Which of the following interventions should the CNA use to promote skin integrity?

Pad bony prominences when in bed. Protecting bony prominences with padding when in bed prevents pressure areas and skin breakdown. TEDS stockings should be removed at night. A client who is too warm and sweating may be at increased risk for skin breakdown due to moisture on the skin. Clients should be lifted for repositioning. Sliding can increase shear injury to skin.

Which of the following should be included when beginning to reposition a patient higher in the bed?

Lower the head of the bed. Bed heights should be raised to a comfortable working level for nursing staff to decrease injury. The head of the bed should be lowered to prevent work against gravity. Clients should not be pulled for repositioning.

Which of the following actions is the correct use of gloves to prevent the spread of germs?

Using gloves anytime there might be contact with body fluids. Correct: C Standard precautions require that all blood and bodily fluids be treated as potentially infectious regardless of the patient's known diagnosis. A. Gloves should be worn any time contact with bodily fluids, mucous membranes, or non-intact skin is anticipated, not just when blood is expected. B. Hands must be washed before and after patient contact and after removing gloves. D. Gloves must be changed between each resident and between tasks on the same resident to prevent cross-contamination.

The resident’s son is concerned that the resident is not receiving proper care at the facility where you work. What is your response to the resident’s son?

Listen silently and offer support to the son. Explain to him that he is welcome to speak to the administrator if he would like. The CNA should never engage in family issues or put down a facility. Explaining to the family that they may speak with the administrator is appropriate. It is best that the CNA always direct the patient/patient’s family to upper management when grievances occur.

A resident refuses a shower but agrees to a partial bath. What should the CNA do?

Provide the partial bath. Giving the partial bath honors the resident's right to choose. Whether it is direct or indirect, forcing care violates the resident's rights. Doing nothing is not giving proper care to the resident; care choices should be given if they are safe.

Which is the BEST way to take an apical pulse?

To the left of the sternum at the 5th intercostal space at the midclavicular line. The heart is located on the left side of the chest so the best place to listen for the apical pulse is left of the sternum. The apical pulse should be between 60-100 beats per minute in an adult patient.

When responding to a resident you say, “Can you tell me more about that?” What are you attempting?

To show empathy and encourage further conversation. By asking the resident to tell you more about their thoughts or feelings, you are showing empathy and encouraging them to continue the conversation. This can help build trust and improve communication.

You are assisting a resident with ambulation. This patient uses a cane for ambulation. How should you assist this patient?

Stand on the patient’s weaker side. A patient should hold the cane on their stronger side. Therefore, as the aide ambulating the patient, you should stand on the patient’s weaker side. This helps the aide assist the patient if the patient were to fall toward their weaker side.

You are caring for a patient with hearing loss who has not yet received his hearing aids. What is the best way to communicate with this resident?

Speak normally and face the resident directly. Speaking normally and facing the resident directly can help them to read your lips and understand what you are saying. Speaking loudly or softly may distort the sounds and make it more difficult for the resident to understand.

A CNA is asked by another CNA to help get a resident up from the floor but is not told what happened. The CNA should:

Help the other CNA report the event to a supervisor. When a fall or injury is accidental, it must be documented and reported to the care team. Residents have the right for freedom from abuse, neglect or mistreatment. The CNA is required to report if abuse is suspected.

Your patient is crying because her son told her today that her dog passed away. You state, “You seem sad. Would you like to talk about it?” This is an example of what?

Empathy. Empathy involves recognizing and acknowledging the resident's feelings and experiences. By expressing concern and offering to talk, the nurse is demonstrating empathy and showing the resident that they are being heard and understood.

In which type of container should blood-soaked linens be disposed of?

A biohazard bag. Blood-soaked linens and other contaminated items should be disposed of in a biohazard bag. These bags are specifically designed to contain and dispose of biohazardous waste.

The CNA witnesses a nurse giving milk to a patient who has a milk allergy. The nurse has been told about the milk allergy, but ignored the information. What is the CNA's next action?

Report this to the nursing supervisor. Patient safety is always the concern. If the patient is not in immediate danger, report this to the nursing supervisor. Do not confront the nurse in front of the patient. It is not within the scope of practice for a CNA to correct the nurse, but they can be reminded.

Which of the following is correct when providing perineal care to the male client?

Replace the foreskin after cleansing the uncircumcised penis. The rectal area should be washed after the genitals. Replacing the foreskin of an uncircumcised penis is necessary to prevent injury.

What is the best way to communicate today’s date with a patient with dementia when they ask what today's date is?

Use a whiteboard to write the date and update it daily. Using a whiteboard to write the date and updating it daily is an effective way to communicate the date with a patient with dementia. It provides a visual reminder that the patient can refer to throughout the day.

The CNA is turning a patient during rounds. What is the best way to ensure the Foley catheter is not pulled out?

Ensure that the catheter is secured to the inner thigh. The Foley catheter should always be secured to the upper inner thigh unless there is a contraindication for it. The Foley catheter bag should never be hung on the bed frame due to the bed’s ability to lift up and down and the possibility of pulling the catheter too tight.

The nurse aide is changing a resident's soiled bed linens. Where should the nurse aide place the dirty linens?

In a leak-proof laundry bag. In a leak-proof laundry bag is correct. This will prevent any germs or allergens from spreading. The other answers all have the potential of increasing germs and allergens.

What is the term used to describe nursing that helps residents achieve their highest level of independence?

Restorative care. Restorative care is a type of nursing care that focuses on helping residents achieve their highest level of independence. This may involve retraining skills, promoting exercise, and providing support and encouragement for self-care activities.

What is the proper measurement for measuring bodily fluids?

Milliliters. The standard for measuring all bodily fluids in nursing is using milliliters. If a patient is drinking fluids in ounces and you need to chart input, convert ounces to milliliters by multiplying ounces x 30. 1 oz = 30 mL.

Free CNA Practice Test: 60 Questions With Answers (2026)

Updated June 2026

Get comfortable with the written exam topics CNAs get tested on most: safe care steps, basic skills, communication, and resident dignity.

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This CNA Practice Test Is Built for Real Written Exam Decisions

The CNA written exam is not about memorizing random facts. Most questions test whether you can choose the safest next step, protect infection control, and respect resident rights while following the care plan.

This practice test trains you to think like the exam, especially in common situations such as reporting changes, staying in your scope, using proper PPE, preventing falls, and communicating clearly with residents and the care team.

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Sample CNA Practice Questions

A few example questions and rationales from our CNA practice test, covering different topics on the NNAAP exam outline.

Basic Nursing Skills

Which of the following represents the correct selection of size for a blood pressure cuff?

A. The width of the cuff completely encircles the circumference of the arm

B. The width of the cuff is approximately 25% of the circumference of the arm

C. The width of the cuff is approximately 40% of the circumference of the arm

D. The width of the cuff is approximately 10% of the circumference of the arm

Correct answer: C.

Selection of the correct size blood pressure cuff is essential to accurate measurement. The width of a blood pressure cuff bladder should encompass approximately 40% of the circumference of the arm. A cuff completely encircling the arm would be too large; a cuff encompassing less than 40% would be too small.

Client Rights

A nurse aide is preparing to give a bed bath to a resident. Which action by the nurse aide best supports the resident’s right to privacy?

A. Leaving the room door open to allow for better ventilation.

B. Closing the door and pulling the privacy curtain before starting the bath.

C. Telling the resident’s roommate to leave the room for a few minutes.

D.Explaining the procedure to the resident in a loud, clear voice.

Correct answer: B.

Closing the door and pulling the privacy curtain provides privacy for the resident. Leaving the door open does not respect privacy. Telling the roommate to leave is inappropriate unless required for their safety. Explaining the procedure loudly does not respect privacy either.

Communication

The CNA notices that a resident who was alert earlier in the shift is now unusually drowsy and difficult to wake up. Which response should the CNA use to communicate the observations to the nurse?

A. “Something is wrong with Mr. Lee. You need to come now.”

B. “Mr. Lee is acting weird. I think he’s dying.”

C. “I was just in the room with Mr. Lee. He is more drowsy than usual and difficult to wake.”

D. Say nothing until the nurse comes to the unit.

Correct answer: C.

Option C uses clear, objective, professional communication and reports specific observations. Vague urgency without details, speculation about the cause (the CNA cannot make an assessment that the resident might be dying), and silence are all inappropriate. Any sudden change in a resident must be reported immediately with concrete observations.

Legal & Ethical Behavior

If asked to sign a resident’s will, the CNA should:

A. Agree, but refuse any compensation

B. Decline and notify the family

C. Arrange for case management to assist the resident

D. Find another person to sign at the same time, so there are two witnesses

Correct answer: C.

Residents have the right to management of personal funds, and a referral to case management to arrange appropriate witnesses is the correct step. It is outside the CNA’s scope of practice to assist with legal matters, and notifying the family is not a decision for the CNA to make on the resident’s behalf.

Spiritual & Cultural Needs

A resident has religious beliefs that do not allow certain foods. Upon delivering her tray, the resident tells the CNA she cannot eat the tray because of her religious beliefs. What is the CNA’s next step?

A. Tell her that the kitchen has closed and she will have to eat it or wait until morning.

B. Tell the resident to call a family member to have food brought to her.

C. Take the tray out, contact the nurse in charge, and assure her that the CNA will return shortly with a tray that fits her religious beliefs.

D. Tell the resident to call a pizza delivery service since the kitchen has closed.

Correct answer: C.

A resident should never be denied food. The first step is to notify the charge nurse using the chain of command. Communicating that the CNA will return with appropriate food shows respect for the resident’s beliefs and confirms the issue is being addressed.

Common Questions

These FAQs help you prepare smarter by focusing on test format, timing, scoring goals, and how to review mistakes the right way.

How close is this to the real CNA written exam?

It is designed to match the style and decision-making you see on the exam, but exact wording and topic weight can vary by state and testing provider.

Is CNA certification required to work as a CNA?

Yes. In almost every state, you must be certified and listed on your state’s Nurse Aide Registry to work as a CNA. Some employers may let you start as a trainee, but certification is required to continue working in most healthcare settings.

Is this practice test free?

Yes. You can take the test and review the answers without paying.

How many questions are on this practice test?

This quiz includes 60 multiple-choice questions.

Is there a time limit?

No, this test is self-paced and you can have an unlimited amount of time.

What topics does the CNA written exam usually focus on?

Most tests lean heavily on safety, infection control, basic nursing skills, ADLs, communication, and resident rights.

What score should I aim for before exam day?

Aim for a score you can repeat on multiple attempts, not a one time lucky run. If your score swings a lot, focus on weak topics and retest after a day or two.

How much does the CNA certification exam cost?

The exam usually costs between $100 and $200, depending on your state and testing provider. This typically includes both the written or oral exam, and the clinical skills test. Sometimes training programs or employers will cover the exam fee for you.

Should I retake the same test or switch to topic quizzes?

Do both. Retake this full test to practice pacing, then use topic quizzes to improve the weaker topics.

What is the best way to review missed questions?

Write down the topic, learn the safety rule behind the correct choice, then do 10 to 20 more questions on that same topic within 24 to 48 hours.

Can I take this practice test on my phone?

Yes. It works on mobile, tablet, and desktop.

What if the quiz content does not load?

Refresh the page and try again. If it still does not load, try a different browser or temporarily turn off heavy extensions.

What should I do if I keep missing the same type of question?

Treat it like a pattern, not a mistake. Write the topic down (like PPE order, gait belt use, or resident rights), review the rule behind it, then do a short set of questions on that exact area the same day.

Are answers based on general CNA standards or one specific state?

The questions follow common CNA standards that show up across most programs, but exact rules can vary by state and test provider. If your state teaches a specific step order, follow that on test day.

What kinds of trick choices should I watch for on CNA written exams?

Look for options that sound helpful but break safety rules, skip hand hygiene, ignore the care plan, or push you outside a CNA’s scope (like diagnosing or giving medical advice).

Do I have to become a CNA before becoming a nurse?

No. Becoming a CNA is not required to become an LPN or RN. However, many future nurses may want to work as CNAs because it gives them hands-on experience, helps nursing school feel less overwhelming, and can look good on applications. Many schools require CNA or EMT certification as a prerequisite for a nursing program application.

Is the CNA exam hard?

For most students, the CNA exam is very passable with practice. The questions focus on basic care, safety, and common scenarios, not trick questions. Students who understand why answers are correct and not just what the answer is tend to do very well. The first-time passing rate for the CNA exam is nearly 85%.

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This CNA Practice Test Is Built for Real Written Exam Decisions

Michele J. McCarthy

Kailey R.

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Sample CNA Practice Questions

Which of the following represents the correct selection of size for a blood pressure cuff?

A nurse aide is preparing to give a bed bath to a resident. Which action by the nurse aide best supports the resident’s right to privacy?

The CNA notices that a resident who was alert earlier in the shift is now unusually drowsy and difficult to wake up. Which response should the CNA use to communicate the observations to the nurse?

If asked to sign a resident’s will, the CNA should:

A resident has religious beliefs that do not allow certain foods. Upon delivering her tray, the resident tells the CNA she cannot eat the tray because of her religious beliefs. What is the CNA’s next step?

Common Questions

How close is this to the real CNA written exam?

Is CNA certification required to work as a CNA?

Is this practice test free?

How many questions are on this practice test?

Is there a time limit?

What topics does the CNA written exam usually focus on?

What score should I aim for before exam day?

How much does the CNA certification exam cost?

Should I retake the same test or switch to topic quizzes?

What is the best way to review missed questions?

Can I take this practice test on my phone?

What if the quiz content does not load?

What should I do if I keep missing the same type of question?

Are answers based on general CNA standards or one specific state?

What kinds of trick choices should I watch for on CNA written exams?

Do I have to become a CNA before becoming a nurse?

Is the CNA exam hard?

CNA Practice Test With Answers (60 Questions)

Test Details

This CNA Practice Test Is Built for Real Written Exam Decisions

Kailey R.

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Want More Questions Like This?

More CNA Practice Tests

Sample CNA Practice Questions

Which of the following represents the correct selection of size for a blood pressure cuff?

A nurse aide is preparing to give a bed bath to a resident. Which action by the nurse aide best supports the resident’s right to privacy?

The CNA notices that a resident who was alert earlier in the shift is now unusually drowsy and difficult to wake up. Which response should the CNA use to communicate the observations to the nurse?

If asked to sign a resident’s will, the CNA should:

A resident has religious beliefs that do not allow certain foods. Upon delivering her tray, the resident tells the CNA she cannot eat the tray because of her religious beliefs. What is the CNA’s next step?

Common Questions