NEW YORK CNA WRITTEN EXAM PRACTICE EXAM | STUDY GUIDE | TESTBANK |
LATEST UPDATE 2026/2027 | QUESTIONS | 100% CORRECT ANSWERS
## Table of Contents
- Resident Rights and Ethical Practice
- Infection Prevention and Standard Precautions
- Safety and Emergency Procedures
- Basic Nursing Skills
- Personal Care Skills
- Communication and Documentation
- Nutrition and Hydration
- Elimination and Mobility
- Mental Health and Dementia Care
- Rehabilitation and Restorative Care
- Legal Responsibilities and Professional Conduct
Introduction
The New York CNA Written Exam evaluates the knowledge and judgment required
to provide safe, competent, and compassionate care in long-term care,
rehabilitation, and acute care settings. Candidates are expected to understand
resident rights, infection prevention, communication, personal care, safety,
emergency response, documentation, and ethical responsibilities. Success requires
applying knowledge to realistic clinical situations rather than relying solely on
memorization. This practice examination is designed to strengthen critical thinking
through scenario-based questions that reflect current standards of nursing assistant
practice. Carefully review each explanation to reinforce key concepts and improve
decision-making skills for certification and safe clinical performance.
Question 1
A resident refuses a scheduled bath but is alert, oriented, and understands the
consequences. What is the CNA's best action?
A. Force the resident to bathe for infection control.
B. Document the refusal and notify the nurse while respecting the resident's
,decision.
C. Tell the family immediately before informing the nurse.
D. Record the bath as completed because it was scheduled.
Correct Answer: B
Explanation: Competent residents have the right to refuse care. The CNA should
respect the decision, report it to the nurse, and accurately document the refusal.
Question 2
While assisting with feeding, a resident suddenly begins coughing vigorously and
cannot speak. What should the CNA do first?
A. Encourage the resident to drink water.
B. Perform abdominal thrusts if indicated and according to facility policy after
recognizing severe airway obstruction.
C. Leave to call the physician.
D. Lay the resident flat.
Correct Answer: B
Explanation: Inability to speak with signs of severe choking requires immediate
intervention following current emergency procedures.
Question 3
Which action best demonstrates proper hand hygiene?
A. Washing only after visible contamination.
B. Wearing gloves instead of washing hands.
C. Cleaning hands before and after resident contact.
D. Washing hands only after glove removal.
, Correct Answer: C
Explanation: Hand hygiene before and after resident contact is essential for
preventing healthcare-associated infections.
Question 4
A CNA observes redness over a resident's sacrum that does not blanch. What is the
most appropriate response?
A. Massage the area vigorously.
B. Apply lotion and continue routine care.
C. Report the finding immediately to the nurse.
D. Cover it with a heating pad.
Correct Answer: C
Explanation: Non-blanchable redness may indicate an early pressure injury and
requires prompt reporting.
Question 5
When transferring a resident with a gait belt, the CNA should primarily:
A. Pull upward on the resident's arms.
B. Bend at the waist while lifting.
C. Maintain a wide base of support and use proper body mechanics.
D. Twist while pivoting.
Correct Answer: C
Explanation: Proper body mechanics reduce injury risk for both the resident and
caregiver.
, Question 6
A resident with dementia becomes agitated because they believe they must leave
for work. The CNA should:
A. Argue that the resident is retired.
B. Ignore the statement.
C. Respond calmly and redirect the conversation.
D. Tell the resident they are confused.
Correct Answer: C
Explanation: Validation and gentle redirection reduce anxiety more effectively
than confrontation.
Question 7
Which resident should the CNA report to the nurse first?
A. Resident requesting extra blankets.
B. Resident with a temperature of 101.8°F (38.8°C) and new confusion.
C. Resident asking for water.
D. Resident who wants to watch television.
Correct Answer: B
Explanation: Fever accompanied by acute confusion may indicate serious
infection requiring immediate assessment.
Question 8
A resident is on aspiration precautions. Which intervention is most appropriate?
LATEST UPDATE 2026/2027 | QUESTIONS | 100% CORRECT ANSWERS
## Table of Contents
- Resident Rights and Ethical Practice
- Infection Prevention and Standard Precautions
- Safety and Emergency Procedures
- Basic Nursing Skills
- Personal Care Skills
- Communication and Documentation
- Nutrition and Hydration
- Elimination and Mobility
- Mental Health and Dementia Care
- Rehabilitation and Restorative Care
- Legal Responsibilities and Professional Conduct
Introduction
The New York CNA Written Exam evaluates the knowledge and judgment required
to provide safe, competent, and compassionate care in long-term care,
rehabilitation, and acute care settings. Candidates are expected to understand
resident rights, infection prevention, communication, personal care, safety,
emergency response, documentation, and ethical responsibilities. Success requires
applying knowledge to realistic clinical situations rather than relying solely on
memorization. This practice examination is designed to strengthen critical thinking
through scenario-based questions that reflect current standards of nursing assistant
practice. Carefully review each explanation to reinforce key concepts and improve
decision-making skills for certification and safe clinical performance.
Question 1
A resident refuses a scheduled bath but is alert, oriented, and understands the
consequences. What is the CNA's best action?
A. Force the resident to bathe for infection control.
B. Document the refusal and notify the nurse while respecting the resident's
,decision.
C. Tell the family immediately before informing the nurse.
D. Record the bath as completed because it was scheduled.
Correct Answer: B
Explanation: Competent residents have the right to refuse care. The CNA should
respect the decision, report it to the nurse, and accurately document the refusal.
Question 2
While assisting with feeding, a resident suddenly begins coughing vigorously and
cannot speak. What should the CNA do first?
A. Encourage the resident to drink water.
B. Perform abdominal thrusts if indicated and according to facility policy after
recognizing severe airway obstruction.
C. Leave to call the physician.
D. Lay the resident flat.
Correct Answer: B
Explanation: Inability to speak with signs of severe choking requires immediate
intervention following current emergency procedures.
Question 3
Which action best demonstrates proper hand hygiene?
A. Washing only after visible contamination.
B. Wearing gloves instead of washing hands.
C. Cleaning hands before and after resident contact.
D. Washing hands only after glove removal.
, Correct Answer: C
Explanation: Hand hygiene before and after resident contact is essential for
preventing healthcare-associated infections.
Question 4
A CNA observes redness over a resident's sacrum that does not blanch. What is the
most appropriate response?
A. Massage the area vigorously.
B. Apply lotion and continue routine care.
C. Report the finding immediately to the nurse.
D. Cover it with a heating pad.
Correct Answer: C
Explanation: Non-blanchable redness may indicate an early pressure injury and
requires prompt reporting.
Question 5
When transferring a resident with a gait belt, the CNA should primarily:
A. Pull upward on the resident's arms.
B. Bend at the waist while lifting.
C. Maintain a wide base of support and use proper body mechanics.
D. Twist while pivoting.
Correct Answer: C
Explanation: Proper body mechanics reduce injury risk for both the resident and
caregiver.
, Question 6
A resident with dementia becomes agitated because they believe they must leave
for work. The CNA should:
A. Argue that the resident is retired.
B. Ignore the statement.
C. Respond calmly and redirect the conversation.
D. Tell the resident they are confused.
Correct Answer: C
Explanation: Validation and gentle redirection reduce anxiety more effectively
than confrontation.
Question 7
Which resident should the CNA report to the nurse first?
A. Resident requesting extra blankets.
B. Resident with a temperature of 101.8°F (38.8°C) and new confusion.
C. Resident asking for water.
D. Resident who wants to watch television.
Correct Answer: B
Explanation: Fever accompanied by acute confusion may indicate serious
infection requiring immediate assessment.
Question 8
A resident is on aspiration precautions. Which intervention is most appropriate?
