INDIANA CERTIFIED
NURSE AIDE
Competency Evaluation Exam Practice
2026-2027 Edition
Verified Answers Plus Rationales
Q&A; | Instant Download PDF
EXAM SPECIFICATIONS
Time Allocation: 90 Minutes Written + Skills
Total Questions: 70 Written + 5 Skills
Question Format: Multiple Choice + Skills Demo
Minimum Competency: 80% Written, 100% Skills
Core Focus: Basic Nursing, Personal Care, Safety, Indiana Regulations
Indiana CNA Competency Evaluation Exam Prep 2026-2027 Page 1
, Exam Overview & Content Outline
EXAM PURPOSE
Indiana Certified Nurse Aide (CNA) Competency Evaluation covers basic nursing skills, personal
care, infection control, safety, and resident rights. Based on OBRA 1987, Indiana State Department
of Health 410 IAC 16.2, and Pearson VUE testing for Indiana Nurse Aide Registry.
CONTENT DISTRIBUTION
• Basic Nursing Skills (25%) — Vital signs, intake/output, weights, specimen collection, reporting,
documentation
• Personal Care Skills (25%) — Bathing, grooming, dressing, toileting, feeding, oral care, skin care
• Infection Control & Safety (20%) — Hand hygiene, standard precautions, PPE, isolation, fire
safety, body mechanics
• Resident Rights & Communication (15%) — Privacy, dignity, abuse prevention, HIPAA,
communication, cultural sensitivity
• Basic Restorative & Mental Health (15%) — ROM, positioning, transfers, ambulation, dementia
care, end-of-life
QUESTION FORMAT & SCORING
Written exam: 70 multiple choice. Skills exam: 5 skills from 22 possible, including handwashing and
indirect care. Correct answers are highlighted in green with checkmark (✓). Indiana requires
80% written and 100% on all critical steps of skills.
STUDY STRATEGY
Master infection control and hand hygiene. Know vital sign ranges and reporting. Understand ADLs
and proper technique. Review resident rights and abuse reporting. Study body mechanics and safe
transfers. Practice skills checklist. Review Indiana 410 IAC 16.2 regulations.
CURRICULUM ALIGNMENT
Questions reflect 2026-2027 standards: OBRA 1987, Indiana State Department of Health 410 IAC
16.2, Pearson VUE CNA exam, CDC guidelines, and Indiana Nurse Aide Registry requirements.
Indiana CNA Competency Evaluation Exam Prep 2026-2027 Page 2
, SECTION I: Basic Nursing Skills
1. Normal adult oral temperature range:
A. 95.0-96.0°F
✓ B. 97.6-99.6°F
C. 100.0-101.0°F
D. 90.0-94.0°F
Rationale: Normal oral temp: 97.6-99.6°F (36.4-37.6°C). Rectal 0.5-1°F higher, axillary 0.5-1°F lower. Fever
>100.4°F oral. Hypothermia <95°F. Report abnormal to nurse. Factors: time of day, activity, age. Elderly
may have lower baseline. Accurate measurement critical.
2. Radial pulse is taken at:
A. Neck
✓ B. Wrist, thumb side
C. Groin
D. Foot
Rationale: Radial pulse: Wrist, thumb side, radial artery. Most common site. Count 30 sec × 2 or 60 sec if
irregular. Normal adult 60-100 bpm. Tachycardia >100, bradycardia <60. Report irregular, weak, or
abnormal. Apical pulse at apex of heart for 1 full minute, used for cardiac patients.
3. Respirations should be counted:
A. After telling resident
✓ B. Without resident knowing, 30 sec × 2 or 60 sec
C. For 15 seconds only
D. During talking
Rationale: Count respirations without resident knowing - observe chest rise/fall while taking pulse. Count 30
sec × 2 or 60 sec if irregular. Normal adult 12-20/min. Tachypnea >20, bradypnea <12. Report dyspnea,
irregular pattern. If resident aware, may alter breathing.
4. Blood pressure normal range:
A. 200/120 mmHg
✓ B. Less than 120/80 mmHg
C. 90/40 mmHg
D. 150/100 mmHg
Rationale: Normal BP: <120/<80 mmHg. Elevated: 120-129/<80. Stage 1 HTN: 130-139/80-89. Stage 2:
≥140/≥90. Hypotension: <90/<60. Report abnormal to nurse immediately. Factors: position, cuff size,
anxiety. Never take on side with IV, mastectomy, or shunt.
5. Intake includes:
A. Urine only
✓ B. All fluids consumed: oral, IV, tube feeding, ice chips
C. Food only
Indiana CNA Competency Evaluation Exam Prep 2026-2027 Page 3
NURSE AIDE
Competency Evaluation Exam Practice
2026-2027 Edition
Verified Answers Plus Rationales
Q&A; | Instant Download PDF
EXAM SPECIFICATIONS
Time Allocation: 90 Minutes Written + Skills
Total Questions: 70 Written + 5 Skills
Question Format: Multiple Choice + Skills Demo
Minimum Competency: 80% Written, 100% Skills
Core Focus: Basic Nursing, Personal Care, Safety, Indiana Regulations
Indiana CNA Competency Evaluation Exam Prep 2026-2027 Page 1
, Exam Overview & Content Outline
EXAM PURPOSE
Indiana Certified Nurse Aide (CNA) Competency Evaluation covers basic nursing skills, personal
care, infection control, safety, and resident rights. Based on OBRA 1987, Indiana State Department
of Health 410 IAC 16.2, and Pearson VUE testing for Indiana Nurse Aide Registry.
CONTENT DISTRIBUTION
• Basic Nursing Skills (25%) — Vital signs, intake/output, weights, specimen collection, reporting,
documentation
• Personal Care Skills (25%) — Bathing, grooming, dressing, toileting, feeding, oral care, skin care
• Infection Control & Safety (20%) — Hand hygiene, standard precautions, PPE, isolation, fire
safety, body mechanics
• Resident Rights & Communication (15%) — Privacy, dignity, abuse prevention, HIPAA,
communication, cultural sensitivity
• Basic Restorative & Mental Health (15%) — ROM, positioning, transfers, ambulation, dementia
care, end-of-life
QUESTION FORMAT & SCORING
Written exam: 70 multiple choice. Skills exam: 5 skills from 22 possible, including handwashing and
indirect care. Correct answers are highlighted in green with checkmark (✓). Indiana requires
80% written and 100% on all critical steps of skills.
STUDY STRATEGY
Master infection control and hand hygiene. Know vital sign ranges and reporting. Understand ADLs
and proper technique. Review resident rights and abuse reporting. Study body mechanics and safe
transfers. Practice skills checklist. Review Indiana 410 IAC 16.2 regulations.
CURRICULUM ALIGNMENT
Questions reflect 2026-2027 standards: OBRA 1987, Indiana State Department of Health 410 IAC
16.2, Pearson VUE CNA exam, CDC guidelines, and Indiana Nurse Aide Registry requirements.
Indiana CNA Competency Evaluation Exam Prep 2026-2027 Page 2
, SECTION I: Basic Nursing Skills
1. Normal adult oral temperature range:
A. 95.0-96.0°F
✓ B. 97.6-99.6°F
C. 100.0-101.0°F
D. 90.0-94.0°F
Rationale: Normal oral temp: 97.6-99.6°F (36.4-37.6°C). Rectal 0.5-1°F higher, axillary 0.5-1°F lower. Fever
>100.4°F oral. Hypothermia <95°F. Report abnormal to nurse. Factors: time of day, activity, age. Elderly
may have lower baseline. Accurate measurement critical.
2. Radial pulse is taken at:
A. Neck
✓ B. Wrist, thumb side
C. Groin
D. Foot
Rationale: Radial pulse: Wrist, thumb side, radial artery. Most common site. Count 30 sec × 2 or 60 sec if
irregular. Normal adult 60-100 bpm. Tachycardia >100, bradycardia <60. Report irregular, weak, or
abnormal. Apical pulse at apex of heart for 1 full minute, used for cardiac patients.
3. Respirations should be counted:
A. After telling resident
✓ B. Without resident knowing, 30 sec × 2 or 60 sec
C. For 15 seconds only
D. During talking
Rationale: Count respirations without resident knowing - observe chest rise/fall while taking pulse. Count 30
sec × 2 or 60 sec if irregular. Normal adult 12-20/min. Tachypnea >20, bradypnea <12. Report dyspnea,
irregular pattern. If resident aware, may alter breathing.
4. Blood pressure normal range:
A. 200/120 mmHg
✓ B. Less than 120/80 mmHg
C. 90/40 mmHg
D. 150/100 mmHg
Rationale: Normal BP: <120/<80 mmHg. Elevated: 120-129/<80. Stage 1 HTN: 130-139/80-89. Stage 2:
≥140/≥90. Hypotension: <90/<60. Report abnormal to nurse immediately. Factors: position, cuff size,
anxiety. Never take on side with IV, mastectomy, or shunt.
5. Intake includes:
A. Urine only
✓ B. All fluids consumed: oral, IV, tube feeding, ice chips
C. Food only
Indiana CNA Competency Evaluation Exam Prep 2026-2027 Page 3
