Copy of CNA Exam Prep
Importance of Bed Linens
Question 1: Why should bed linens remain wrinkle-free?
(A) To help keep the skin healthy and prevent pressure injuries ✅
(B) To keep nursing assistants (NAs) from having to change the sheets too often
(C) To keep sheets looking new
(D) To reduce dirt on the sheets
Medical Devices and Terminology
Question 2: What is a device that replaces a missing body part?
(A) Pronation
(B) Prone
(C) Personal protective equipment
(D) Prosthesis ✅
Range of Motion Exercises
Question 3: Exercises that put each joint through its full arc of motion are called:
(A) Weightlifting
(B) Range of motion ✅
(C) Stretch and relax
(D) Rotation
Proper Gown Removal
Question 4: Correctly removing a gown involves:
(A) Unfastening at neck and waist, rolling the dirty side in while holding away from the body ✅
(B) Unfastening at neck and waist, pulling over the head
(C) Unfastening and pulling from the outside chest until it comes off
(D) Unfastening and dropping it to the floor
Disposable Gloves Usage
Question 5: How many times can disposable gloves be worn?
(A) One time ✅
(B) Two times
(C) Three times
(D) Multiple times if washed in between
Communicating with Residents
Question 6: Best way for an NA to communicate with a resident with visual impairment:
(A) Ask the resident to “see” what is in front
(B) Identify herself when she enters the room ✅
(C) Keep the lighting low at all times
(D) Touch the resident before identifying herself
Foot Care for Diabetics
Question 7: Best way for an NA to provide foot care for a diabetic resident:
(A) Encourage going barefoot
(B) Apply lotion between the toes
(C) Clip toenails regularly
(D) Observe feet for sores/infection ✅
Handling Falls
Question 8: If a resident starts to fall, the best response for an NA is:
(A) Catch under the arms
(B) Widen stance and bring body close ✅
(C) Lock knees
(D) Reverse the fall if less than halfway down
Proper Handwashing
Question 9: Friction duration while washing hands:
(A) 60 seconds
(B) 30 seconds
(C) 20 seconds ✅
(D) 10 seconds
Legal Document for Healthcare Decisions
Question 10: Legal document designating healthcare preferences:
(A) Bill of Rights
(B) Advance directive ✅
(C) Protected health information
(D) Code of ethics
Vital Sign Measurements Accuracy of Temperature Sites
Question 11: Most accurate site for temperature measurement:
(A) Rectum (rectal) ✅
(B) Ear (tympanic)
(C) Mouth (oral)
(D) Armpit (axilla)
Scope of Practice for NAs
Question 12: Task outside the NA's scope of practice:
(A) Counting pulse rates
(B) Cleaning after incontinence
(C) Prescribing medication ✅
(D) Assisting with a cane
Receiving Gifts from Residents
Question 13: NA's response if a resident offers a gift:
(A) Accept if reciprocating
(B) Refuse but thank the resident ✅
(C) Refuse unless kept confidential
(D) Accept if the resident can't return it
Understanding Empathy
Question 14: Definition of empathy:
(A) Being alert
(B) Documenting honestly
(C) Identifying with others' feelings ✅
(D) Taking responsibility for actions
Monitoring Pulse Rate
Question 15: Common pulse site for NAs to check:
(A) Radial ✅
(B) Temporal
(C) Carotid
(D) Brachial
Types of Abuse
Question 16: Slapping, shoving, and rough handling are:
(A) Neglect
(B) Physical abuse ✅
(C) Psychological abuse
(D) Verbal abuse
Sharing Medical Information
Question 17: Individuals with whom NAs may share medical information:
(A) Resident’s doctor ✅
(B) NA’s friend
(C) Resident’s friend
(D) Resident’s priest
Fact vs. Opinion
Question 18: Example of a fact:
(A) Mr. Gomez ate half of his scrambled egg. ✅
(B) Mr. Gomez was not hungry.
(C) Mr. Gomez dislikes meals offered.
(D) Mr. Gomez is too sick to eat.
Essential Nutrients
Question 19: Most essential nutrient(s) for life:
(A) Proteins
(B) Carbohydrates
(C) Vitamins
(D) Water ✅
Objective Information
Question 20: Definition of objective information:
(A) Cannot be observed
(B) Collected using senses ✅
(C) Reported by the resident
(D) Untrue information
Documentation Practices
Question 21: Correct documentation practice:
(A) Document before care if time insufficient
(B) Document the next day before starting work
(C) Document right after care is done ✅
(D) Residents help document their own care
Standard Precautions
Question 22: Standard Precautions should be practiced:
(A) Only on those who appear ill
(B) On every person in care ✅
(C) Only at resident request
(D) Only for infectious cases
Handwashing Protocol
Question 23: True statement about handwashing practices:
(A) Wash hands before and after resident contact ✅
(B) No need for frequent handwashing
(C) No effect on disease spread
(D) Water should run up arms during washing
Body Mechanics
Question 24: Proper body mechanics include:
(A) Twisting at the waist
(B) Carrying objects far from the body
(C) Standing shoulder-width apart ✅
(D) Keeping knees locked while lifting
Pressure Injury Signs
Question 25: First sign of a pressure injury:
(A) Discoloration of skin ✅
(B) Non-intact skin
(C) Paralysis at the site
(D) Exposed muscle and bone
Physical Needs
Question 26: Example of a physical need:
(A) Social interaction
(B) Food ✅
(C) Intellectual stimulation
(D) Spirituality Cliché
Communication
Question 27: Example of a cliché:
(A) “Would you like me to go with you?”
(B) “It will all work out in the end.” ✅
(C) “How can I help?”
(D) “I understand you’re feeling scared.”
Microorganisms and Health Microorganism Growth Conditions
Question 28: Microorganisms grow best in:
(A) Bright environments
(B) Light environments
(C) Cold environments
(D) Dark environments ✅
Axillary Temperature Measurement
Question 29: Axillary temperature is measured:
(A) In the mouth
(B) In the rectum
(C) In the armpit ✅
(D) In the ear
Temperature Measurement Wait Time
Question 30: Wait time after consuming iced tea before measuring oral temperature:
(A) 5 to 10 minutes ✅
(B) 10 to 20 minutes
(C) 30 to 40 minutes
(D) 60 minutes
Medical Abbreviations
Question 31: Abbreviation for nothing by mouth:
(A) NBM
(B) NOC
(C) NPO ✅
(D) NWB
Cane Types
Question 32: Cane with four rubber-tipped feet:
(A) Quadcane ✅
(B) Functional grip cane
(C) C cane
(D) Curved cane
Use of Gloves
Question 33: Situation where NA must wear gloves:
(A) While feeding a resident
(B) While shaving a resident ✅
(C) While performing range of motion exercises
(D) While transferring a resident
Toileting Equipment Question 34: Equipment used for residents who cannot raise hips onto regular bedpan:
(A) Urinal
(B) Portable commode
(C) Raised toilet seat
(D) Fracture pan ✅
Hypertension
Question 35: Medical term for high blood pressure:
(A) High blood pressure ✅
(B) Rapid pulse rate
(C) Difficulty swallowing
(D) Rapid heartbeat
Ostomy Bag Care
Question 36: How often an ostomy bag should be emptied:
(A) Every two days
(B) Once per hour
(C) Three times per day
(D) Whenever stool is eliminated ✅
Resident Care Practices Range of Motion Exercise Assistance
Question 37: Working with a resident during range of motion exercises involves:
(A) Begin at the feet and work up
(B) Begin at the shoulders and work down
(C) Begin at fingertips and work inward
(D) Begin at knees and work up to shoulders ✅
Contractures
Question 38: Permanent shortening of a muscle or tendon:
(A) Abrasion
(B) Contracture ✅
(C) Pressure injury
(D) Fracture
Fluid Intake Monitoring
Question 39: Unit of measurement for fluid intake:
(A) Milliliters ✅
(B) Cups
(C) Feet
(D) Inches
Fracture Pan Positioning
Question 40: Positioning a fracture pan:
(A) Handle toward the head of the bed ✅
(B) Handle toward the foot of the bed
(C) Handle facing nursing assistant's standing side
(D) Handle facing the window
Communication with Hearing Impaired Residents
Question 41: Proper communication with a hearing-impaired resident:
(A) Face the resident directly ✅
(B) Stand behind resident when speaking
(C) Shout and exaggerate mouth movements
(D) Use a high-pitched voice
Physical Abuse Examples
Question 42: Example of physical abuse:
(A) Isolating a resident
(B) Pinching a resident ✅
(C) Embarrassing remarks to resident's friend
(D) Theft from a resident
Psychological Abuse
Question 43: Joking about a resident's incontinence is:
(A) Psychological abuse ✅
(B) Physical abuse
(C) Sexual abuse
(D) Involuntary seclusion
Mental Health Disorders
Question 44: True statement about mental health disorders:
(A) Control over symptoms is possible ✅
(B) Symptoms resemble those of physical disorders
(C) Individuals are pretending to be sick
(D) Rarely disrupt normal function
Resources for NA Stress
Question 45: Appropriate resource for NA stress:
(A) Resident
(B) Supervisor ✅
(C) Resident's family
(D) Resident's friends
Clean Standards in Healthcare
Question 46: For cleanliness in healthcare, objects must be:
(A) Contaminated with pathogens
(B) Free of pathogens ✅
(C) Washed in hot water and dried with a clean towel
(D) Soaked in water
Whole Grain Foods
Question 47: Example of a whole grain food:
(A) White rice
(B) Hard-boiled egg
(C) Whole wheat bread ✅
(D) Raw strawberries
Dehydration Question 48: Serious condition due to insufficient fluid in the body:
(A) Fluid balance
(B) Edema
(C) Dehydration ✅
(D) Aspiration
Plant-Based Proteins
Question 49: Example of a plant-based protein:
(A) Fried chicken
(B) Poached salmon
(C) Roasted turkey
(D) Refried beans ✅
MyPlate Guidance
Question 50: Per USDA MyPlate, most fruit choices should be:
(A) Fruit smoothies
(B) Fruit juice
(C) Whole fruit ✅
(D) Fruit flavored drinks
Aspiration Prevention
Question 51: True statement for preventing aspiration during eating:
(A) Help into a reclining position
(B) Offer large food pieces
(C) Place food on the stronger side of the mouth ✅
(D) Place food on the weaker side of the mouth
Transmission-Based Precautions
Question 52: Statement about Transmission-Based Precautions:
(A) No need for Standard Precautions if practicing these
(B) Practiced in addition to Standard Precautions ✅
(C) Same as Standard Precautions
(D) No longer used
Physical Restraints
Question 53: Example of a physical restraint:
(A) Wheelchair at head of bed
(B) Bed with blankets folded at foot
(C) Raised side rails ✅
(D) Bedside commode next to bed
Activities of Daily Living (ADLs)
Question 54: Meaning of the abbreviation ADLs:
(A) As doctor likes
(B) Activities of daily living ✅
(C) After doctor leaves
(D) Active data learning
Rehabilitation Care
Question 55: Type of care that restores function after illness or injury:
(A) Subacute care
(B) Acute care
(C) Adult day services
(D) Rehabilitation ✅
Angina Pectoris
Question 56: Medical term for chest pain:
(A) Atherosclerosis
(B) Nitroglycerin
(C) Ketoacidosis
(D) Angina pectoris ✅
Ethical Behavior in NA Practices
Question 57: Ethical behavior can be demonstrated by:
(A) Protecting resident’s privacy ✅
(B) Changing care plans if inappropriate
(C) Performing tasks out of scope at resident's request
(D) Accepting gifts from residents
Military Time Conversion
Question 58: Correct conversion of 4:00 p.m. to military time:
(A) 1400 hours
(B) 1500 hours
(C) 1600 hours ✅
(D) 1700 hours
Barriers to Communication
Question 59: Example of a barrier to communication:
(A) Using medical terminology ✅
(B) Asking resident to repeat
(C) Speaking same language as resident
(D) Clear communication with professional tone
Non-Verbal Communication
Question 60: Example of non-verbal communication:
(A) Resident yells for drink
(B) Resident asks for a glass of water
(C) Resident points to a glass ✅
(D) Daughter requests water for mother
Reporting Incidents Incident Reporting Requirements
Question 61: Incident requiring a report:
(A) NA arrives late for shift
(B) Resident requests non-dietary food
(C) Resident falls ✅
(D) Signs of improvement
Hepatitis B Vaccination Requirement
Question 62: Employer must offer free vaccine for:
(A) Cancer
(B) HIV
(C) Hepatitis B ✅
(D) Chickenpox
Draw Sheet Use
Question 63: Purpose of draw sheets:
(A) Comfort for residents
(B) Keeping residents warm
(C) Repositioning without shearing ✅
(D) Preventing wet beds from incontinence
Standard Bedpan Assistance
Question 64: Wider end of bedpan placement:
(A) Toward the foot of the bed
(B) In alignment with buttocks ✅
(C) Inside portable commode
(D) Side of bed where NA is standing
Blood Pressure Measurement
Question 65: Device used for measuring blood pressure:
(A) Thermometer
(B) Watch
(C) Finger
(D) Sphygmomanometer ✅
Transfer Devices
Question 66: Safety device for resident transfer:
(A) Waist restraint
(B) Posey vest
(C) Transfer belt ✅
(D) Geriatric chair
Daily Fluid Intake Guidelines
Question 67: Recommended daily intake fluid amount:
(A) 64 ounces ✅
(B) 48 ounces
(C) 92 ounces
(D) 36 ounces
Cyanosis Definition
Question 68: Medical term for blue or gray skin:
(A) Dermatitic
(B) Cyanotic ✅
(C) Dysphagic
(D) Necrotic
Midnight in Military Time
Question 69: Correct conversion of midnight (12:00 a.m.):
(A) 2400 hours ✅
(B) 1200 hours
(C) 0800 hours
(D) 0400 hours
OBRA Training Requirements
Question 70:
Required training hours by OBRA for nursing assistants:
(A) 75 ✅
(B) 120
(C) 30
(D) 50
Fluid Measurement Conversion
Question 71: Ounces equal to 90 milliliters:
(A) 3 ounces ✅
(B) 30 ounces
(C) 90 ounces
(D) 120 ounces
Regulatory Inspections
Question 72: Regular inspections for state and federal compliance:
(A) Surveys ✅
(B) Citations
(C) Procedures
(D) Licenses
Confidentiality and Advocacy Keeping Health Information Confidential
Question 73: Keeping health information confidential:
(A) Discussing privately outside facilities
(B) Bringing friends to meet residents
(C) Storing documents per policy ✅
(D) Posting updates on social media
Ombudsman Duties
Question 74: Duties of an ombudsman:
(A) Advocates for staff in disputes
(B) Advocates for residents and settles disputes ✅
(C) Teaches NA training classes
(D) Organizes activities for residents
OBRA Training Topics
Question 75: Required training topics by OBRA:
(A) Healthcare for NAs
(B) Promoting residents’ independence ✅
(C) Meal preparation for residents
(D) NA work schedules
Promoting Residents’ Rights
Question 76: Behavior promoting residents’ rights:
(A) Keeping care plan changes confidential
(B) Treating residents poorly after complaints
(C) Encouraging resident care planning participation ✅
(D) Borrowing money from residents
Neglect Definition
Question 77: Definition of neglect:
(A) Failing to provide needed care ✅
(B) Assault
(C) Battery
(D) Abuse
Financial Abuse
Question 78: Definition of financial abuse:
(A) Substance abuse
(B) Taking advantage of another’s assets ✅
(C) Verbal abuse
(D) Sexual abuse
Purpose of OBRA
Question 79: Reason OBRA was passed:
(A) Funding issues for long-term care
(B) Reports of poor care and abuse ✅
(C) NA competency exam failures
(D) Inaccurate work hour reporting
Touch and Communication
Question 80: True statement about touch in care:
(A) Everyone likes to be touched
(B) NAs don’t need to touch residents
(C) Gentle patting can convey caring ✅
(D) Minimal physical contact makes residents comfortable
Tuberculosis Awareness
Question 81: TB is considered:
(A) Bloodborne disease
(B) Sexually transmitted disease
(C) Airborne disease ✅
(D) Eradicated
Diabetes Management
Question 82: True about diabetes management:
(A) Skipping meals conserves energy
(B) Diet instructions must be followed carefully ✅
(C) Avoid exercise to save glucose
(D) Monitor protein more than carbohydrates
Common Diabetes Type
Question 83: Most common form of diabetes:
(A) Type 1
(B) Type 2 ✅
(C) Pre-diabetes
(D) Gestational diabetes
HIV Transmission
Question 84: HIV can be transmitted through:
(A) Telephones
(B) Toilets
(C) Hugs
(D) Blood ✅
Cancer Treatments
Question 85: Common cancer treatment:
(A) Surgery ✅
(B) Meditation
(C) Sugar-free diet
(D) Herbal supplements
Baseline Vital Signs
Question 86: Definition of baseline vital signs:
(A) Initial values for comparison ✅
(B) Normal ranges for vitals
(C) Abnormal vital signs
(D) Changes in vital signs
Communicating with Cancer Patients
Question 87: Best communication for a resident with cancer:
(A) Insisting on sharing feelings
(B) Giving medical advice when asked
(C) Reassuring them without substance
(D) Listening if they wish to talk ✅
Restraining Practices
Question 88: Example of physically restraining a resident:
(A) Asking to stay in bed
(B) Instructing a roommate to press call button
(C) Leaving the door ajar
(D) Keeping both side rails up ✅
Eating with AIDS
Question 89: Resident with mouth infection may need to eat:
(A) Spicy food
(B) Soft food ✅
(C) Dry food
(D) Hot food
Fluid Measurement Conversion
Question 90: Convert four ounces to milliliters:
(A) Multiply by 15 ✅
(B) Multiply by 20
(C) Multiply by 25
(D) Multiply by 30
Military Time Standard Conversion
Question 91: Correct conversion of 1900 hours to standard time:
(A) 7:00 a.m.
(B) 10:00 a.m.
(C) 7:00 p.m. ✅
(D) 10:00 p.m.
Long-Term Care Settings
Question 92: Where long-term care is offered:
(A) Adult day services
(B) Hospitals
(C) Skilled nursing facilities ✅
(D) Ambulatory surgical centers
Urinary Incontinence
Question 93: Statement about urinary incontinence:
(A) Occurs normally with age
(B) NAs should limit fluids for affected residents
(C) Not documented if minor leakage
(D) Nervous system diseases can cause it ✅
Phantom Sensation
Question 94: Phantom sensation is:
(A) Not real
(B) Feeling that the amputated part is there ✅
(C) An artificial body part
(D) The removal of a body part
Bed Sheet Changes
Question 95: When to change bed sheets:
(A) Daily
(B) Twice a week
(C) Every other day
(D) When soiled or damp ✅
Advanced Directives
Question 96: Example of an advance directive:
(A) Durable Power of Attorney for Health Care ✅
(B) Power of Attorney
(C) Divorce Decree
(D) Last Will and Testament
Fluid Balance
Question 97: Term for taking in and eliminating equal fluid amounts:
(A) Dehydration
(B) Input
(C) Fluid balance ✅
(D) Fluid restriction
Adaptive Devices
Question 98: Care team member assisting with adaptive device usage:
(A) Speech-language pathologist
(B) Occupational therapist ✅
(C) Activities director
(D) Registered dietitian
Fire Safety Protocols
Question 99: First action when encountering a fire:
(A) Put out the fire
(B) Leave through the closest exit
(C) Remove residents from danger ✅
(D) Gather personal belongings
Nursing Assistant Responsibilities
Question 100: Nursing assistants are not allowed to:
(A) Change sterile dressings ✅
(B) Bathe residents
(C) Help residents use walkers
(D) Assist with elimination needs