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