CNA PRACTICE TEST 2026 Certified Nursing
Assistant Exam Bank 150 Questions &
Answers with Detailed Explanations
EXAM INFORMATION
Certification: Certified Nursing Assistant (CNA) – State Competency Examination
Exam Vendors: Prometric, Pearson VUE (NNAAP), Headmaster (D&S Diversified Technologies)
Exam Format: Written knowledge test (60–75 multiple-choice questions) + Clinical Skills
Evaluation (25–30 minutes)
Reference Standards: NNAAP (National Nurse Aide Assessment Program), 2026 CNA Exam
Guidelines
Number of Questions: 150 Multiple Choice Questions
Answer Format: Correct answer indicated with detailed rationale
Exam Year: 2026/2027 Updated Standards
EXAM DOMAINS COVERED
| Domain | Approximate Weight |
|--|-|
| Physical Care Skills (ADLs, Basic Nursing, Restorative) | 64% |
| Role of the Nurse Aide (Communication, Legal/Ethical) | 26% |
| Psychosocial Care Skills (Mental Health, Spiritual/Cultural) | 10% |
SECTION 1: SAFETY & EMERGENCY PROCEDURES (Questions 1–25)
QUESTION 1
A resident is smoking in bed with oxygen running. What should the nurse aide do FIRST?
,A) Turn off the oxygen
B) Remove the cigarette
C) Remove the resident from the room
D) Pull the fire alarm
Answer: C) Remove the resident from the room
Rationale: Oxygen fuels fire rapidly. Resident safety is the priority; remove them from danger
first. After ensuring resident safety, the aide should then remove the cigarette and turn off the
oxygen.
QUESTION 2
A resident has a seizure that lasts 30 seconds. After the seizure stops, the resident is not
breathing. What should the nurse aide do?
A) Begin CPR immediately
B) Check for pulse and call for help
C) Place a pillow under the head
D) Give water
Answer: B) Check for pulse and call for help
Rationale: Check for pulse. If no pulse and not breathing, begin CPR after calling for help.
Never place anything in the mouth during a seizure, and do not give water to an unresponsive
resident.
QUESTION 3
During a fire, the nurse aide finds a resident who cannot walk. What should the aide do?
A) Use a blanket drag to move the resident
B) Leave the resident and get help
C) Wait for the fire department
D) Carry the resident out
Answer: A) Use a blanket drag to move the resident
Rationale: In a fire emergency, if a resident cannot walk, use a blanket drag or other safe
evacuation method to move them to safety. Never leave a non-ambulatory resident behind.
,QUESTION 4
A resident's electric bed is not working properly. The nurse aide should:
A) Fix it with tools
B) Report it to maintenance immediately
C) Ignore it
D) Move the resident manually
Answer: B) Report it to maintenance immediately
Rationale: Faulty equipment is a safety hazard. Report immediately; do not attempt repair. The
nurse aide should not attempt to fix electrical equipment.
QUESTION 5
A resident is found wandering outside in cold weather without a coat. The nurse aide should
FIRST:
A) Bring the resident inside and cover with a blanket
B) Ask why they went outside
C) Call the family
D) Document the incident
Answer: A) Bring the resident inside and cover with a blanket
Rationale: The immediate priority is resident safety—get them out of the cold and warm them
up. After ensuring safety, the aide should report the incident and document it.
QUESTION 6
A resident is lying in bed and states they feel dizzy when trying to sit up. What should the CNA
do first?
A) Help the resident stand up quickly to improve circulation
B) Tell the resident to remain lying down and call the nurse
C) Place a gait belt on the resident and assist to a chair
D) Give the resident a glass of cold water
Answer: B) Tell the resident to remain lying down and call the nurse
, Rationale: Dizziness when changing positions may indicate orthostatic hypotension or another
medical issue. The CNA should keep the resident safe by having them remain lying down and
report the symptom to the nurse for assessment.
QUESTION 7
A resident is receiving tube feeding. The nurse aide should keep the head of the bed at what
angle?
A) Flat (0 degrees)
B) 10–15 degrees
C) 30–45 degrees
D) 90 degrees
Answer: C) 30–45 degrees
Rationale: 30–45 degrees prevents aspiration of tube feeding contents. The head of the bed
must be elevated during and after tube feeding to prevent regurgitation and aspiration
pneumonia.
QUESTION 8
A resident falls in the hallway. What should the nurse aide do FIRST?
A) Help the resident up immediately
B) Call for help and stay with the resident
C) Document the fall
D) Notify the family
Answer: B) Call for help and stay with the resident
Rationale: Do not move the resident until assessed for injuries. Call for help, stay with the
resident, and keep them comfortable. Moving a resident with a fracture could cause further
injury.
QUESTION 9
A resident is choking and cannot speak. What should the nurse aide do?
A) Perform the Heimlich maneuver
B) Give the resident water
Assistant Exam Bank 150 Questions &
Answers with Detailed Explanations
EXAM INFORMATION
Certification: Certified Nursing Assistant (CNA) – State Competency Examination
Exam Vendors: Prometric, Pearson VUE (NNAAP), Headmaster (D&S Diversified Technologies)
Exam Format: Written knowledge test (60–75 multiple-choice questions) + Clinical Skills
Evaluation (25–30 minutes)
Reference Standards: NNAAP (National Nurse Aide Assessment Program), 2026 CNA Exam
Guidelines
Number of Questions: 150 Multiple Choice Questions
Answer Format: Correct answer indicated with detailed rationale
Exam Year: 2026/2027 Updated Standards
EXAM DOMAINS COVERED
| Domain | Approximate Weight |
|--|-|
| Physical Care Skills (ADLs, Basic Nursing, Restorative) | 64% |
| Role of the Nurse Aide (Communication, Legal/Ethical) | 26% |
| Psychosocial Care Skills (Mental Health, Spiritual/Cultural) | 10% |
SECTION 1: SAFETY & EMERGENCY PROCEDURES (Questions 1–25)
QUESTION 1
A resident is smoking in bed with oxygen running. What should the nurse aide do FIRST?
,A) Turn off the oxygen
B) Remove the cigarette
C) Remove the resident from the room
D) Pull the fire alarm
Answer: C) Remove the resident from the room
Rationale: Oxygen fuels fire rapidly. Resident safety is the priority; remove them from danger
first. After ensuring resident safety, the aide should then remove the cigarette and turn off the
oxygen.
QUESTION 2
A resident has a seizure that lasts 30 seconds. After the seizure stops, the resident is not
breathing. What should the nurse aide do?
A) Begin CPR immediately
B) Check for pulse and call for help
C) Place a pillow under the head
D) Give water
Answer: B) Check for pulse and call for help
Rationale: Check for pulse. If no pulse and not breathing, begin CPR after calling for help.
Never place anything in the mouth during a seizure, and do not give water to an unresponsive
resident.
QUESTION 3
During a fire, the nurse aide finds a resident who cannot walk. What should the aide do?
A) Use a blanket drag to move the resident
B) Leave the resident and get help
C) Wait for the fire department
D) Carry the resident out
Answer: A) Use a blanket drag to move the resident
Rationale: In a fire emergency, if a resident cannot walk, use a blanket drag or other safe
evacuation method to move them to safety. Never leave a non-ambulatory resident behind.
,QUESTION 4
A resident's electric bed is not working properly. The nurse aide should:
A) Fix it with tools
B) Report it to maintenance immediately
C) Ignore it
D) Move the resident manually
Answer: B) Report it to maintenance immediately
Rationale: Faulty equipment is a safety hazard. Report immediately; do not attempt repair. The
nurse aide should not attempt to fix electrical equipment.
QUESTION 5
A resident is found wandering outside in cold weather without a coat. The nurse aide should
FIRST:
A) Bring the resident inside and cover with a blanket
B) Ask why they went outside
C) Call the family
D) Document the incident
Answer: A) Bring the resident inside and cover with a blanket
Rationale: The immediate priority is resident safety—get them out of the cold and warm them
up. After ensuring safety, the aide should report the incident and document it.
QUESTION 6
A resident is lying in bed and states they feel dizzy when trying to sit up. What should the CNA
do first?
A) Help the resident stand up quickly to improve circulation
B) Tell the resident to remain lying down and call the nurse
C) Place a gait belt on the resident and assist to a chair
D) Give the resident a glass of cold water
Answer: B) Tell the resident to remain lying down and call the nurse
, Rationale: Dizziness when changing positions may indicate orthostatic hypotension or another
medical issue. The CNA should keep the resident safe by having them remain lying down and
report the symptom to the nurse for assessment.
QUESTION 7
A resident is receiving tube feeding. The nurse aide should keep the head of the bed at what
angle?
A) Flat (0 degrees)
B) 10–15 degrees
C) 30–45 degrees
D) 90 degrees
Answer: C) 30–45 degrees
Rationale: 30–45 degrees prevents aspiration of tube feeding contents. The head of the bed
must be elevated during and after tube feeding to prevent regurgitation and aspiration
pneumonia.
QUESTION 8
A resident falls in the hallway. What should the nurse aide do FIRST?
A) Help the resident up immediately
B) Call for help and stay with the resident
C) Document the fall
D) Notify the family
Answer: B) Call for help and stay with the resident
Rationale: Do not move the resident until assessed for injuries. Call for help, stay with the
resident, and keep them comfortable. Moving a resident with a fracture could cause further
injury.
QUESTION 9
A resident is choking and cannot speak. What should the nurse aide do?
A) Perform the Heimlich maneuver
B) Give the resident water
