Page 1 of 192
CNA EXAM PREMIUM PRACTICE QUESTION
BANK
CHAPTERS 1–10 | 300 MULTIPLE-CHOICE
QUESTIONS WITH CERTIFIED SOLUTIONS
ACADEMIC YEAR 2026–2027
ITSJEREGUIDES
## TABLE OF CONTENTS
| Chapter | Title | Questions |
|---------|-------|-----------|
| **Chapter 1** | The Role of the Nursing Assistant & Healthcare Settings | 1–30 |
| **Chapter 2** | Resident Rights, Ethics, and Legal Issues | 31–60 |
| **Chapter 3** | Communication and Interpersonal Skills | 61–90 |
| **Chapter 4** | Infection Control and Standard Precautions | 91–120 |
| **Chapter 5** | Safety and Emergency Procedures | 121–150 |
| **Chapter 6** | Basic Nursing Skills: Vital Signs & Measurements | 151–180 |
| **Chapter 7** | Personal Care and Activities of Daily Living (ADLs) | 181–210 |
| **Chapter 8** | Restorative Care and Rehabilitation | 211–240 |
| **Chapter 9** | Psychosocial Care, Mental Health, and Dementia | 241–270 |
| **Chapter 10** | Special Populations and End-of-Life Care | 271–300 |
,Page 2 of 192
CHAPTER 1: THE ROLE OF THE NURSING ASSISTANT & HEALTHCARE SETTINGS
## Questions 1–30
**1. Which of the following statements BEST describes long-term care?**
A) Long-term care is only provided in nursing homes and skilled nursing facilities
B) Most conditions in long-term care facilities are chronic rather than acute
C) People who live in long-term care facilities are never able to return home
D) Long-term care focuses exclusively on curing the resident's illness
---
**Correct Answer: B**
**Rationale:** Long-term care provides services for individuals with chronic conditions or
disabilities who need assistance with activities of daily living (ADLs) over an extended period.
Unlike acute care, which focuses on short-term treatment and cure, long-term care emphasizes
maintaining function and quality of life for residents with ongoing, often progressive conditions.
---
**2. A nursing assistant observes a resident who is usually cheerful appearing withdrawn and
tearful. What is the MOST appropriate action?**
A) Ignore the behavior since residents have the right to be sad
B) Document the observation and report it to the supervising nurse
C) Tell the resident to "cheer up" and participate in activities
D) Ask the resident's family member to come and visit immediately
,Page 3 of 192
**Correct Answer: B**
**Rationale:** Nursing assistants are responsible for observing and reporting changes in a
resident's physical, mental, or emotional condition. The care plan must be updated as the
resident's condition changes, and only the supervising nurse or healthcare provider can determine
the appropriate clinical response.
---
**3. What is one function of the chain of command in a healthcare facility?**
A) It determines which residents go into which rooms
B) It determines which shifts a nursing assistant works
C) It describes the care plan for each resident
D) It helps protect nursing assistants and their employers from liability
---
**Correct Answer: D**
**Rationale:** The chain of command establishes a clear hierarchy of authority and
responsibility in healthcare settings. It ensures that concerns and problems are reported to the
appropriate person in a systematic way, which protects both nursing assistants and their
employers from liability by ensuring proper channels are followed.
---
**4. Which of the following is a core value associated with culture change in long-term care?**
, Page 4 of 192
A) Doing everything for residents to make their lives easier
B) Treating all residents the same way to ensure fairness
C) Promoting self-determination and personal choice for residents
D) Making all residents participate in the same group activities
---
**Correct Answer: C**
**Rationale:** Culture change in long-term care emphasizes person-centered care, which
respects each resident's individuality, preferences, and autonomy. Promoting self-determination
and personal choice empowers residents to make decisions about their daily lives, routines, and
care.
---
**5. The Omnibus Budget Reconciliation Act (OBRA) of 1987 set minimum standards for:**
A) Facility cleanliness and maintenance
B) Resident rehabilitation services
C) Nursing assistant training and certification
D) Facility spending and budgeting
---
**Correct Answer: C**
CNA EXAM PREMIUM PRACTICE QUESTION
BANK
CHAPTERS 1–10 | 300 MULTIPLE-CHOICE
QUESTIONS WITH CERTIFIED SOLUTIONS
ACADEMIC YEAR 2026–2027
ITSJEREGUIDES
## TABLE OF CONTENTS
| Chapter | Title | Questions |
|---------|-------|-----------|
| **Chapter 1** | The Role of the Nursing Assistant & Healthcare Settings | 1–30 |
| **Chapter 2** | Resident Rights, Ethics, and Legal Issues | 31–60 |
| **Chapter 3** | Communication and Interpersonal Skills | 61–90 |
| **Chapter 4** | Infection Control and Standard Precautions | 91–120 |
| **Chapter 5** | Safety and Emergency Procedures | 121–150 |
| **Chapter 6** | Basic Nursing Skills: Vital Signs & Measurements | 151–180 |
| **Chapter 7** | Personal Care and Activities of Daily Living (ADLs) | 181–210 |
| **Chapter 8** | Restorative Care and Rehabilitation | 211–240 |
| **Chapter 9** | Psychosocial Care, Mental Health, and Dementia | 241–270 |
| **Chapter 10** | Special Populations and End-of-Life Care | 271–300 |
,Page 2 of 192
CHAPTER 1: THE ROLE OF THE NURSING ASSISTANT & HEALTHCARE SETTINGS
## Questions 1–30
**1. Which of the following statements BEST describes long-term care?**
A) Long-term care is only provided in nursing homes and skilled nursing facilities
B) Most conditions in long-term care facilities are chronic rather than acute
C) People who live in long-term care facilities are never able to return home
D) Long-term care focuses exclusively on curing the resident's illness
---
**Correct Answer: B**
**Rationale:** Long-term care provides services for individuals with chronic conditions or
disabilities who need assistance with activities of daily living (ADLs) over an extended period.
Unlike acute care, which focuses on short-term treatment and cure, long-term care emphasizes
maintaining function and quality of life for residents with ongoing, often progressive conditions.
---
**2. A nursing assistant observes a resident who is usually cheerful appearing withdrawn and
tearful. What is the MOST appropriate action?**
A) Ignore the behavior since residents have the right to be sad
B) Document the observation and report it to the supervising nurse
C) Tell the resident to "cheer up" and participate in activities
D) Ask the resident's family member to come and visit immediately
,Page 3 of 192
**Correct Answer: B**
**Rationale:** Nursing assistants are responsible for observing and reporting changes in a
resident's physical, mental, or emotional condition. The care plan must be updated as the
resident's condition changes, and only the supervising nurse or healthcare provider can determine
the appropriate clinical response.
---
**3. What is one function of the chain of command in a healthcare facility?**
A) It determines which residents go into which rooms
B) It determines which shifts a nursing assistant works
C) It describes the care plan for each resident
D) It helps protect nursing assistants and their employers from liability
---
**Correct Answer: D**
**Rationale:** The chain of command establishes a clear hierarchy of authority and
responsibility in healthcare settings. It ensures that concerns and problems are reported to the
appropriate person in a systematic way, which protects both nursing assistants and their
employers from liability by ensuring proper channels are followed.
---
**4. Which of the following is a core value associated with culture change in long-term care?**
, Page 4 of 192
A) Doing everything for residents to make their lives easier
B) Treating all residents the same way to ensure fairness
C) Promoting self-determination and personal choice for residents
D) Making all residents participate in the same group activities
---
**Correct Answer: C**
**Rationale:** Culture change in long-term care emphasizes person-centered care, which
respects each resident's individuality, preferences, and autonomy. Promoting self-determination
and personal choice empowers residents to make decisions about their daily lives, routines, and
care.
---
**5. The Omnibus Budget Reconciliation Act (OBRA) of 1987 set minimum standards for:**
A) Facility cleanliness and maintenance
B) Resident rehabilitation services
C) Nursing assistant training and certification
D) Facility spending and budgeting
---
**Correct Answer: C**
