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CNA Practice Test

25 medium-difficulty multiple-choice questions covering practical nurse aide skills, judgment, and patient-centered care.

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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 purpose of performing hand hygiene before and after patient contact?

To reduce transmission of pathogens between people and surfaces

To conserve hospital supplies

To replace the need for personal protective equipment

To shorten patient stay length

Question 2: Which action best demonstrates respecting patient confidentiality under HIPAA principles?

Talking about a case in a public elevator using first names

Discussing a resident's condition only with the care team involved in their care

Reading medical records of other residents for learning

Posting recovery updates on social media with initials

Question 3: When transferring a dependent patient from bed to wheelchair, what should you do first?

Explain the procedure and get the patient’s consent

Lift the patient quickly to save time

Remove the patient’s footwear

Lock the wheelchair brakes after transfer only

Question 4: Which sign usually indicates a risk of pressure ulcer development?

Reddened, non-blanching skin over a bony prominence

Dry, flaky skin on forearms

Smooth, even-colored skin over the shoulders

Warm, moist skin in skin folds only

Question 5: A resident is choking and cannot cough or speak. What should the CNA do immediately if trained?

Wait for the nurse to arrive before acting

Perform abdominal thrusts (Heimlich maneuver) as appropriate

Tell them to lie down and breathe slowly

Give the person water to wash it down

Question 6: How often should a dependent resident be repositioned to prevent pressure injuries?

Every time the resident eats

Only when the patient complains of discomfort

Once every 24 hours

At least every two hours while in bed

Question 7: What is the correct way to identify a resident before providing care?

Rely on family member confirmation alone

Identify the patient by clothing color

Assume identity based on room number

Ask the resident to state their name and check their ID band

Question 8: Why is it important to document intake and output (I&O) accurately?

To ensure the kitchen has enough supplies

To monitor fluid balance and detect changes in clinical status

To document how much the staff interacted with patients

To track which foods residents prefer

Question 9: A resident with dementia becomes agitated during care. What is a best first approach?

Tell the resident they must behave

Pause, speak calmly, and try to redirect or simplify the task

Ignore the behavior and continue

Raise your voice to assert control

Question 10: Which observation should be reported to the nurse immediately?

Sudden shortness of breath and chest pain

A resident's preference for tea over coffee

Mild long-standing knee pain unchanged for months

A stable long-term skin mole

Question 11: When assisting with oral care for an unconscious resident, what is essential?

Position the resident on their side and use suction as needed

Leave mouth care until the next shift

Give them a full glass of water first

Brush teeth vigorously to remove plaque quickly

Question 12: What is the safest way to lift a heavy object while protecting your back?

Bend at the knees, keep the back straight, and lift with legs

Stand with feet close together for balance

Lift quickly to decrease effort time

Twist the torso while lifting to get leverage

Question 13: Which feeding approach supports a resident with swallowing difficulties (dysphagia)?

Encourage rapid drinking to finish meals faster

Offer only carbonated beverages

Have the resident lie back slightly while swallowing

Offer thickened liquids and ensure upright positioning during meals

Question 14: Why is consistent use of a care plan important for CNA tasks?

It ensures care is individualized and coordinated across shifts

It only applies to new admissions

It allows staff to make major medical decisions

It reduces the need for documentation

Question 15: Which approach best promotes dignity while assisting with toileting?

Hurry the process to finish quickly

Use loud directives to ensure cooperation

Invite other staff to assist in the room

Provide privacy, explain each step, and preserve modesty

Question 16: When observing a resident's pulse, which detail matters most?

Only the time of day it was taken

The resident's favorite color

Whether the resident prefers sitting or standing

Rate, rhythm, and strength of the pulse

Question 17: How should a CNA respond to a resident requesting to see their medical chart?

Deny the request because charts are confidential

Inform the nurse or supervisor and follow facility policy for access

Refuse and explain you don't trust their judgment

Hand the chart to them immediately without checking

Question 18: What is an appropriate action when a patient refuses care?

Tell family to make the decision immediately

Ignore it and perform care later without note

Respect the decision, document refusal, and notify the nurse

Force the care to ensure safety

Question 19: Which observation indicates possible dehydration in an older adult?

Increased appetite

Clear skin without wrinkles

Loud speech

Dry mucous membranes and decreased urine output

Question 20: Which principle guides safe use of restraints if they are ordered?

Restraints should always be padded with heavy materials

Restraints are a last resort and used for the shortest duration necessary

Restraints require no documentation

Restraints can be applied whenever staff are busy

Question 21: How should a CNA approach assisting a resident who uses a cane for ambulation?

Stand on the weaker side and encourage proper cane use

Push the resident from behind while they walk

Tell them to hold the cane in the strong hand only

Take the cane away to speed up movement

Question 22: Which best practice helps prevent urinary tract infections (UTIs) in female residents?

Recommend wearing tight synthetic underwear

Delay toileting for longer intervals

Suggest using scented feminine sprays

Encourage front-to-back perineal hygiene after toileting

Question 23: What documentation practice ensures accurate charting of care given?

Record only when asked by the nurse

Use vague phrases like 'patient fine' frequently

Wait until the end of the week to batch entries

Record care immediately after providing it with objective details

Question 24: Which behavior demonstrates cultural competence in resident care?

Insist on facility routines over cultural needs

Ignore cultural differences to avoid awkwardness

Assume all residents want the same routines

Ask about and respect the resident's cultural preferences for care routines

Question 25: A resident complains of new numbness and slurred speech. Which action is most appropriate?

Report immediately because these signs may indicate a stroke

Suggest the resident rest for an hour

Give over-the-counter pain medication

Document the complaint and reassess next shift