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CNA Practice Test 2026

25 multiple-choice questions that progress from basic to advanced CNA knowledge — definitions, scenarios, application, and critical thinking tied to core caregiving principles.

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amanbg
amanbg
Published July 25, 2026

Quiz Questions & Answers

Review every prompt, the correct responses, and helpful context to prep for your own run-through.

Question 1: What is the primary role of a Certified Nursing Assistant (CNA)?

Diagnose illnesses and prescribe medications

Develop facility budgets and staffing schedules

Perform surgical procedures under supervision

Provide direct basic care and support under nurse supervision

Question 2: Which action best demonstrates respecting patient dignity?

Discuss the patient's condition openly with other residents

Assist without asking to save time

Knock and explain before entering a room

Leave doors and curtains open for convenience

Question 3: When should hand hygiene be performed to reduce infection risk?

Only when the nurse instructs you

Only after visible contamination

Before and after contact with each patient

Once per shift

Question 4: Which vital sign change should be reported immediately to a nurse?

Stable pulse within expected range

Normal blood pressure for the patient

Slight increase in temperature after activity

Sudden drop in oxygen saturation below baseline

Question 5: What is the correct procedure for lifting a light object to protect your back?

Bend at the knees and keep the back straight while lifting

Lift only with one arm extended

Keep legs straight and bend forward from the waist

Twist at the waist while lifting quickly

Question 6: Which of these is a core component of standard precautions?

Isolating all patients regardless of diagnosis

Only using masks for surgical patients

Use of gloves when exposure to body fluids is possible

Sterilizing linens after every use

Question 7: A resident with dementia becomes agitated; what is the best initial CNA response?

Speak calmly, reduce noise, and try reorientation

Increase bright lights and ask many questions

Ignore behaviors until they stop

Physically restrain the resident immediately

Question 8: Which method best prevents pressure ulcers for bedbound patients?

Only using topical creams without repositioning

Allowing the patient to stay in one position for comfort

Repositioning at least every two hours

Keeping the head of the bed elevated full-time

Question 9: Which communication technique helps when a patient has hearing loss?

Only communicate via written notes

Speak louder while turning away

Use long, complex explanations quickly

Face the patient, speak clearly and use short sentences

Question 10: When assisting with ambulation, where should the CNA stand to best protect the patient?

Walk several steps ahead so the patient follows

Hold the patient's wrist tightly from the front

Sit while the patient walks past

Stand slightly behind and to one side with a gait belt available

Question 11: Which observation indicates dehydration in an elderly patient?

Low blood pressure with excessive saliva

Improved appetite and increased thirst

Dry mucous membranes and decreased urine output

Warm, moist skin and frequent urination

Question 12: When documenting care, which practice is essential for accuracy?

Use vague language to speed charting

Erase errors and rewrite entries later

Record facts promptly, legibly, and without subjective judgments

Wait until the end of the shift to recall events

Question 13: Which approach is best when a patient refuses an assigned care task?

Ignore the refusal and document nothing

Tell the patient they will be disciplined

Acknowledge refusal, explore reasons, and inform the nurse

Force the procedure to ensure compliance

Question 14: Which sign suggests possible urinary tract infection in a nonverbal resident?

Sudden confusion and increased frequency or foul-smelling urine

Improved appetite and calmer behavior

Stable cognition and no change in toileting

Clear, light-colored urine with more energy

Question 15: What is the correct sequence when removing personal protective equipment (PPE) to avoid contamination?

Goggles, mask, gown, gloves

Mask, gown, gloves, goggles

Gown, gloves, mask, goggles

Gloves, goggles/face shield, gown, mask

Question 16: How should a CNA handle a patient’s personal property request to ensure legal safety?

Lend the item to other residents freely

Immediately discard items to reduce clutter

Document requests and notify nursing/charge nurse before altering items

Alter items without telling anyone to save time

Question 17: Which feeding approach reduces aspiration risk for patients with swallowing difficulty?

Give only thin liquids rapidly

Offer small bites, encourage chin-tuck, and upright position

Feed quickly while the patient lies flat

Provide large bolus swallows to finish faster

Question 18: A patient’s restraint has been removed; what must the CNA do next?

Leave patient alone to rest without checking

Assess circulation and skin, document, and report to nurse

Delay documentation until the end of shift

Apply a different restraint immediately

Question 19: Which behavior best supports cultural competence in care?

Ignore cultural requests to be fair

Enforce facility routines over patient wishes always

Assume all patients prefer the same routines

Ask about and accommodate cultural preferences when possible

Question 20: Which sign indicates a potential cardiovascular emergency requiring immediate action?

Sudden chest pain, shortness of breath, and diaphoresis

Steady appetite and normal breathing

Fatigue after a long walk without pain

Mild, brief headache relieved by rest

Question 21: What is the best CNA action when a patient expresses suicidal thoughts?

Tell them to get over it without reporting

Postpone action until break time

Promise secrecy and leave them alone briefly

Stay with patient, ensure safety, and notify nurse or mental health staff immediately

Question 22: Which technique reduces the spread of multi-drug-resistant organisms (MDROs) in facilities?

Only wash hands after the shift ends

Share PPE between patients to save supplies

Strict hand hygiene, contact precautions, and cleaning high-touch surfaces

Rely solely on antibiotics to prevent spread

Question 23: Which observation should prompt immediate removal of a peripheral IV (if within CNA scope) or rapid nurse notification?

Redness, swelling, or leaking at the insertion site

Patient reports no pain at the site

Dressing remains clean and dry

Infusion pump displays normal rate

Question 24: How should CNAs manage time-sensitive communication during shift change?

Only tell the nurse if you have time later

Give clear, concise handoff about changes and pending concerns to incoming staff

Skip handoff and write a long note instead

Assume incoming staff will discover issues themselves

Question 25: Which legal principle requires CNAs to report suspected abuse?

Optional workplace suggestion protocol

Only auditors may report abuse

Mandatory reporting laws for healthcare workers

Reporting is unnecessary if family is present