always be locked before transfer to prevent rolling and injury.
Citation: Pearson VUE NNAAP Transfer Skill .
Explanation: Wheelchair brakes must always be locked before transfer to prevent rolling and injury.
Citation: Pearson VUE NNAAP Transfer Skill .
Q72. Which sign may indicate hypoglycemia in a diabetic resident?
Correct Answer: A
Explanation: Hypoglycemia causes low blood sugar, leading to sweating, tremors, confusion, and weakness; report immediately.
Citation: ADA Long-Term Care Protocol .
Explanation: Hypoglycemia causes low blood sugar, leading to sweating, tremors, confusion, and weakness; report immediately.
Citation: ADA Long-Term Care Protocol .
Q73. What should the CNA do if a resident complains of chest pain?
Correct Answer: A
Explanation: Chest pain can signal a cardiac emergency; stay with the resident and report immediately to the nurse.
Citation: AHA Long-Term Care Cardiac Response .
Explanation: Chest pain can signal a cardiac emergency; stay with the resident and report immediately to the nurse.
Citation: AHA Long-Term Care Cardiac Response .
Q74. Which of the following actions violates resident confidentiality?
Correct Answer: A
Explanation: Talking about resident details in public areas violates HIPAA privacy laws and facility policy.
Citation: HIPAA Privacy Rule .
Explanation: Talking about resident details in public areas violates HIPAA privacy laws and facility policy.
Citation: HIPAA Privacy Rule .
Q75. A resident falls while trying to get out of bed. The CNA should:
Correct Answer: A
Explanation: Never move a fallen resident alone. Stay with them, ensure safety, and summon help for assessment before repositioning.
Citation: Prometric Nurse Aide , Fall Response Protocol.
Explanation: Never move a fallen resident alone. Stay with them, ensure safety, and summon help for assessment before repositioning.
Citation: Prometric Nurse Aide , Fall Response Protocol.
Q76. When providing foot care to a diabetic resident, the CNA should:
Correct Answer: A
Explanation: CNAs must check diabetic feet daily for redness, blisters, or sores and report findings. They do not trim nails or apply lotion between toes due to infection risk.
Citation: ADA Diabetic Foot Care Guidelines .
Explanation: CNAs must check diabetic feet daily for redness, blisters, or sores and report findings. They do not trim nails or apply lotion between toes due to infection risk.
Citation: ADA Diabetic Foot Care Guidelines .
Q77. The CNA notices a resident has not had a bowel movement for three days. What should the CNA do?
Correct Answer: A
Explanation: Constipation can lead to serious complications. CNAs observe and report bowel patterns but do not administer medications.
Citation: NNAAP Elimination Guidelines .
Explanation: Constipation can lead to serious complications. CNAs observe and report bowel patterns but do not administer medications.
Citation: NNAAP Elimination Guidelines .
Q78. Which behavior demonstrates respect for a resident’s cultural beliefs?
Correct Answer: A
Explanation: CNAs must show cultural sensitivity by respecting personal, dietary, and spiritual preferences.
Citation: OBRA 1987 Resident Rights; Cultural Competency Standards .
Explanation: CNAs must show cultural sensitivity by respecting personal, dietary, and spiritual preferences.
Citation: OBRA 1987 Resident Rights; Cultural Competency Standards .
Q79. When assisting a resident with a weak left side, the CNA should:
Correct Answer: A
Explanation: Always assist on the weak side to provide stability and prevent falls during ambulation or transfers.
Citation: Pearson VUE NNAAP Mobility Skills .
Explanation: Always assist on the weak side to provide stability and prevent falls during ambulation or transfers.
Citation: Pearson VUE NNAAP Mobility Skills .
Q80. When communicating with a resident who is hard of hearing, the CNA should:
Correct Answer: A
Explanation: Face-to-face communication allows lip reading and nonverbal cues, which improves understanding for hearing-impaired residents.
Citation: NNAAP Communication Skills .
Explanation: Face-to-face communication allows lip reading and nonverbal cues, which improves understanding for hearing-impaired residents.
Citation: NNAAP Communication Skills .
Q81. The CNA observes bruises on a resident’s upper arms. What should the CNA do first?
Correct Answer: A
Explanation: CNAs are mandatory reporters of suspected abuse. Any unexplained bruising must be reported immediately to the nurse.
Citation: OBRA 1987 Resident Protection and Abuse Reporting Rules.
Explanation: CNAs are mandatory reporters of suspected abuse. Any unexplained bruising must be reported immediately to the nurse.
Citation: OBRA 1987 Resident Protection and Abuse Reporting Rules.
Q82. Which of the following promotes resident independence during bathing?
Correct Answer: A
Explanation: Encouraging participation supports independence, dignity, and self-esteem while promoting safety.
Citation: OBRA 1987 Resident Rights; ADL Support Standards .
Explanation: Encouraging participation supports independence, dignity, and self-esteem while promoting safety.
Citation: OBRA 1987 Resident Rights; ADL Support Standards .
Q83. When should gloves be worn by the CNA?
Correct Answer: A
Explanation: Standard precautions require gloves when there’s risk of exposure to blood, body fluids, or mucous membranes.
Citation: CDC Standard Precautions .
Explanation: Standard precautions require gloves when there’s risk of exposure to blood, body fluids, or mucous membranes.
Citation: CDC Standard Precautions .
Q84. A resident with Alzheimer’s disease keeps asking what time lunch is. The CNA should:
Correct Answer: A
Explanation: Reassurance and consistency reduce anxiety in residents with dementia or memory loss.
Citation: Alzheimer’s Association Communication Strategies .
Explanation: Reassurance and consistency reduce anxiety in residents with dementia or memory loss.
Citation: Alzheimer’s Association Communication Strategies .
Q85. When ambulating a resident with a gait belt, the CNA should place the belt:
Correct Answer: A
Explanation: A gait belt is secured snugly at the waist, over clothing, allowing the CNA to support safely during transfers.
Citation: Pearson VUE NNAAP Ambulation Skill .
Explanation: A gait belt is secured snugly at the waist, over clothing, allowing the CNA to support safely during transfers.
Citation: Pearson VUE NNAAP Ambulation Skill .
Q86. A resident with dysphagia is at risk for which of the following complications?
Correct Answer: A
Explanation: Dysphagia, or difficulty swallowing, can cause food or liquid to enter the airway, leading to aspiration and possible pneumonia.
Citation: NNAAP Feeding Safety Guidelines .
Explanation: Dysphagia, or difficulty swallowing, can cause food or liquid to enter the airway, leading to aspiration and possible pneumonia.
Citation: NNAAP Feeding Safety Guidelines .
Q87. When assisting a resident with a weak right side to dress, the CNA should:
Correct Answer: A
Explanation: Always dress the weak side first to reduce strain and undress it last for safety and comfort.
Citation: Pearson VUE NNAAP Dressing Resident Skill .
Explanation: Always dress the weak side first to reduce strain and undress it last for safety and comfort.
Citation: Pearson VUE NNAAP Dressing Resident Skill .
Q88. A CNA overhears another staff member making fun of a resident’s speech. What should the CNA do?
Correct Answer: A
Explanation: Verbal abuse is a serious violation of resident rights and must be reported immediately to the nurse or administrator.
Citation: OBRA 1987 Resident Rights; Abuse Reporting Requirements .
Explanation: Verbal abuse is a serious violation of resident rights and must be reported immediately to the nurse or administrator.
Citation: OBRA 1987 Resident Rights; Abuse Reporting Requirements .
Q89. When a resident is on oxygen, which safety rule must be followed?
Correct Answer: A
Explanation: Oxygen supports combustion. Keep it away from flames, heat, or electrical sparks. Use water-based lubricants only.
Citation: OSHA Oxygen Safety Standards .
Explanation: Oxygen supports combustion. Keep it away from flames, heat, or electrical sparks. Use water-based lubricants only.
Citation: OSHA Oxygen Safety Standards .
Q90. What should the CNA do if a resident suddenly becomes unresponsive?
Correct Answer: A
Explanation: Activate emergency protocol, call for help, and start CPR if allowed by facility policy and CNA certification.
Citation: AHA Basic Life Support for Healthcare Providers .
Explanation: Activate emergency protocol, call for help, and start CPR if allowed by facility policy and CNA certification.
Citation: AHA Basic Life Support for Healthcare Providers .
Q91. When handling soiled linens, the CNA should:
Correct Answer: A
Explanation: Soiled linens should be held away from the uniform to prevent contamination and should never be shaken or placed on the floor.
Citation: CDC Environmental Cleaning Standards .
Explanation: Soiled linens should be held away from the uniform to prevent contamination and should never be shaken or placed on the floor.
Citation: CDC Environmental Cleaning Standards .
Q92. What is the best way to identify a resident before providing care?
Correct Answer: A
Explanation: Use two identifiers—usually the ID band and verbal confirmation—to ensure correct patient identification.
Citation: Joint Commission Patient Safety Goals .
Explanation: Use two identifiers—usually the ID band and verbal confirmation—to ensure correct patient identification.
Citation: Joint Commission Patient Safety Goals .
Q93. A CNA finds a resident smoking in bed. What should the CNA do first?
Correct Answer: A
Explanation: Fire safety is the priority. Remove the cigarette safely and report the incident per facility policy.
Citation: OSHA Fire Safety in Healthcare .
Explanation: Fire safety is the priority. Remove the cigarette safely and report the incident per facility policy.
Citation: OSHA Fire Safety in Healthcare .
Q94. The CNA should encourage fluids for residents unless they have:
Correct Answer: A
Explanation: Some residents, such as those with heart or kidney failure, may have fluid restrictions ordered by the physician.
Citation: NNAAP Nutrition and Hydration Guidelines .
Explanation: Some residents, such as those with heart or kidney failure, may have fluid restrictions ordered by the physician.
Citation: NNAAP Nutrition and Hydration Guidelines .
Q95. Which temperature measurement method is considered the most accurate?
Correct Answer: A
Explanation: Rectal temperatures provide the most accurate core body temperature reading and are used when precision is critical.
Citation: NNAAP Vital Signs Procedures .
Explanation: Rectal temperatures provide the most accurate core body temperature reading and are used when precision is critical.
Citation: NNAAP Vital Signs Procedures .
Q96. If a resident begins choking and cannot speak, what should the CNA do?
Correct Answer: A
Explanation: Abdominal thrusts (Heimlich maneuver) dislodge airway obstructions in conscious choking adults or residents.
Citation: AHA First Aid Guidelines .
Explanation: Abdominal thrusts (Heimlich maneuver) dislodge airway obstructions in conscious choking adults or residents.
Citation: AHA First Aid Guidelines .
Q97. A resident’s dentures fall on the floor. What is the correct CNA response?
Correct Answer: A
Explanation: Rinse dentures with cool water, inspect for damage, and notify the nurse before reinsertion or replacement.
Citation: Pearson VUE NNAAP Denture Care Skill .
Explanation: Rinse dentures with cool water, inspect for damage, and notify the nurse before reinsertion or replacement.
Citation: Pearson VUE NNAAP Denture Care Skill .
Q98. When should the CNA record a resident’s output from a urinary drainage bag?
Correct Answer: A
Explanation: Output should be measured and documented at least once per shift or as care plan specifies to track fluid balance.
Citation: Pearson VUE NNAAP Measuring Urine Output .
Explanation: Output should be measured and documented at least once per shift or as care plan specifies to track fluid balance.
Citation: Pearson VUE NNAAP Measuring Urine Output .
Q99. When assisting a resident to use a bedpan, what is the CNA’s next step after the resident finishes?
Correct Answer: A
Explanation: After toileting, the CNA should provide perineal care if needed, remove the bedpan carefully to avoid spills, and ensure the resident’s comfort and hygiene.
Citation: Pearson VUE NNAAP Bedpan Skill Procedure .
Explanation: After toileting, the CNA should provide perineal care if needed, remove the bedpan carefully to avoid spills, and ensure the resident’s comfort and hygiene.
Citation: Pearson VUE NNAAP Bedpan Skill Procedure .
Q100. Which statement best describes the CNA’s responsibility regarding confidentiality?
Correct Answer: A
Explanation: Resident information is confidential and protected by HIPAA. CNAs must only share details with authorized team members involved in care.
Citation: HIPAA Privacy Rule for Healthcare Workers, .
Explanation: Resident information is confidential and protected by HIPAA. CNAs must only share details with authorized team members involved in care.
Citation: HIPAA Privacy Rule for Healthcare Workers, .
Q101. When assisting with oral care for a resident who wears dentures, what should the CNA do first?
Correct Answer: A
Explanation: Remove gently and place in a labeled cup with cool water to prevent warping or loss.
Citation: Pearson VUE NNAAP Candidate Handbook – Denture Care Skill.
Explanation: Remove gently and place in a labeled cup with cool water to prevent warping or loss.
Citation: Pearson VUE NNAAP Candidate Handbook – Denture Care Skill.
Q102. When measuring a resident’s respiration rate, the CNA should:
Correct Answer: A
Explanation: Counting a full minute improves accuracy, especially with irregular respirations.
Citation: NNAAP – Vital Signs Measurement.
Explanation: Counting a full minute improves accuracy, especially with irregular respirations.
Citation: NNAAP – Vital Signs Measurement.
Q103. Which finding is most consistent with infection at a wound site?
Correct Answer: A
Explanation: Classic local signs of inflammation/infection require prompt reporting.
Citation: CDC Standard Precautions & Wound Care, .
Explanation: Classic local signs of inflammation/infection require prompt reporting.
Citation: CDC Standard Precautions & Wound Care, .
Q104. The CNA notes a resident is pocketing food and has trouble chewing meats. What is the best action?
Correct Answer: A
Explanation: Pocketing suggests dysphagia; notify nurse/dietary for safe diet changes.
Citation: NNAAP – Nutrition & Feeding Safety.
Explanation: Pocketing suggests dysphagia; notify nurse/dietary for safe diet changes.
Citation: NNAAP – Nutrition & Feeding Safety.
Q105. A resident reports new, sharp pain in the left hip after a transfer. What should the CNA do first?
Correct Answer: A
Explanation: New pain may indicate injury; CNAs report and do not medicate/treat independently.
Citation: OBRA 1987 – Scope & Reporting; NNAAP .
Explanation: New pain may indicate injury; CNAs report and do not medicate/treat independently.
Citation: OBRA 1987 – Scope & Reporting; NNAAP .
Q106. While making an occupied bed, which safety measure is essential?
Correct Answer: A
Explanation: Raised far rail prevents falls during turning/repositioning.
Citation: Pearson VUE NNAAP – Bedmaking Skill.
Explanation: Raised far rail prevents falls during turning/repositioning.
Citation: Pearson VUE NNAAP – Bedmaking Skill.
Q107. A resident on fall precautions needs the bathroom urgently. The CNA should:
Correct Answer: A
Explanation: Fall-risk residents require supervised transfers to prevent injury.
Citation: Prometric CNA CIB – Safety Procedures.
Explanation: Fall-risk residents require supervised transfers to prevent injury.
Citation: Prometric CNA CIB – Safety Procedures.
Q108. The resident has a weak right arm. When serving lunch, the CNA should place items:
Correct Answer: A
Explanation: Placing items on the strong side promotes independence and safety.
Citation: NNAAP – Feeding Assistance Guidance.
Explanation: Placing items on the strong side promotes independence and safety.
Citation: NNAAP – Feeding Assistance Guidance.
Q109. Which action best supports resident dignity during bathing?
Correct Answer: A
Explanation: Privacy and modesty are required under Resident Rights.
Citation: OBRA 1987 – Privacy & Dignity Standards.
Explanation: Privacy and modesty are required under Resident Rights.
Citation: OBRA 1987 – Privacy & Dignity Standards.
Q110. What is the normal adult oral temperature range?
Correct Answer: A
Explanation: Readings outside this range should be reported.
Citation: AHA/CDC Vital Sign Reference ; NNAAP Skills.
Explanation: Readings outside this range should be reported.
Citation: AHA/CDC Vital Sign Reference ; NNAAP Skills.
Q111. When collecting a clean-catch urine specimen, the CNA should instruct the resident to:
Correct Answer: A
Explanation: Midstream after cleansing reduces contamination.
Citation: Pearson VUE NNAAP – Specimen Collection.
Explanation: Midstream after cleansing reduces contamination.
Citation: Pearson VUE NNAAP – Specimen Collection.
Q112. A resident on oxygen complains of dry lips. What should the CNA apply?
Correct Answer: A
Explanation: Oil-based products increase combustion risk; use water-based only.
Citation: OSHA/Oxygen Safety Guidance .
Explanation: Oil-based products increase combustion risk; use water-based only.
Citation: OSHA/Oxygen Safety Guidance .
Q113. When assisting a resident with hemiplegia (left-sided weakness) to dress, the CNA should:
Correct Answer: A
Explanation: Dress the affected side first; undress the strong side first.
Citation: NNAAP – Dressing with Affected Arm Skill.
Explanation: Dress the affected side first; undress the strong side first.
Citation: NNAAP – Dressing with Affected Arm Skill.
Q114. Which action prevents pressure injuries in bedbound residents?
Correct Answer: A
Explanation: Frequent off-loading and moisture control are key; never massage redness.
Citation: NPUAP – Pressure Injury Prevention.
Explanation: Frequent off-loading and moisture control are key; never massage redness.
Citation: NPUAP – Pressure Injury Prevention.
Q115. A resident with dementia repeatedly states, “I need to go home.” The best CNA response is to:
Correct Answer: A
Explanation: Validation + redirection reduces distress without arguing.
Citation: Alzheimer’s Association Dementia Care Practices, .
Explanation: Validation + redirection reduces distress without arguing.
Citation: Alzheimer’s Association Dementia Care Practices, .
Q116. A resident’s call light has been on for several minutes. The appropriate CNA action is to:
Correct Answer: A
Explanation: Timely response protects safety and dignity.
Citation: OBRA 1987 – Quality of Care Requirements.
Explanation: Timely response protects safety and dignity.
Citation: OBRA 1987 – Quality of Care Requirements.
Q117. Which PPE sequence is correct for removing equipment after care (doffing)?
Correct Answer: A
Explanation: Removing the most contaminated items (gloves) first reduces exposure risk.
Citation: CDC PPE Donning/Doffing Guidance, .
Explanation: Removing the most contaminated items (gloves) first reduces exposure risk.
Citation: CDC PPE Donning/Doffing Guidance, .
Q118. When assisting with perineal care for a female resident, the CNA should cleanse:
Correct Answer: A
Explanation: Front-to-back prevents fecal contamination of the urethra.
Citation: CDC Infection Prevention in LTC, .
Explanation: Front-to-back prevents fecal contamination of the urethra.
Citation: CDC Infection Prevention in LTC, .
Q119. A resident begins to vomit while lying in bed. What is the immediate CNA action?
Correct Answer: A
Explanation: Side positioning reduces aspiration risk; then report.
Citation: Prometric CIB – Emergency Response.
Explanation: Side positioning reduces aspiration risk; then report.
Citation: Prometric CIB – Emergency Response.
Q120. What is the primary purpose of standard precautions?
Correct Answer: A
Explanation: Assume all blood/body fluids may be infectious; apply to every resident, every time.
Citation: CDC Standard Precautions, .
Explanation: Assume all blood/body fluids may be infectious; apply to every resident, every time.
Citation: CDC Standard Precautions, .
Q121. Which action is outside the CNA’s scope of practice?
Correct Answer: A
Explanation: CNAs do not administer meds unless separately certified and permitted.
Citation: OBRA 1987 – CNA Role; NNAAP .
Explanation: CNAs do not administer meds unless separately certified and permitted.
Citation: OBRA 1987 – CNA Role; NNAAP .
Q122. When transferring a resident from bed to wheelchair, the CNA should first:
Correct Answer: A
Explanation: Locked wheels prevent rolling and falls during transfer.
Citation: Prometric – Transfer Safety Guidelines.
Explanation: Locked wheels prevent rolling and falls during transfer.
Citation: Prometric – Transfer Safety Guidelines.
Q123. A resident with diabetes is shaky, sweaty, and confused before lunch. What should the CNA do first?
Correct Answer: A
Explanation: Symptoms suggest low blood sugar; notify nurse for treatment per protocol.
Citation: ADA Long-Term Care Hypoglycemia Protocol, .
Explanation: Symptoms suggest low blood sugar; notify nurse for treatment per protocol.
Citation: ADA Long-Term Care Hypoglycemia Protocol, .
Q124. Which action protects confidentiality under HIPAA?
Correct Answer: A
Explanation: Share PHI only on a need-to-know basis with authorized team members.
Citation: HIPAA Privacy Rule, 45 CFR Parts 160/164 ().
Explanation: Share PHI only on a need-to-know basis with authorized team members.
Citation: HIPAA Privacy Rule, 45 CFR Parts 160/164 ().
Q125. During oral care for an unconscious resident, how should the CNA position the head?
Correct Answer: A
Explanation: Lateral positioning allows secretions to drain, reducing aspiration risk.
Citation: Prometric Nurse Aide CIB – Unconscious Mouth Care.
Explanation: Lateral positioning allows secretions to drain, reducing aspiration risk.
Citation: Prometric Nurse Aide CIB – Unconscious Mouth Care.
Q126. Before helping a resident stand with a gait belt, which step should the CNA perform first?
Correct Answer: A
Explanation: Locking wheels prevents movement and falls during transfers.
Citation: Pearson VUE NNAAP Candidate Handbook – Transfer/Ambulation Safety.
Explanation: Locking wheels prevents movement and falls during transfers.
Citation: Pearson VUE NNAAP Candidate Handbook – Transfer/Ambulation Safety.
Q127. A resident is on droplet precautions for influenza. Which PPE must the CNA wear when within 6 feet?
Correct Answer: A
Explanation: Droplet precautions require a surgical mask; airborne diseases (e.g., TB) require N95.
Citation: CDC Transmission-Based Precautions, .
Explanation: Droplet precautions require a surgical mask; airborne diseases (e.g., TB) require N95.
Citation: CDC Transmission-Based Precautions, .
Q128. Which statement about hand hygiene is correct?
Correct Answer: A
Explanation: Soap and water are required when soiled or after using the restroom; sanitizer is for clean hands.
Citation: CDC Hand Hygiene in Healthcare, .
Explanation: Soap and water are required when soiled or after using the restroom; sanitizer is for clean hands.
Citation: CDC Hand Hygiene in Healthcare, .
Q129. A resident with a new cast has fingers that are pale and cold. What should the CNA do?
Correct Answer: A
Explanation: Color/circulation changes may indicate impaired perfusion and require urgent nursing assessment.
Citation: NNAAP – Observing & Reporting Changes.
Explanation: Color/circulation changes may indicate impaired perfusion and require urgent nursing assessment.
Citation: NNAAP – Observing & Reporting Changes.
Q130. Which action is correct when applying elastic (TED) stockings?
Correct Answer: A
Explanation: Applying before ambulation reduces venous pooling; stockings must be smooth and not constrictive.
Citation: Pearson VUE NNAAP Skill – Apply Elastic Stocking ().
Explanation: Applying before ambulation reduces venous pooling; stockings must be smooth and not constrictive.
Citation: Pearson VUE NNAAP Skill – Apply Elastic Stocking ().
Q131. When assisting a resident to walk with a cane, where should the cane be placed?
Correct Answer: A
Explanation: Cane on the strong side provides support for the weak side during ambulation.
Citation: NNAAP – Ambulation Aids Guidance.
Explanation: Cane on the strong side provides support for the weak side during ambulation.
Citation: NNAAP – Ambulation Aids Guidance.
Q132. A resident is on contact precautions for C. difficile. The CNA should clean hands:
Correct Answer: A
Explanation: Spores are not reliably killed by alcohol; soap and water are required.
Citation: CDC C. difficile Prevention in LTC, .
Explanation: Spores are not reliably killed by alcohol; soap and water are required.
Citation: CDC C. difficile Prevention in LTC, .
Q133. After assisting with toileting, the CNA notes dark, tarry stool. What is the best action?
Correct Answer: A
Explanation: Melena may indicate GI bleeding and requires prompt evaluation.
Citation: NNAAP – Observation/Reporting Abnormal Findings.
Explanation: Melena may indicate GI bleeding and requires prompt evaluation.
Citation: NNAAP – Observation/Reporting Abnormal Findings.
Q134. Proper body mechanics for lifting include:
Correct Answer: A
Explanation: Using legs and keeping the load close reduces back strain.
Citation: OSHA Safe Patient Handling Basics, .
Explanation: Using legs and keeping the load close reduces back strain.
Citation: OSHA Safe Patient Handling Basics, .
Q135. A resident with oxygen via nasal cannula should have tubing that is:
Correct Answer: A
Explanation: Ensure oxygen flow and safety; avoid heat and constriction.
Citation: OSHA Oxygen Therapy Safety, .
Explanation: Ensure oxygen flow and safety; avoid heat and constriction.
Citation: OSHA Oxygen Therapy Safety, .
Q136. The CNA is asked to collect a stool specimen. Which statement is correct?
Correct Answer: A
Explanation: Specimens must be clean-catch, labeled with resident identifiers, date/time, and sent per policy.
Citation: Pearson VUE NNAAP – Specimen Collection ().
Explanation: Specimens must be clean-catch, labeled with resident identifiers, date/time, and sent per policy.
Citation: Pearson VUE NNAAP – Specimen Collection ().
Q137. A resident with a colostomy asks for help emptying the pouch. The CNA should:
Correct Answer: A
Explanation: CNAs may assist with emptying/cleaning and skin care per care plan; appliance changes are typically by nurse.
Citation: NNAAP – Elimination & Ostomy Assistance.
Explanation: CNAs may assist with emptying/cleaning and skin care per care plan; appliance changes are typically by nurse.
Citation: NNAAP – Elimination & Ostomy Assistance.
Q138. Which observation of a new stroke (CVA) requires urgent reporting?
Correct Answer: A
Explanation: FAST signs demand immediate activation of emergency response.
Citation: AHA Stroke Warning Signs, .
Explanation: FAST signs demand immediate activation of emergency response.
Citation: AHA Stroke Warning Signs, .
Q139. For range-of-motion (ROM) exercises to the shoulder, the CNA should:
Correct Answer: A
Explanation: Slow, supported movements prevent injury; stop if pain occurs.
Citation: Pearson VUE NNAAP – ROM Skill ().
Explanation: Slow, supported movements prevent injury; stop if pain occurs.
Citation: Pearson VUE NNAAP – ROM Skill ().
Q140. The resident is NPO for a procedure. The CNA should:
Correct Answer: A
Explanation: NPO means nothing by mouth; oral care can be provided to maintain comfort.
Citation: NNAAP – Pre-procedure Care Standards.
Explanation: NPO means nothing by mouth; oral care can be provided to maintain comfort.
Citation: NNAAP – Pre-procedure Care Standards.
Q141. The CNA finds a resident on the floor. What is the first action?
Correct Answer: A
Explanation: Do not move the resident until assessed by nurse and lift team as needed.
Citation: Prometric Nurse Aide – Fall Response Protocol ().
Explanation: Do not move the resident until assessed by nurse and lift team as needed.
Citation: Prometric Nurse Aide – Fall Response Protocol ().
Q142. Which is the correct use of a fire extinguisher?
Correct Answer: A
Explanation: PASS is the extinguisher method; RACE is the facility fire response plan.
Citation: OSHA Healthcare Fire Safety, .
Explanation: PASS is the extinguisher method; RACE is the facility fire response plan.
Citation: OSHA Healthcare Fire Safety, .
Q143. Which documentation practice is correct?
Correct Answer: A
Explanation: Errors are corrected with a single line and initials; records must be factual and timely.
Citation: OBRA 1987 – Legal/Ethical Documentation; NNAAP .
Explanation: Errors are corrected with a single line and initials; records must be factual and timely.
Citation: OBRA 1987 – Legal/Ethical Documentation; NNAAP .
Q144. A 12 oz can of soda is given at lunch. How many milliliters of intake should be recorded?
Correct Answer: A
Explanation: 1 oz = 30 mL; 12 × 30 = 360 mL.
Citation: NNAAP – Measuring Intake/Output.
Explanation: 1 oz = 30 mL; 12 × 30 = 360 mL.
Citation: NNAAP – Measuring Intake/Output.
Q145. Which is a safe alternative to restraints?
Correct Answer: A
Explanation: Least restrictive measures are required before considering restraints.
Citation: OBRA 1987 – Restraint Reduction Requirements.
Explanation: Least restrictive measures are required before considering restraints.
Citation: OBRA 1987 – Restraint Reduction Requirements.
Q146. For a resident on airborne precautions for TB, the CNA should expect:
Correct Answer: A
Explanation: TB requires airborne isolation with fit-tested respirator.
Citation: CDC TB Infection Control, .
Explanation: TB requires airborne isolation with fit-tested respirator.
Citation: CDC TB Infection Control, .
Q147. When repositioning a resident using a draw sheet, the CNA should:
Correct Answer: A
Explanation: Lifting with a draw sheet prevents shear and skin injury.
Citation: Pearson VUE NNAAP – Positioning & Turning.
Explanation: Lifting with a draw sheet prevents shear and skin injury.
Citation: Pearson VUE NNAAP – Positioning & Turning.
Q148. What is the correct action when a resident begins a seizure in a wheelchair?
Correct Answer: A
Explanation: Protect from injury; do not restrain or insert anything into the mouth; call for help.
Citation: Epilepsy Foundation Safety for Caregivers, .
Explanation: Protect from injury; do not restrain or insert anything into the mouth; call for help.
Citation: Epilepsy Foundation Safety for Caregivers, .
Q149. A resident’s intake for breakfast includes: 8 oz milk, 4 oz juice, and 120 mL water with pills. Total intake is:
Correct Answer: A
Explanation: 8 oz (240 mL) + 4 oz (120 mL) + 120 mL = 480 mL; wait, add carefully: 240 + 120 + 120 = 480 mL. Correct total is 480 mL.
Citation: NNAAP – I&O Conversions.
Explanation: 8 oz (240 mL) + 4 oz (120 mL) + 120 mL = 480 mL; wait, add carefully: 240 + 120 + 120 = 480 mL. Correct total is 480 mL.
Citation: NNAAP – I&O Conversions.
Q150. After death is pronounced, which post-mortem care step is appropriate for the CNA?
Correct Answer: A
Explanation: CNAs perform post-mortem care as directed; removal of lines/tubes is by licensed staff and confidentiality remains in effect.
Citation: Prometric Nurse Aide CIB – Post-Mortem Care; HIPAA Privacy Rule.
Explanation: CNAs perform post-mortem care as directed; removal of lines/tubes is by licensed staff and confidentiality remains in effect.
Citation: Prometric Nurse Aide CIB – Post-Mortem Care; HIPAA Privacy Rule.
Q151. A resident is on fluid restriction. What is the CNA’s best action when the resident requests extra water?
Correct Answer: A
Explanation: Fluid restrictions are provider orders. CNAs reinforce teaching and report requests/refusals to the nurse.
Citation: NNAAP – Hydration & Reporting Changes.
Explanation: Fluid restrictions are provider orders. CNAs reinforce teaching and report requests/refusals to the nurse.
Citation: NNAAP – Hydration & Reporting Changes.
Q152. When assisting with a hearing aid, the CNA should:
Correct Answer: A
Explanation: Hearing aids are wiped dry, checked for power and fit, and volume adjusted gradually.
Citation: NNAAP – Assistive Devices/Communication.
Explanation: Hearing aids are wiped dry, checked for power and fit, and volume adjusted gradually.
Citation: NNAAP – Assistive Devices/Communication.
Q153. The CNA finds a pressure injury on the heel that is intact but non-blanchable red. What stage is most consistent?
Correct Answer: A
Explanation: Stage 1 is intact skin with non-blanchable erythema; report and off-load pressure.
Citation: NPUAP (NPIAP) Pressure Injury Staging, .
Explanation: Stage 1 is intact skin with non-blanchable erythema; report and off-load pressure.
Citation: NPUAP (NPIAP) Pressure Injury Staging, .
Q154. Which statement about restraints is TRUE?
Correct Answer: A
Explanation: OBRA mandates least restrictive approach; restraints need a valid order and frequent monitoring.
Citation: OBRA 1987 – Restraint Regulations; Prometric .
Explanation: OBRA mandates least restrictive approach; restraints need a valid order and frequent monitoring.
Citation: OBRA 1987 – Restraint Regulations; Prometric .
Q155. For a resident with dysphagia on thickened liquids, the CNA should:
Correct Answer: A
Explanation: The ordered consistency reduces aspiration risk; do not alter without new orders.
Citation: NNAAP – Feeding Safety; SLP Dysphagia Guidelines.
Explanation: The ordered consistency reduces aspiration risk; do not alter without new orders.
Citation: NNAAP – Feeding Safety; SLP Dysphagia Guidelines.
Q156. Which step best prevents catheter-associated infection during routine care?
Correct Answer: A
Explanation: Maintaining a closed, dependent drainage system reduces backflow and infection.
Citation: CDC CAUTI Prevention in LTC, .
Explanation: Maintaining a closed, dependent drainage system reduces backflow and infection.
Citation: CDC CAUTI Prevention in LTC, .
Q157. The CNA should place the thermometer in which location for the most accurate core reading when permitted?
Correct Answer: A
Explanation: Rectal temperature most closely reflects core temperature; follow facility policy.
Citation: NNAAP – Vital Signs Procedures.
Explanation: Rectal temperature most closely reflects core temperature; follow facility policy.
Citation: NNAAP – Vital Signs Procedures.
Q158. A resident with Alzheimer’s disease wanders toward the exit. The CNA’s first response is to:
Correct Answer: A
Explanation: Redirection and supervision are least restrictive strategies for exit-seeking behavior.
Citation: Alzheimer’s Association Dementia Care .
Explanation: Redirection and supervision are least restrictive strategies for exit-seeking behavior.
Citation: Alzheimer’s Association Dementia Care .
Q159. Which observation must be reported immediately after a hip surgery?
Correct Answer: A
Explanation: These signs suggest dislocation; notify the nurse at once.
Citation: NNAAP – Post-op Observation/Reporting.
Explanation: These signs suggest dislocation; notify the nurse at once.
Citation: NNAAP – Post-op Observation/Reporting.
Q160. A resident refuses morning care. The CNA should:
Correct Answer: A
Explanation: Residents have the right to refuse care; offer alternatives and report per Resident Rights.
Citation: OBRA 1987 – Resident Rights; NNAAP .
Explanation: Residents have the right to refuse care; offer alternatives and report per Resident Rights.
Citation: OBRA 1987 – Resident Rights; NNAAP .
Q161. While shaving a resident with a safety razor, the CNA should NOT:
Correct Answer: A
Explanation: Safety razors are contraindicated with bleeding risk; use electric shaver if allowed.
Citation: NNAAP – Grooming/Shaving Safety.
Explanation: Safety razors are contraindicated with bleeding risk; use electric shaver if allowed.
Citation: NNAAP – Grooming/Shaving Safety.
Q162. When measuring height of a resident who cannot stand, the CNA should:
Correct Answer: A
Explanation: Supine measurement is acceptable; record method used.
Citation: Pearson VUE NNAAP – Height/Weight Measurement ().
Explanation: Supine measurement is acceptable; record method used.
Citation: Pearson VUE NNAAP – Height/Weight Measurement ().
Q163. A resident frequently saves food for later at bedside. The CNA should:
Correct Answer: A
Explanation: Perishable food can cause illness. Follow policy and notify the nurse/dietary.
Citation: CMS LTC Infection Control F-Tag Guidance; NNAAP .
Explanation: Perishable food can cause illness. Follow policy and notify the nurse/dietary.
Citation: CMS LTC Infection Control F-Tag Guidance; NNAAP .
Q164. Which task requires clean (non-sterile) gloves at minimum?
Correct Answer: A
Explanation: Gloves are required with potential contact with blood or body fluids.
Citation: CDC Standard Precautions, .
Explanation: Gloves are required with potential contact with blood or body fluids.
Citation: CDC Standard Precautions, .
Q165. When charting, the CNA should record that the resident ate “most of the meal.” Which is the best documentation?
Correct Answer: A
Explanation: Use objective percentages/amounts per facility policy; avoid vague language.
Citation: NNAAP – Documentation Standards.
Explanation: Use objective percentages/amounts per facility policy; avoid vague language.
Citation: NNAAP – Documentation Standards.
Q166. A resident with COPD becomes short of breath during bathing. The CNA should first:
Correct Answer: A
Explanation: High-Fowler’s position eases breathing; stop exertion and report.
Citation: AHA/Respiratory Care in LTC, .
Explanation: High-Fowler’s position eases breathing; stop exertion and report.
Citation: AHA/Respiratory Care in LTC, .
Q167. During ROM to the elbow, which movement pairs are correct?
Correct Answer: A
Explanation: The elbow primarily flexes and extends; other pairs apply to other joints.
Citation: Pearson VUE NNAAP – ROM Skills ().
Explanation: The elbow primarily flexes and extends; other pairs apply to other joints.
Citation: Pearson VUE NNAAP – ROM Skills ().
Q168. Which action helps prevent aspiration when feeding a resident with swallowing risk?
Correct Answer: A
Explanation: Upright position and slow pacing reduce aspiration risk.
Citation: NNAAP – Feeding Safety Guidelines.
Explanation: Upright position and slow pacing reduce aspiration risk.
Citation: NNAAP – Feeding Safety Guidelines.
Q169. A resident states, “My son never visits; I feel useless.” What is the best initial CNA response?
Correct Answer: A
Explanation: Use therapeutic communication—acknowledge feelings and listen; then report concerns.
Citation: OBRA Psychosocial Care Standards; NNAAP .
Explanation: Use therapeutic communication—acknowledge feelings and listen; then report concerns.
Citation: OBRA Psychosocial Care Standards; NNAAP .
Q170. To weigh a resident in a wheelchair, the CNA should:
Correct Answer: A
Explanation: Accurate wheelchair weighing requires tare (chair-only) weight subtraction.
Citation: Pearson VUE NNAAP – Weight Measurement ().
Explanation: Accurate wheelchair weighing requires tare (chair-only) weight subtraction.
Citation: Pearson VUE NNAAP – Weight Measurement ().
Q171. End-of-life care should prioritize:
Correct Answer: A
Explanation: Palliative goals guide care; follow advance directives and provide frequent mouth/skin care.
Citation: CMS Hospice & Palliative Guidelines; NNAAP .
Explanation: Palliative goals guide care; follow advance directives and provide frequent mouth/skin care.
Citation: CMS Hospice & Palliative Guidelines; NNAAP .
Q172. A resident with a prosthetic leg reports skin irritation at the stump. The CNA should:
Correct Answer: A
Explanation: Inspect skin and report; adjustments are made by licensed staff or prosthetist.
Citation: NNAAP – Prosthesis Care & Skin Monitoring.
Explanation: Inspect skin and report; adjustments are made by licensed staff or prosthetist.
Citation: NNAAP – Prosthesis Care & Skin Monitoring.
Q173. When assisting with oral care for a resident on bleeding precautions, the CNA should use:
Correct Answer: A
Explanation: Minimize trauma to gums to reduce bleeding risk; follow nurse’s guidance.
Citation: NNAAP – Oral Hygiene/Precautions.
Explanation: Minimize trauma to gums to reduce bleeding risk; follow nurse’s guidance.
Citation: NNAAP – Oral Hygiene/Precautions.
Q174. Which action is appropriate when caring for a resident with a new do-not-resuscitate (DNR) order?
Correct Answer: A
Explanation: DNR addresses CPR only; all other care continues. Follow the plan and report concerns to the nurse.
Citation: CMS/State LTC Regulations on Advance Directives; NNAAP .
Explanation: DNR addresses CPR only; all other care continues. Follow the plan and report concerns to the nurse.
Citation: CMS/State LTC Regulations on Advance Directives; NNAAP .
Q175. A CNA overhears another aide sharing a resident’s diagnosis in the cafeteria. What is the correct action?
Correct Answer: A
Explanation: Discussing PHI in public violates HIPAA; CNAs must report breaches promptly.
Citation: HIPAA Privacy Rule (45 CFR 160/164), .
Explanation: Discussing PHI in public violates HIPAA; CNAs must report breaches promptly.
Citation: HIPAA Privacy Rule (45 CFR 160/164), .
Q176. Which is the safest way to identify a resident before care?
Correct Answer: A
Explanation: Use two identifiers—ID band and verbal confirmation—before any care.
Citation: The Joint Commission National Patient Safety Goals, .
Explanation: Use two identifiers—ID band and verbal confirmation—before any care.
Citation: The Joint Commission National Patient Safety Goals, .
Q177. When applying a warm compress, the CNA should first:
Correct Answer: A
Explanation: Verify safe temperature and assess skin to prevent burns; use a barrier.
Citation: NNAAP Skills – Warm/Cool Applications, .
Explanation: Verify safe temperature and assess skin to prevent burns; use a barrier.
Citation: NNAAP Skills – Warm/Cool Applications, .
Q178. Which behavior supports a resident’s right to privacy?
Correct Answer: A
Explanation: Residents have a right to privacy and to control access to their space.
Citation: OBRA 1987 Resident Rights.
Explanation: Residents have a right to privacy and to control access to their space.
Citation: OBRA 1987 Resident Rights.
Q179. While assisting with a meal, which action best promotes independence?
Correct Answer: A
Explanation: Set-up and assistive devices maximize self-feeding and dignity.
Citation: NNAAP Feeding Assistance Guidelines, .
Explanation: Set-up and assistive devices maximize self-feeding and dignity.
Citation: NNAAP Feeding Assistance Guidelines, .
Q180. The correct order for donning PPE for contact precautions is:
Correct Answer: A
Explanation: Don gown first, then gloves over cuffs for full coverage.
Citation: CDC Transmission-Based Precautions, .
Explanation: Don gown first, then gloves over cuffs for full coverage.
Citation: CDC Transmission-Based Precautions, .
Q181. Which finding must be reported immediately after a resident receives a new splint?
Correct Answer: A
Explanation: Signs of impaired circulation/nerve function require urgent assessment.
Citation: NNAAP Observation & Reporting, .
Explanation: Signs of impaired circulation/nerve function require urgent assessment.
Citation: NNAAP Observation & Reporting, .
Q182. A resident with dysphagia is coughing during meals. The CNA should:
Correct Answer: A
Explanation: Coughing indicates aspiration risk; pause feeding and report.
Citation: NNAAP Feeding Safety Protocols, .
Explanation: Coughing indicates aspiration risk; pause feeding and report.
Citation: NNAAP Feeding Safety Protocols, .
Q183. What is the best way to measure urinary output from a catheter drainage bag?
Correct Answer: A
Explanation: Use a graduated container; measure on a flat surface at eye level for accuracy.
Citation: Pearson VUE NNAAP Skill – Measure Urine Output ().
Explanation: Use a graduated container; measure on a flat surface at eye level for accuracy.
Citation: Pearson VUE NNAAP Skill – Measure Urine Output ().
Q184. Which statement about pain is most accurate?
Correct Answer: A
Explanation: Accept and report the resident’s self-report of pain; assess behaviors in nonverbal residents.
Citation: OBRA/NNAAP – Pain Reporting Standards, .
Explanation: Accept and report the resident’s self-report of pain; assess behaviors in nonverbal residents.
Citation: OBRA/NNAAP – Pain Reporting Standards, .
Q185. A resident with COPD uses pursed-lip breathing. The CNA should:
Correct Answer: A
Explanation: Pursed-lip breathing improves exhalation and reduces dyspnea.
Citation: AHA/Respiratory Care in LTC, .
Explanation: Pursed-lip breathing improves exhalation and reduces dyspnea.
Citation: AHA/Respiratory Care in LTC, .
Q186. Which action helps prevent shearing injuries when repositioning?
Correct Answer: A
Explanation: Lifting with a draw sheet prevents skin shear and tears.
Citation: NPUAP Prevention Guidelines, .
Explanation: Lifting with a draw sheet prevents skin shear and tears.
Citation: NPUAP Prevention Guidelines, .
Q187. A resident on anticoagulants has bleeding gums during oral care. The CNA should:
Correct Answer: A
Explanation: Anticoagulants increase bleeding risk; use soft tools and report bleeding.
Citation: NNAAP Oral Care Precautions, .
Explanation: Anticoagulants increase bleeding risk; use soft tools and report bleeding.
Citation: NNAAP Oral Care Precautions, .
Q188. Which practice protects skin integrity for an incontinent resident?
Correct Answer: A
Explanation: Gentle cleansing, thorough drying, and barrier creams reduce MASD/pressure injury risk.
Citation: NPUAP & CDC Incontinence-Associated Dermatitis Guidance, .
Explanation: Gentle cleansing, thorough drying, and barrier creams reduce MASD/pressure injury risk.
Citation: NPUAP & CDC Incontinence-Associated Dermatitis Guidance, .
Q189. When using a fire response plan, which acronym directs the first actions?
Correct Answer: A
Explanation: RACE outlines the facility fire response sequence; PASS is for extinguisher use.
Citation: OSHA Healthcare Fire Safety, .
Explanation: RACE outlines the facility fire response sequence; PASS is for extinguisher use.
Citation: OSHA Healthcare Fire Safety, .
Q190. A resident on diuretics has a potassium-restricted diet order removed. What should the CNA do?
Correct Answer: A
Explanation: CNAs implement current diet orders and report concerning symptoms; they do not alter diets.
Citation: NNAAP Nutrition/Reporting Scope, .
Explanation: CNAs implement current diet orders and report concerning symptoms; they do not alter diets.
Citation: NNAAP Nutrition/Reporting Scope, .
Q191. For residents at risk of orthostatic hypotension, the CNA should:
Correct Answer: A
Explanation: Gradual position changes prevent dizziness and falls.
Citation: Prometric Nurse Aide – Safety & Transfers, .
Explanation: Gradual position changes prevent dizziness and falls.
Citation: Prometric Nurse Aide – Safety & Transfers, .
Q192. The CNA should record output from a urinary drainage bag:
Correct Answer: A
Explanation: Routine, timely I&O helps monitor fluid balance.
Citation: Pearson VUE NNAAP – Measure Urine Output, .
Explanation: Routine, timely I&O helps monitor fluid balance.
Citation: Pearson VUE NNAAP – Measure Urine Output, .
Q193. Which practice maintains dignity during toileting?
Correct Answer: A
Explanation: Privacy, respect, and patience are required for toileting assistance.
Citation: OBRA Resident Rights, .
Explanation: Privacy, respect, and patience are required for toileting assistance.
Citation: OBRA Resident Rights, .
Q194. Best practice when cleaning dentures is to:
Correct Answer: A
Explanation: Towel/water cushion prevents breakage; hot water warps acrylic.
Citation: NNAAP Denture Care Skill, .
Explanation: Towel/water cushion prevents breakage; hot water warps acrylic.
Citation: NNAAP Denture Care Skill, .
Q195. Which action is correct when weighing a resident daily?
Correct Answer: A
Explanation: Consistent conditions ensure accurate trend monitoring.
Citation: Pearson VUE NNAAP – Weight Measurement, .
Explanation: Consistent conditions ensure accurate trend monitoring.
Citation: Pearson VUE NNAAP – Weight Measurement, .
Q196. Proper placement of a urinary drainage bag is:
Correct Answer: A
Explanation: Dependent drainage prevents backflow and infection; never place on the floor.
Citation: CDC CAUTI Prevention, .
Explanation: Dependent drainage prevents backflow and infection; never place on the floor.
Citation: CDC CAUTI Prevention, .
Q197. The first step before inserting hearing aid batteries is to:
Correct Answer: A
Explanation: Moisture damages electronics; ensure off/clean status before battery placement.
Citation: NNAAP Assistive Devices – Hearing Aids, .
Explanation: Moisture damages electronics; ensure off/clean status before battery placement.
Citation: NNAAP Assistive Devices – Hearing Aids, .
Q198. A resident with expressive aphasia wants to communicate a need. The CNA should:
Correct Answer: A
Explanation: Alternative communication supports independence and reduces frustration.
Citation: NNAAP Communication Skills, .
Explanation: Alternative communication supports independence and reduces frustration.
Citation: NNAAP Communication Skills, .
Q199. Which observation during oxygen therapy requires immediate reporting?
Correct Answer: A
Explanation: Restlessness/cyanosis suggest hypoxia; notify nurse immediately.
Citation: AHA Oxygen Therapy Monitoring, .
Explanation: Restlessness/cyanosis suggest hypoxia; notify nurse immediately.
Citation: AHA Oxygen Therapy Monitoring, .
Q200. When assisting with a sit-to-stand transfer using a gait belt, the CNA should place their hands:
Correct Answer: A
Explanation: Grasping the belt maintains control and protects shoulders; never lift under the arms.
Citation: Pearson VUE NNAAP Ambulation/Transfer Skills, .
Explanation: Grasping the belt maintains control and protects shoulders; never lift under the arms.
Citation: Pearson VUE NNAAP Ambulation/Transfer Skills, .
Q201. Before transferring a resident from bed to wheelchair, which safety check must the CNA complete first?
Correct Answer: A
Explanation: Locking the wheelchair prevents rolling during the transfer, reducing fall risk.
Citation: Pearson VUE NNAAP Candidate Handbook – Transfer to Wheelchair.
Explanation: Locking the wheelchair prevents rolling during the transfer, reducing fall risk.
Citation: Pearson VUE NNAAP Candidate Handbook – Transfer to Wheelchair.
Q202. A resident with heart failure is on daily weight monitoring. What is the best time for the CNA to obtain weights?
Correct Answer: A
Explanation: Consistent conditions improve accuracy and trending for fluid status.
Citation: NNAAP – Measuring Weight; Heart Failure Monitoring Standards.
Explanation: Consistent conditions improve accuracy and trending for fluid status.
Citation: NNAAP – Measuring Weight; Heart Failure Monitoring Standards.
Q203. A resident on contact precautions needs a bed bath. What is the minimum PPE required?
Correct Answer: A
Explanation: Contact precautions require gloves and gown for direct care that may involve contact with body substances or environment.
Citation: CDC Transmission-Based Precautions, .
Explanation: Contact precautions require gloves and gown for direct care that may involve contact with body substances or environment.
Citation: CDC Transmission-Based Precautions, .
Q204. During perineal care for a female resident, the CNA should cleanse:
Correct Answer: A
Explanation: Front-to-back strokes prevent fecal bacteria from entering the urethra.
Citation: CDC Infection Prevention in Long-Term Care, .
Explanation: Front-to-back strokes prevent fecal bacteria from entering the urethra.
Citation: CDC Infection Prevention in Long-Term Care, .
Q205. A resident with diabetes is sweaty, shaky, and confused before dinner. What is the CNA’s best first action?
Correct Answer: A
Explanation: Symptoms suggest low blood sugar requiring prompt assessment and treatment per protocol.
Citation: ADA Hypoglycemia Recognition in LTC, .
Explanation: Symptoms suggest low blood sugar requiring prompt assessment and treatment per protocol.
Citation: ADA Hypoglycemia Recognition in LTC, .
Q206. When providing oral care to an unconscious resident, the CNA should position the resident:
Correct Answer: A
Explanation: Side-lying allows secretions to drain and reduces aspiration risk during mouth care.
Citation: Prometric Nurse Aide CIB – Unconscious Mouth Care.
Explanation: Side-lying allows secretions to drain and reduces aspiration risk during mouth care.
Citation: Prometric Nurse Aide CIB – Unconscious Mouth Care.
Q207. Which is the best example of objective charting by a CNA?
Correct Answer: A
Explanation: Objective documentation includes measurable facts and amounts; avoid opinions.
Citation: NNAAP – Documentation Standards.
Explanation: Objective documentation includes measurable facts and amounts; avoid opinions.
Citation: NNAAP – Documentation Standards.
Q208. Which temperature route provides the most accurate core reading when allowed by policy?
Correct Answer: A
Explanation: Rectal temperature best reflects core temperature; follow facility policy and contraindications.
Citation: NNAAP – Vital Signs Procedures.
Explanation: Rectal temperature best reflects core temperature; follow facility policy and contraindications.
Citation: NNAAP – Vital Signs Procedures.
Q209. A resident with a new DNR order is resting comfortably. The CNA should:
Correct Answer: A
Explanation: DNR addresses resuscitation only; all other care continues per plan of care.
Citation: CMS/State LTC Advance Directives Guidance; NNAAP .
Explanation: DNR addresses resuscitation only; all other care continues per plan of care.
Citation: CMS/State LTC Advance Directives Guidance; NNAAP .
Q210. When assisting a resident to ambulate with a cane due to left-side weakness, the cane should be held:
Correct Answer: A
Explanation: Cane on the strong side provides support and balance for the weak side during gait.
Citation: NNAAP – Ambulation with Assistive Devices.
Explanation: Cane on the strong side provides support and balance for the weak side during gait.
Citation: NNAAP – Ambulation with Assistive Devices.
Q211. The CNA observes a reddened area on the resident’s sacrum that does not blanch. What should the CNA do?
Correct Answer: A
Explanation: Non-blanchable redness suggests Stage 1 pressure injury; avoid massage and report promptly.
Citation: NPIAP (NPUAP) Pressure Injury Staging .
Explanation: Non-blanchable redness suggests Stage 1 pressure injury; avoid massage and report promptly.
Citation: NPIAP (NPUAP) Pressure Injury Staging .
Q212. Which statement about standard precautions is correct?
Correct Answer: A
Explanation: Because infection status may be unknown, apply standard precautions universally.
Citation: CDC Standard Precautions, .
Explanation: Because infection status may be unknown, apply standard precautions universally.
Citation: CDC Standard Precautions, .
Q213. A resident with expressive aphasia wants to communicate needs. The CNA should:
Correct Answer: A
Explanation: Simplified choices and visual aids promote communication independence and reduce frustration.
Citation: NNAAP – Communication Skills.
Explanation: Simplified choices and visual aids promote communication independence and reduce frustration.
Citation: NNAAP – Communication Skills.
Q214. Which action is appropriate when using a mechanical lift with a resident?
Correct Answer: A
Explanation: Lift use requires proper equipment, sling, and two trained caregivers for safety.
Citation: OSHA Safe Patient Handling & Mobility, .
Explanation: Lift use requires proper equipment, sling, and two trained caregivers for safety.
Citation: OSHA Safe Patient Handling & Mobility, .
Q215. A resident with C. difficile is incontinent. Which hand hygiene method must the CNA use after glove removal?
Correct Answer: A
Explanation: C. diff spores are not reliably killed by alcohol; soap and water are required.
Citation: CDC C. difficile Prevention in LTC, .
Explanation: C. diff spores are not reliably killed by alcohol; soap and water are required.
Citation: CDC C. difficile Prevention in LTC, .
Q216. The CNA notes a sudden change in a resident’s level of consciousness. What is the priority action?
Correct Answer: A
Explanation: Acute mental status change may signal hypoglycemia, stroke, infection, or other emergencies.
Citation: NNAAP – Observation & Reporting Changes.
Explanation: Acute mental status change may signal hypoglycemia, stroke, infection, or other emergencies.
Citation: NNAAP – Observation & Reporting Changes.
Q217. When caring for a resident with a prosthetic eye, the CNA should:
Correct Answer: A
Explanation: To prevent loss or damage, handle carefully and store properly as ordered.
Citation: NNAAP – Prosthetic/Eye Care Assistance.
Explanation: To prevent loss or damage, handle carefully and store properly as ordered.
Citation: NNAAP – Prosthetic/Eye Care Assistance.
Q218. Which observation during oxygen therapy requires immediate reporting?
Correct Answer: A
Explanation: Restlessness and cyanosis indicate hypoxia and require prompt nursing assessment.
Citation: AHA Oxygen Therapy Monitoring, .
Explanation: Restlessness and cyanosis indicate hypoxia and require prompt nursing assessment.
Citation: AHA Oxygen Therapy Monitoring, .
Q219. When collecting a clean-catch urine specimen from a cooperative resident, the CNA should instruct the resident to:
Correct Answer: A
Explanation: Midstream after cleansing reduces contamination, improving test reliability.
Citation: Pearson VUE NNAAP – Specimen Collection .
Explanation: Midstream after cleansing reduces contamination, improving test reliability.
Citation: Pearson VUE NNAAP – Specimen Collection .
Q220. The CNA should place the urinary drainage bag:
Correct Answer: A
Explanation: Keeping the bag dependent promotes drainage and reduces infection risk; never place on the floor.
Citation: CDC CAUTI Prevention, .
Explanation: Keeping the bag dependent promotes drainage and reduces infection risk; never place on the floor.
Citation: CDC CAUTI Prevention, .
Q221. While taking morning vitals, the CNA gets a reading of 88/52 mmHg with dizziness on standing. What should the CNA do first?
Correct Answer: A
Explanation: Low blood pressure with orthostatic symptoms is a safety risk. Place the resident in a safe position, monitor, and report immediately; CNAs do not independently treat.
Citation: NNAAP – Vital Signs & Reporting Abnormal Findings.
Explanation: Low blood pressure with orthostatic symptoms is a safety risk. Place the resident in a safe position, monitor, and report immediately; CNAs do not independently treat.
Citation: NNAAP – Vital Signs & Reporting Abnormal Findings.
Q222. A resident receiving tube feeding (managed by the nurse) is lying flat after care. What should the CNA do?
Correct Answer: A
Explanation: Head-of-bed elevation reduces aspiration risk during and after enteral feeding. CNAs position and observe; nurses manage the feeding itself.
Citation: CDC Aspiration Prevention in LTC; NNAAP Positioning & Safety, .
Explanation: Head-of-bed elevation reduces aspiration risk during and after enteral feeding. CNAs position and observe; nurses manage the feeding itself.
Citation: CDC Aspiration Prevention in LTC; NNAAP Positioning & Safety, .
Q223. Before transferring a resident from bed to wheelchair, the CNA should adjust the footrests by:
Correct Answer: A
Explanation: Footrests must be moved out of the path to prevent tripping and ensure safe footing during transfers.
Citation: Pearson VUE NNAAP Candidate Handbook – Transfer to Wheelchair Safety.
Explanation: Footrests must be moved out of the path to prevent tripping and ensure safe footing during transfers.
Citation: Pearson VUE NNAAP Candidate Handbook – Transfer to Wheelchair Safety.
Q224. An NPO resident complains of a very dry mouth. What is the appropriate CNA action?
Correct Answer: A
Explanation: NPO patients may receive mouth care and moistening per protocol to maintain comfort while avoiding oral intake that could jeopardize procedures.
Citation: NNAAP – Oral Care; Pre-procedure NPO Care Standards.
Explanation: NPO patients may receive mouth care and moistening per protocol to maintain comfort while avoiding oral intake that could jeopardize procedures.
Citation: NNAAP – Oral Care; Pre-procedure NPO Care Standards.
Q225. A resident begins to seize while in bed. What is the CNA’s immediate priority?
Correct Answer: A
Explanation: Keep the area safe, position laterally to maintain airway, time the seizure, and seek nursing assistance; never restrain or insert objects into the mouth.
Citation: Epilepsy Foundation – Seizure First Aid for Caregivers (); Prometric Nurse Aide Emergency Care.
Explanation: Keep the area safe, position laterally to maintain airway, time the seizure, and seek nursing assistance; never restrain or insert objects into the mouth.
Citation: Epilepsy Foundation – Seizure First Aid for Caregivers (); Prometric Nurse Aide Emergency Care.
Q226. Which observation should the CNA report immediately when a resident is receiving IV therapy (managed by the nurse)?
Correct Answer: A
Explanation: Signs of infiltration or phlebitis require prompt nursing assessment.
Citation: NNAAP – Observation & Reporting; CDC IV Site Monitoring.
Explanation: Signs of infiltration or phlebitis require prompt nursing assessment.
Citation: NNAAP – Observation & Reporting; CDC IV Site Monitoring.
Q227. The CNA enters a room and finds a resident on the floor. What is the first action?
Correct Answer: A
Explanation: Ensure safety and summon assistance; do not move until assessed.
Citation: Prometric Nurse Aide CIB – Fall Response.
Explanation: Ensure safety and summon assistance; do not move until assessed.
Citation: Prometric Nurse Aide CIB – Fall Response.
Q228. The CNA should place a resident with shortness of breath into which position?
Correct Answer: A
Explanation: Upright positioning eases breathing and improves lung expansion.
Citation: AHA Respiratory Care in LTC, .
Explanation: Upright positioning eases breathing and improves lung expansion.
Citation: AHA Respiratory Care in LTC, .
Q229. Which action protects the resident’s skin when applying a bedpan?
Correct Answer: A
Explanation: Warmth and a barrier reduce discomfort and shear; minimize time on the pan.
Citation: Pearson VUE NNAAP – Bedpan Skill ().
Explanation: Warmth and a barrier reduce discomfort and shear; minimize time on the pan.
Citation: Pearson VUE NNAAP – Bedpan Skill ().
Q230. Which is the safest way to remove soiled linens from a room?
Correct Answer: A
Explanation: Prevents contamination and aerosolization of pathogens.
Citation: CDC Laundry & Environmental Infection Control, .
Explanation: Prevents contamination and aerosolization of pathogens.
Citation: CDC Laundry & Environmental Infection Control, .
Q231. The CNA is assisting a resident with partial blindness. Which strategy best promotes independence and safety?
Correct Answer: A
Explanation: Consistency and orientation cues support self-care and safety.
Citation: NNAAP – Communication & Feeding Assistance.
Explanation: Consistency and orientation cues support self-care and safety.
Citation: NNAAP – Communication & Feeding Assistance.
Q232. When emptying a urinary drainage bag, the CNA should first:
Correct Answer: A
Explanation: Use PPE and a calibrated container to measure accurately and prevent contamination.
Citation: NNAAP Skill – Measure Urine Output ().
Explanation: Use PPE and a calibrated container to measure accurately and prevent contamination.
Citation: NNAAP Skill – Measure Urine Output ().
Q233. A resident with Parkinson’s disease has a shuffling gait. What is the safest CNA strategy during ambulation?
Correct Answer: A
Explanation: Gait belt and pacing reduce fall risk and accommodate bradykinesia.
Citation: NNAAP – Ambulation Safety.
Explanation: Gait belt and pacing reduce fall risk and accommodate bradykinesia.
Citation: NNAAP – Ambulation Safety.
Q234. Which practice best reduces transmission when handling soiled briefs?
Correct Answer: A
Explanation: Standard precautions require PPE and proper disposal plus hand hygiene.
Citation: CDC Standard Precautions, .
Explanation: Standard precautions require PPE and proper disposal plus hand hygiene.
Citation: CDC Standard Precautions, .
Q235. A resident is on aspiration precautions. Which tray setup is best?
Correct Answer: A
Explanation: Follow ordered consistency and positioning to prevent aspiration.
Citation: NNAAP – Feeding Safety.
Explanation: Follow ordered consistency and positioning to prevent aspiration.
Citation: NNAAP – Feeding Safety.
Q236. The CNA observes a new, strong odor and cloudy urine from a catheter bag. What should be done?
Correct Answer: A
Explanation: Changes may indicate infection; maintain closed system and report.
Citation: CDC CAUTI Prevention in LTC, .
Explanation: Changes may indicate infection; maintain closed system and report.
Citation: CDC CAUTI Prevention in LTC, .
Q237. When assisting with foot care for a diabetic resident, the CNA should:
Correct Answer: A
Explanation: Diabetic feet require gentle care and vigilance; nail/callus care is by licensed staff.
Citation: NNAAP – Foot Care Guidelines.
Explanation: Diabetic feet require gentle care and vigilance; nail/callus care is by licensed staff.
Citation: NNAAP – Foot Care Guidelines.
Q238. Which statement reflects culturally sensitive care?
Correct Answer: A
Explanation: Person-centered care incorporates individual beliefs and preferences within safety policies.
Citation: OBRA 1987 – Resident Rights & Person-Centered Care.
Explanation: Person-centered care incorporates individual beliefs and preferences within safety policies.
Citation: OBRA 1987 – Resident Rights & Person-Centered Care.
Q239. Which reading is within normal adult resting pulse range?
Correct Answer: A
Explanation: Normal adult pulse is about 60–100 bpm at rest.
Citation: NNAAP – Vital Signs Reference.
Explanation: Normal adult pulse is about 60–100 bpm at rest.
Citation: NNAAP – Vital Signs Reference.
Q240. The CNA notes a resident’s fingers are blue and very cold after going outside in winter. What is the best action?
Correct Answer: A
Explanation: Gradual rewarming prevents tissue damage; vigorous rubbing/hot water can injure skin.
Citation: CDC Cold Injury First Aid Guidance, .
Explanation: Gradual rewarming prevents tissue damage; vigorous rubbing/hot water can injure skin.
Citation: CDC Cold Injury First Aid Guidance, .
Q241. Which action is correct when collecting a sputum specimen?
Correct Answer: A
Explanation: Sputum must be from the lower respiratory tract in a sterile container.
Citation: Pearson VUE NNAAP – Specimen Collection ().
Explanation: Sputum must be from the lower respiratory tract in a sterile container.
Citation: Pearson VUE NNAAP – Specimen Collection ().
Q242. Appropriate CNA response to a resident’s new confusion at dusk (“sundowning”) is to:
Correct Answer: A
Explanation: Structured routine and redirection reduce agitation; report changes.
Citation: Alzheimer’s Association Dementia Care, .
Explanation: Structured routine and redirection reduce agitation; report changes.
Citation: Alzheimer’s Association Dementia Care, .
Q243. What is the first step if a fire is discovered in a resident’s room?
Correct Answer: A
Explanation: Follow RACE sequence; life safety first.
Citation: OSHA Healthcare Fire Safety, .
Explanation: Follow RACE sequence; life safety first.
Citation: OSHA Healthcare Fire Safety, .
Q244. Which practice is correct for pressure injury prevention in a chair?
Correct Answer: A
Explanation: Frequent weight shifts and proper cushions reduce pressure and shear.
Citation: NPIAP Prevention Guidelines, .
Explanation: Frequent weight shifts and proper cushions reduce pressure and shear.
Citation: NPIAP Prevention Guidelines, .
Q245. A resident is upset after a phone call with family. Which CNA response shows therapeutic communication?
Correct Answer: A
Explanation: Acknowledge feelings and offer supportive options without judgment.
Citation: OBRA Psychosocial Care; NNAAP .
Explanation: Acknowledge feelings and offer supportive options without judgment.
Citation: OBRA Psychosocial Care; NNAAP .
Q246. For residents with limited mobility, which measure helps prevent contractures?
Correct Answer: A
Explanation: ROM and alignment maintain joint mobility and muscle length.
Citation: Pearson VUE NNAAP – ROM Skills ().
Explanation: ROM and alignment maintain joint mobility and muscle length.
Citation: Pearson VUE NNAAP – ROM Skills ().
Q247. Which practice supports accurate blood pressure measurement?
Correct Answer: A
Explanation: Proper cuff and positioning reduce reading errors.
Citation: NNAAP – Vital Signs Procedure.
Explanation: Proper cuff and positioning reduce reading errors.
Citation: NNAAP – Vital Signs Procedure.
Q248. A resident with a hip precaution after surgery should be positioned:
Correct Answer: A
Explanation: Abduction and limited flexion reduce dislocation risk.
Citation: NNAAP – Post-Op Hip Precautions.
Explanation: Abduction and limited flexion reduce dislocation risk.
Citation: NNAAP – Post-Op Hip Precautions.
Q249. Which step best protects confidentiality when using paper charts?
Correct Answer: A
Explanation: HIPAA requires safeguarding PHI from unauthorized viewing.
Citation: HIPAA Privacy Rule, 45 CFR 160/164 ().
Explanation: HIPAA requires safeguarding PHI from unauthorized viewing.
Citation: HIPAA Privacy Rule, 45 CFR 160/164 ().
Q250. When assisting a resident with a walker, which gait pattern is generally correct for one weak leg?
Correct Answer: A
Explanation: Advancing the device, then the weak side, then the strong side provides stable support.
Citation: NNAAP – Ambulation with Walker.
Explanation: Advancing the device, then the weak side, then the strong side provides stable support.
Citation: NNAAP – Ambulation with Walker.
Q251. Which observation after applying elastic stockings (TED hose) should be reported immediately?
Correct Answer: A
Explanation: Changes in color/temperature suggest impaired circulation; remove and notify the nurse.
Citation: Pearson VUE NNAAP Skill – Apply Elastic Stocking ().
Explanation: Changes in color/temperature suggest impaired circulation; remove and notify the nurse.
Citation: Pearson VUE NNAAP Skill – Apply Elastic Stocking ().
Q252. When assisting a resident with a weak left side to stand using a gait belt, the CNA should position themself:
Correct Answer: A
Explanation: Close stance with knee block on the weak side improves stability during the rise to stand.
Citation: NNAAP – Transfer/Ambulation Safety Techniques.
Explanation: Close stance with knee block on the weak side improves stability during the rise to stand.
Citation: NNAAP – Transfer/Ambulation Safety Techniques.
Q253. Which finding suggests fluid overload and should be reported promptly?
Correct Answer: A
Explanation: Rapid weight gain and edema may indicate heart failure/fluid retention.
Citation: NNAAP – Observation & Reporting; HF Monitoring Standards.
Explanation: Rapid weight gain and edema may indicate heart failure/fluid retention.
Citation: NNAAP – Observation & Reporting; HF Monitoring Standards.
Q254. During post-mortem care, which action by the CNA is appropriate unless contraindicated by policy/coroner?
Correct Answer: A
Explanation: CNAs provide respectful body care; invasive lines are removed only by licensed staff per policy.
Citation: Prometric Nurse Aide CIB – Post-Mortem Care; HIPAA Privacy.
Explanation: CNAs provide respectful body care; invasive lines are removed only by licensed staff per policy.
Citation: Prometric Nurse Aide CIB – Post-Mortem Care; HIPAA Privacy.
Q255. Which best practice reduces aspiration when giving oral care to a resident with dysphagia?
Correct Answer: A
Explanation: Upright positioning and controlled moisture reduce aspiration risk.
Citation: NNAAP – Oral Care & Aspiration Precautions.
Explanation: Upright positioning and controlled moisture reduce aspiration risk.
Citation: NNAAP – Oral Care & Aspiration Precautions.
Q256. A resident receiving oxygen via nasal cannula complains of skin irritation behind the ears. The CNA should:
Correct Answer: A
Explanation: Padding/skin barriers prevent breakdown; avoid oil-based products with oxygen.
Citation: OSHA Oxygen Therapy Safety; NNAAP .
Explanation: Padding/skin barriers prevent breakdown; avoid oil-based products with oxygen.
Citation: OSHA Oxygen Therapy Safety; NNAAP .
Q257. When communicating with a resident who has moderate hearing loss, the CNA should FIRST:
Correct Answer: A
Explanation: Visual cues and clear speech aid comprehension; shouting distorts sound.
Citation: NNAAP – Communication Techniques & Assistive Devices.
Explanation: Visual cues and clear speech aid comprehension; shouting distorts sound.
Citation: NNAAP – Communication Techniques & Assistive Devices.
Q258. Which observation during feeding should be reported immediately?
Correct Answer: A
Explanation: Signs of aspiration risk require stopping feeding and notifying the nurse.
Citation: NNAAP – Feeding Safety Protocols.
Explanation: Signs of aspiration risk require stopping feeding and notifying the nurse.
Citation: NNAAP – Feeding Safety Protocols.
Q259. A resident with a history of falls needs to toilet. Which action is safest?
Correct Answer: A
Explanation: Supervision and assistance reduce fall risk during transfers.
Citation: Prometric Nurse Aide CIB – Safety & Fall Precautions.
Explanation: Supervision and assistance reduce fall risk during transfers.
Citation: Prometric Nurse Aide CIB – Safety & Fall Precautions.
Q260. The CNA should report which urine characteristic most urgently?
Correct Answer: A
Explanation: Gross hematuria may indicate bleeding or other pathology; notify the nurse immediately.
Citation: NNAAP – Observation/Reporting Abnormal Findings.
Explanation: Gross hematuria may indicate bleeding or other pathology; notify the nurse immediately.
Citation: NNAAP – Observation/Reporting Abnormal Findings.
Q261. When cleaning a resident’s glasses, the CNA should:
Correct Answer: A
Explanation: Gentle cleaning prevents scratching and preserves coatings.
Citation: NNAAP – Assistive Devices Care.
Explanation: Gentle cleaning prevents scratching and preserves coatings.
Citation: NNAAP – Assistive Devices Care.
Q262. A resident with dementia becomes agitated during a shower. The CNA’s best first response is to:
Correct Answer: A
Explanation: Respect, warmth, and flexibility reduce agitation; do not force care.
Citation: Alzheimer’s Association Dementia Care Practices, .
Explanation: Respect, warmth, and flexibility reduce agitation; do not force care.
Citation: Alzheimer’s Association Dementia Care Practices, .
Q263. Proper placement of a resident’s call light is:
Correct Answer: A
Explanation: Easy access promotes safety and timely assistance.
Citation: OBRA 1987 – Quality of Care/Safety; NNAAP .
Explanation: Easy access promotes safety and timely assistance.
Citation: OBRA 1987 – Quality of Care/Safety; NNAAP .
Q264. To prevent skin tears in a resident on anticoagulants, the CNA should:
Correct Answer: A
Explanation: Gentle handling and protective clothing reduce skin trauma.
Citation: NPIAP/NNAAP – Fragile Skin & Anticoagulation Precautions.
Explanation: Gentle handling and protective clothing reduce skin trauma.
Citation: NPIAP/NNAAP – Fragile Skin & Anticoagulation Precautions.
Q265. When assisting a resident with left hemiplegia to transfer to a wheelchair, the chair should be placed:
Correct Answer: A
Explanation: Positioning on the strong side promotes safe pivot and control.
Citation: NNAAP – Transfer Safety.
Explanation: Positioning on the strong side promotes safe pivot and control.
Citation: NNAAP – Transfer Safety.
Q266. Which action is correct when assisting with a clean-catch urine specimen for a female resident?
Correct Answer: A
Explanation: Midstream collection after cleansing reduces contamination.
Citation: Pearson VUE NNAAP – Specimen Collection ().
Explanation: Midstream collection after cleansing reduces contamination.
Citation: Pearson VUE NNAAP – Specimen Collection ().
Q267. Appropriate CNA action for a resident with a stageable pressure injury risk is to:
Correct Answer: A
Explanation: Off-loading and moisture control prevent injury; avoid massage/donuts.
Citation: NPIAP Prevention Guidelines, .
Explanation: Off-loading and moisture control prevent injury; avoid massage/donuts.
Citation: NPIAP Prevention Guidelines, .
Q268. While transferring with a mechanical lift, which step is essential?
Correct Answer: A
Explanation: Policies require two trained caregivers and proper sling for safety.
Citation: OSHA Safe Patient Handling & Mobility; NNAAP .
Explanation: Policies require two trained caregivers and proper sling for safety.
Citation: OSHA Safe Patient Handling & Mobility; NNAAP .
Q269. The CNA notes a resident’s new confusion and fever. The best action is to:
Correct Answer: A
Explanation: Acute confusion with fever may indicate infection or sepsis and requires prompt evaluation.
Citation: NNAAP – Recognizing & Reporting Changes.
Explanation: Acute confusion with fever may indicate infection or sepsis and requires prompt evaluation.
Citation: NNAAP – Recognizing & Reporting Changes.
Q270. Which is the correct order for doffing PPE after contact precautions care?
Correct Answer: A
Explanation: Remove the most contaminated items first; perform hand hygiene after removal.
Citation: CDC Transmission-Based Precautions – PPE Sequence ().
Explanation: Remove the most contaminated items first; perform hand hygiene after removal.
Citation: CDC Transmission-Based Precautions – PPE Sequence ().
Q271. When providing catheter care to a resident with an indwelling catheter, the CNA should:
Correct Answer: A
Explanation: Clean from meatus outward, maintain a closed system, and keep bag below bladder.
Citation: CDC CAUTI Prevention in LTC; NNAAP .
Explanation: Clean from meatus outward, maintain a closed system, and keep bag below bladder.
Citation: CDC CAUTI Prevention in LTC; NNAAP .
Q272. A resident on a low-sodium diet asks for salt at dinner. The CNA should:
Correct Answer: A
Explanation: CNAs reinforce ordered diets and report refusals/requests to nursing and dietary.
Citation: NNAAP – Nutrition & Reporting Scope.
Explanation: CNAs reinforce ordered diets and report refusals/requests to nursing and dietary.
Citation: NNAAP – Nutrition & Reporting Scope.
Q273. Best practice when recording intake is to include:
Correct Answer: A
Explanation: Objective, measurable documentation supports accurate care planning.
Citation: NNAAP – Documentation Standards.
Explanation: Objective, measurable documentation supports accurate care planning.
Citation: NNAAP – Documentation Standards.
Q274. A resident with a new cast complains of numb fingers and increasing pain. The CNA should:
Correct Answer: A
Explanation: Neurovascular compromise is an emergency; notify nurse at once.
Citation: NNAAP – Observing & Reporting Changes.
Explanation: Neurovascular compromise is an emergency; notify nurse at once.
Citation: NNAAP – Observing & Reporting Changes.
Q275. A resident with C. difficile-associated diarrhea needs assistance to the bathroom. Which PPE is required at minimum?
Correct Answer: A
Explanation: Contact precautions require gloves and gown; perform soap-and-water hand hygiene after removal.
Citation: CDC C. difficile Prevention in LTC, .
Explanation: Contact precautions require gloves and gown; perform soap-and-water hand hygiene after removal.
Citation: CDC C. difficile Prevention in LTC, .
Q276. A resident with COPD becomes short of breath while walking in the hall. What is the CNA’s first action?
Correct Answer: A
Explanation: High-Fowler’s position and stopping exertion ease breathing; then report.
Citation: AHA/Respiratory Care in LTC, NNAAP .
Explanation: High-Fowler’s position and stopping exertion ease breathing; then report.
Citation: AHA/Respiratory Care in LTC, NNAAP .
Q277. When assisting a resident with right-sided weakness to ambulate with a cane, where should the CNA stand?
Correct Answer: A
Explanation: Standing on the weak side with a gait belt provides support if the knee buckles.
Citation: NNAAP – Ambulation Safety.
Explanation: Standing on the weak side with a gait belt provides support if the knee buckles.
Citation: NNAAP – Ambulation Safety.
Q278. A resident tells the CNA, “My neighbor keeps taking my clothes.” What is the CNA’s best initial response?
Correct Answer: A
Explanation: Use therapeutic communication and report possible theft or misplacement per policy.
Citation: OBRA Resident Rights; NNAAP – Communication & Reporting.
Explanation: Use therapeutic communication and report possible theft or misplacement per policy.
Citation: OBRA Resident Rights; NNAAP – Communication & Reporting.
Q279. Which observation after hip replacement requires immediate reporting?
Correct Answer: A
Explanation: Signs of dislocation require urgent evaluation.
Citation: NNAAP – Post-Op Hip Precautions/Reporting.
Explanation: Signs of dislocation require urgent evaluation.
Citation: NNAAP – Post-Op Hip Precautions/Reporting.
Q280. The CNA should wash hands with soap and water instead of using alcohol rub after:
Correct Answer: A
Explanation: Alcohol does not reliably kill spores; visible dirt requires soap and water.
Citation: CDC Hand Hygiene & C. difficile, .
Explanation: Alcohol does not reliably kill spores; visible dirt requires soap and water.
Citation: CDC Hand Hygiene & C. difficile, .
Q281. The most accurate method to measure liquid oral intake is to:
Correct Answer: A
Explanation: Objective, measured volumes support accurate I&O.
Citation: NNAAP – Intake/Output Measurement.
Explanation: Objective, measured volumes support accurate I&O.
Citation: NNAAP – Intake/Output Measurement.
Q282. Which practice helps prevent aspiration for a resident with dysphagia during meals?
Correct Answer: A
Explanation: Positioning and pacing per care plan reduce aspiration risk.
Citation: NNAAP – Feeding Safety.
Explanation: Positioning and pacing per care plan reduce aspiration risk.
Citation: NNAAP – Feeding Safety.
Q283. A resident with dementia repeatedly packs for “home.” The CNA’s best approach is to:
Correct Answer: A
Explanation: Validation and redirection are least restrictive and reduce agitation.
Citation: Alzheimer’s Association Dementia Care, .
Explanation: Validation and redirection are least restrictive and reduce agitation.
Citation: Alzheimer’s Association Dementia Care, .
Q284. When making an occupied bed, the CNA should first:
Correct Answer: A
Explanation: Proper height and safety reduce caregiver injury and resident falls.
Citation: NNAAP – Bedmaking Skill; OSHA Body Mechanics.
Explanation: Proper height and safety reduce caregiver injury and resident falls.
Citation: NNAAP – Bedmaking Skill; OSHA Body Mechanics.
Q285. Which is part of standard precautions for every resident?
Correct Answer: A
Explanation: Standard precautions include hand hygiene and PPE based on anticipated exposure.
Citation: CDC Standard Precautions, .
Explanation: Standard precautions include hand hygiene and PPE based on anticipated exposure.
Citation: CDC Standard Precautions, .
Q286. A resident with diabetes is sweaty and shaky during activities. What should the CNA do?
Correct Answer: A
Explanation: Symptoms suggest low blood sugar requiring prompt evaluation/intervention by nurse.
Citation: ADA Hypoglycemia Recognition in LTC, .
Explanation: Symptoms suggest low blood sugar requiring prompt evaluation/intervention by nurse.
Citation: ADA Hypoglycemia Recognition in LTC, .
Q287. When positioning a resident in lateral (side-lying), which area requires protection from pressure?
Correct Answer: A
Explanation: Pillows between knees/ankles and at bony areas reduce pressure/shear.
Citation: NPIAP Prevention Guidelines; NNAAP .
Explanation: Pillows between knees/ankles and at bony areas reduce pressure/shear.
Citation: NPIAP Prevention Guidelines; NNAAP .
Q288. The CNA observes dried feces on sheets. What is the correct sequence of actions?
Correct Answer: A
Explanation: Standard precautions and proper linen handling prevent contamination.
Citation: CDC Laundry/Environmental Infection Control, .
Explanation: Standard precautions and proper linen handling prevent contamination.
Citation: CDC Laundry/Environmental Infection Control, .
Q289. Which of the following is an example of objective charting?
Correct Answer: A
Explanation: Use measurable facts, not opinions or diagnoses.
Citation: NNAAP – Documentation Standards.
Explanation: Use measurable facts, not opinions or diagnoses.
Citation: NNAAP – Documentation Standards.
Q290. Appropriate CNA action for a resident with a new pressure injury dressing is to:
Correct Answer: A
Explanation: CNAs do not change ordered dressings unless delegated; observe and report changes.
Citation: NPIAP/NNAAP – Wound Observation & Reporting.
Explanation: CNAs do not change ordered dressings unless delegated; observe and report changes.
Citation: NPIAP/NNAAP – Wound Observation & Reporting.
Q291. A resident on fall precautions wants to walk to the bathroom at night. The CNA should first:
Correct Answer: A
Explanation: Supervised toileting with safety measures reduces falls.
Citation: Prometric Nurse Aide – Fall Precautions .
Explanation: Supervised toileting with safety measures reduces falls.
Citation: Prometric Nurse Aide – Fall Precautions .
Q292. What is the correct action if a resident refuses a shower?
Correct Answer: A
Explanation: Residents have the right to refuse care; provide options and inform nursing.
Citation: OBRA Resident Rights; NNAAP .
Explanation: Residents have the right to refuse care; provide options and inform nursing.
Citation: OBRA Resident Rights; NNAAP .
Q293. Which practice supports safe oxygen use in the resident’s room?
Correct Answer: A
Explanation: Oxygen supports combustion; avoid oil-based products and heat/open flames.
Citation: OSHA Oxygen Therapy Safety; NNAAP .
Explanation: Oxygen supports combustion; avoid oil-based products and heat/open flames.
Citation: OSHA Oxygen Therapy Safety; NNAAP .
Q294. When assisting a resident to use a urinal in bed, the CNA should:
Correct Answer: A
Explanation: Upright positioning promotes voiding and reduces spills; maintain dignity and safety.
Citation: NNAAP – Elimination Assistance.
Explanation: Upright positioning promotes voiding and reduces spills; maintain dignity and safety.
Citation: NNAAP – Elimination Assistance.
Q295. You observe bruises in different stages on a resident’s arms. What must you do?
Correct Answer: A
Explanation: Suspected abuse/neglect requires prompt reporting per state and facility policy.
Citation: OBRA 1987 – Abuse Prevention & Reporting; NNAAP .
Explanation: Suspected abuse/neglect requires prompt reporting per state and facility policy.
Citation: OBRA 1987 – Abuse Prevention & Reporting; NNAAP .
Q296. Which step helps prevent CAUTI during routine CNA care?
Correct Answer: A
Explanation: Dependent, closed drainage prevents backflow and contamination.
Citation: CDC CAUTI Prevention in LTC, .
Explanation: Dependent, closed drainage prevents backflow and contamination.
Citation: CDC CAUTI Prevention in LTC, .
Q297. Which is correct regarding restraints?
Correct Answer: A
Explanation: OBRA requires least restrictive approach and ongoing monitoring/documentation.
Citation: OBRA 1987 – Restraint Reduction; NNAAP .
Explanation: OBRA requires least restrictive approach and ongoing monitoring/documentation.
Citation: OBRA 1987 – Restraint Reduction; NNAAP .
Q298. During perineal care for a male resident with an uncircumcised penis, the CNA should:
Correct Answer: A
Explanation: Returning the foreskin prevents constriction/edema; gentle hygiene reduces infection risk.
Citation: NNAAP – Perineal Care Guidelines.
Explanation: Returning the foreskin prevents constriction/edema; gentle hygiene reduces infection risk.
Citation: NNAAP – Perineal Care Guidelines.
Q299. A resident with expressive aphasia points to the bathroom sign and looks distressed. The best CNA response is:
Correct Answer: A
Explanation: Support communication with simple choices and provide timely toileting assistance.
Citation: NNAAP – Communication & Toileting Safety.
Explanation: Support communication with simple choices and provide timely toileting assistance.
Citation: NNAAP – Communication & Toileting Safety.
Q300. Which action demonstrates proper body mechanics when lifting an object from the floor?
Correct Answer: A
Explanation: Using leg muscles with a neutral spine and keeping the load close reduces strain and injury.
Citation: OSHA Safe Patient Handling/Body Mechanics; NNAAP .
Explanation: Using leg muscles with a neutral spine and keeping the load close reduces strain and injury.
Citation: OSHA Safe Patient Handling/Body Mechanics; NNAAP .
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