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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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