CNA Certification practice quiz

Question 1

A nursing assistant gets a resident's blood on her hands through a torn glove. What is the best immediate action?

Accepted Answer

Remove gloves, wash hands well, and report the exposure to the nurse

Answer

Clean the hands with alcohol hand rub and put on new gloves

Answer

Wash hands well, finish care, and tell the nurse at break time

Answer

Finish the entire current task first, then wash hands afterward

Question 2

A nursing assistant is helping a resident with range-of-motion exercises. Which technique is correct?

Accepted Answer

Support above and below the joint, move slowly, stop with pain

Answer

Hold the limb at the joint and move it through its range quickly

Answer

Keep moving through mild pain so the stiff joint loosens up

Answer

Repeat each movement until the resident says she feels tired

Question 3

While taking a radial pulse, a nursing assistant notices the rhythm feels irregular. What should the assistant do?

Accepted Answer

Count a full minute and report the irregular rhythm to the nurse

Answer

Count the irregular pulse 15 seconds and multiply the rate by 4

Answer

Recount for 30 seconds, double it, and chart the higher rate

Answer

Chart the rate now and mention the rhythm on the next round

Question 4

A nursing assistant is giving perineal care to a female resident. Which technique is correct?

Accepted Answer

Wipe front to back, using a clean area of the cloth each time

Answer

Wipe from back to front to clean the whole area more fully

Answer

Keep using the same area of the washcloth for the entire cleaning

Answer

Clean the outer area only, without separating the labia

Question 5

A visitor asks a nursing assistant for details about another resident's illness. What should the assistant do?

Accepted Answer

Decline to share information and refer the visitor to the nurse

Answer

Give only general news, such as how she is feeling today

Answer

Share the details if the visitor says they are family

Answer

Post about the resident's care on social media without using names

Question 6

How should a nursing assistant protect a resident's dignity during a bed bath?

Accepted Answer

Keep the resident draped, exposing only the area washed

Answer

Close the door but leave the privacy curtain pulled open

Answer

Remove the gown fully at the start so it stays dry

Answer

Cover only the private areas and leave the rest uncovered

Question 7

A confused resident insists someone is stealing his belongings. What is the best response?

Accepted Answer

Calmly redirect to a familiar task and offer two simple choices

Answer

Explain clearly that nobody has taken any of his things

Answer

Agree that his things were stolen and promise to call the police

Answer

Tell him that accusing staff of stealing is upsetting them

Question 8

A resident suddenly becomes combative and hits the nursing assistant during a bath. What should the assistant do?

Accepted Answer

Step back for safety, stay calm, and report to the nurse

Answer

Hold her wrists firmly until she stops hitting you

Answer

Tell her hitting staff is not allowed and finish the bath quickly

Answer

Leave her alone in the tub and hurry to get the nurse

Question 9

When reporting a change in a resident's condition to the nurse, what is the best approach?

Accepted Answer

Report observed facts plus vital signs and symptoms, without diagnosing

Answer

Tell the nurse the resident definitely has the flu based on today's symptoms

Answer

Report only the symptoms that the resident complains about

Answer

Say the resident just does not look good today and leave the report there

Question 10

A nursing assistant is helping an unsteady resident walk with a gait belt. Which technique is correct?

Accepted Answer

Snug the gait belt at the waist; walk behind and to the side, holding it

Answer

Pull the unsteady resident forward by both arms while walking them along

Answer

Walk ahead of the unsteady resident without holding on for support

Answer

Hold her hand and walk on her strong side without a belt

Question 11

Which of these tasks is outside the nursing assistant's scope of practice?

Accepted Answer

Giving a resident a dose of prescription medication

Answer

Giving a bed bath and feeding a resident breakfast

Answer

Measuring vital signs and reporting changes to the nurse

Answer

Helping a resident walk down the hall with a gait belt

Question 12

The nurse delegates several tasks. Which one may the nursing assistant accept?

Accepted Answer

Help a resident walk to the dining room with a gait belt

Answer

Assess the resident and write the nursing care plan alone

Answer

Change the sterile dressing on the resident's surgical wound

Answer

Take a telephone order for medication from the on-call physician

Question 13

Which action by the nursing assistant protects resident confidentiality?

Accepted Answer

Discussing resident details only with the care team in private

Answer

Discussing a resident's care with coworkers in the break room

Answer

Sharing health details with the resident's roommate's family

Answer

Telling a resident's close friend how her surgery went

Question 14

A resident's religion forbids certain foods at meals. How should the nursing assistant respond?

Accepted Answer

Ask about food practices and work with the nurse to honor them

Answer

Tell her to pick around the forbidden foods on her tray

Answer

Ask her family to bring all her meals in from home

Answer

Serve the menu meal, since only the dietitian can change it

Question 15

A dying resident's family asks for time and space to perform cultural rituals at the bedside. What should the assistant do?

Accepted Answer

Provide privacy, allow the rituals, and cooperate with the family

Answer

Allow the rituals but only during the normal visiting hours

Answer

Ask the family to wait until after the resident has died

Answer

Allow the rituals only if the facility chaplain is present

Question 16

A nursing assistant notices she wrote the wrong time in a resident's paper chart. How should she correct the entry?

Accepted Answer

Draw one line through it, write the fix, and initial it

Answer

Cover the error with correction fluid and rewrite it

Answer

Erase the wrong time and write the correct one over it

Answer

Tear out the page and copy the note onto a new page

Question 17

While positioning a resident with a painful swollen knee, what is the best action?

Accepted Answer

Support the knee with pillows and avoid pressing on it

Answer

Keep the knee bent over a pillow roll for long periods

Answer

Put a heating pad on the knee before moving it

Answer

Massage the swollen joint firmly until the swelling fades

Question 18

A resident has weakness on her left side. Before helping her move from the bed to a wheelchair, where should the assistant place the chair?

Accepted Answer

On her right side, close to the bed

Answer

At the foot of the bed, facing away from her

Answer

On her left side, right next to the bed

Answer

Facing the bed directly, touching the mattress edge

Question 19

At sunset a resident with dementia grows restless and confused. What helps most?

Accepted Answer

Keep routines steady, lighting warm, and redirect calmly

Answer

Correct her about the time and place each time she asks

Answer

Schedule her bath and busy activities for late afternoon

Answer

Keep her room dark early in the evening so she settles

Question 20

How should the assistant speak with a resident who is cognitively impaired?

Accepted Answer

Use short simple sentences, one step at a time, unhurried

Answer

Give all of the steps at once so she knows the plan

Answer

Speak loudly and quickly to keep her attention

Answer

Ask open questions such as 'What would you like today?'

Question 21

How should the nursing assistant care for a resident's artificial leg?

Accepted Answer

Handle it gently, check stump skin, and report redness

Answer

Soak the socket in hot water after each use

Answer

Put it on even if the stump is red, so therapy is not missed

Answer

Rub lotion on the stump right before putting the leg on

Question 22

Which situation must the nursing assistant report as possible neglect?

Accepted Answer

A resident left soiled for hours with the call light ignored

Answer

A resident who refused lunch, with the refusal reported

Answer

A resident who waited five minutes for help at shift change

Answer

A resident resting in bed on a day she chose to stay in

Question 23

A new resident avoids eye contact and touch for cultural reasons. What should the assistant do?

Accepted Answer

Ask preferences respectfully and adapt care within the plan

Answer

Explain that touch is needed for care and carry on as usual

Answer

Ask her family to persuade her to accept touch

Answer

Avoid touching her, even if it means skipping care

Question 24

A resident asks the nursing assistant to arrange a visit from a clergy member of her faith. What should the assistant do?

Accepted Answer

Tell the nurse so the visit can be arranged soon

Answer

Suggest she pray alone because clergy are busy

Answer

Ask the family whether a visit is really needed

Answer

Offer to read from the aide's own religious text

Question 25

A resident wears anti-embolism stockings. How should the nursing assistant care for them?

Accepted Answer

Apply them smooth and wrinkle-free; check the skin beneath

Answer

Apply them after she has walked, when the legs feel warm

Answer

Roll the stocking tops down tightly below the knee line

Answer

Keep the stockings on for days without removing them

Question 26

A resident vomits about 200 mL of fluid. How should the nursing assistant handle intake and output records?

Accepted Answer

Measure it as output, note its look, and report to the nurse

Answer

Clean it up and record nothing, since it was not urine

Answer

Guess a round number for the amount instead of measuring

Answer

Add it to the urine total and record one output amount

Question 27

How should a nursing assistant give oral care to an unconscious resident?

Accepted Answer

Turn the head to the side and clean gently with moist swabs

Answer

Lay the resident flat and pour in cups of rinse water

Answer

Sit her upright and give her a small cup to rinse with

Answer

Wait until she wakes up, since she cannot swallow now

Question 28

A nursing assistant is feeding a resident who cannot use her hands. What is the best approach?

Accepted Answer

Offer small bites slowly, pausing so the resident can swallow

Answer

Give large spoonfuls so she tires less during the meal

Answer

Stand over the resident while feeding to finish the tray fast

Answer

Offer drinks only after all of the food has been eaten

Question 29

How should a nursing assistant enter a resident's room to respect privacy?

Accepted Answer

Knock, state her name, and wait for permission to enter

Answer

Knock and walk straight in to save the resident effort

Answer

Knock only if the door is closed; walk in if it is open

Answer

Open the door, step inside, then say who she is

Question 30

Before giving care, how should the nursing assistant honor the resident's right to be informed?

Accepted Answer

Explain each step simply first and respect any refusal

Answer

Explain the procedure only if the resident asks about it

Answer

Explain using complex medical terms the resident cannot follow

Answer

Explain the bath, then carry on even if she says no

Question 31

A resident has withdrawn, eats little, and says life feels hopeless. What should the nursing assistant do?

Accepted Answer

Note the warning signs and report them to the nurse promptly

Answer

Tell her she has a lot to live for and change the subject

Answer

Give her some space and check in again next shift

Answer

Promise to keep the hopeless statements completely secret

Question 32

A confused resident keeps trying to stand up from her wheelchair. A coworker suggests tying her to the chair with a bed sheet. What should the nursing assistant do?

Accepted Answer

Refuse, keep the resident safe, and tell the nurse

Answer

Help tie the sheet loosely so it stays comfortable

Answer

Tie the sheet only until the resident falls asleep

Answer

Tie the sheet and check on the resident every hour

Question 33

A nursing assistant is about to insert an indwelling catheter for a resident. What should the assistant do?

Accepted Answer

Perform hand hygiene and notify the nurse immediately

Answer

Document that the catheter was inserted and continue care

Answer

Ask a coworker to watch while she tries it herself

Answer

Attempt the procedure using the supply kit on the cart

Question 34

A nursing assistant is giving a bed bath. Which sequence is correct for washing the resident?

Accepted Answer

Face first, then body from cleanest to dirtiest areas

Answer

Feet first, then work upward toward the head

Answer

Body first, then the face and hands at the end

Answer

Perineal area first, then face and hands last

Question 35

A nursing assistant is reporting a resident's condition at shift change. Which information is most important to include?

Accepted Answer

The resident's vital signs, complaints, and any changes from baseline

Answer

A summary of the assistant's personal feelings about the resident

Answer

Details of conversations the assistant had with other staff

Answer

A description of the resident's family members and visitors

Question 36

The nurse tells the assistant to perform a task the assistant was never trained on. What should the assistant do?

Accepted Answer

Tell the nurse about the lack of training and ask for direction

Answer

Ask a fellow CNA to do the task instead without informing the nurse

Answer

Try the task while the nurse is busy elsewhere

Answer

Refuse all tasks from the nurse for the rest of the shift

Question 37

A nursing assistant disagrees with a change in the resident's care plan. What is the best response?

Accepted Answer

Share concerns with the nurse while following the current plan

Answer

Document the disagreement in the resident's chart personally

Answer

Refuse to follow the new care plan until it is changed back

Answer

Talk about the disagreement with family members during their visit

Question 38

A nursing assistant is transferring a resident from bed to a wheelchair. What must she do before beginning the transfer?

Accepted Answer

Lock the wheelchair brakes and move the footrests aside

Answer

Apply the bed's side rails and raise the head of the bed

Answer

Ask another resident to help steady the wheelchair

Answer

Take off the resident's shoes and socks first

Question 39

A nursing assistant is documenting care in a resident's chart. Which entry is objective and accurate?

Accepted Answer

Resident refused morning care and appeared agitated

Answer

Resident was in good spirits today

Answer

Resident is a very pleasant person who cooperates

Answer

Resident probably has pain but is not saying anything

Question 40

A resident learning to transfer from bed to wheelchair wants to do it alone but is unsteady. What should the assistant do?

Accepted Answer

Stand close, use a gait belt, and allow the resident to attempt the transfer

Answer

Tell the resident she is not ready and lift her into the chair

Answer

Lock the wheelchair and watch from the doorway

Answer

Wait until physical therapy is present before any attempt